title: Variations in initial renal transplant function by type of organ retrieval.
abstract: BACKGROUND
  Numerous factors have been associated with early delay in kidney function and thence the graft survival. However, few data are derived from different types of donation: single or multiorgan. Our goal was to analyze the association of type of retrieval with the early function of the renal graft.
  
  
  METHODS
  A retrospective analysis of transplantations performed in the Reina Sofia Hospital from January 2004 to June 2012 from local deceased donors was carried out. We performed a descriptive analysis of the variables and univariate and multivariate analyses with the use of logistic regression to determine the association of type of retrieval (kidney-only [KO], kidney-liver [KL], and multiorgan [MO]) with delayed graft function (DGF) and early graft failure (EGF).
  
  
  RESULTS
  We analyzed 287 kidney transplantations from 182 deceased donors, of which 25 (13.7%) were KO, 80 (43.9%) KL, and 77 (42.3%) MO. DGF was higher in MO retrievals compared with KL and KO (25.8% vs 24% vs 20.5%), though without reaching significance (P = .81). EGF at 3 months was 17.6% in KO compared with 10.5% in KL and 5.3% in MO (P = .2). Regarding DGF, in the multivariate analysis, donor age (P = .049) and donor sex (P = .029) appeared to be related to DGF. There were no differences by type of retrieval. Multivariate logistic regression analysis established a significant relationship between KO retrieval and EGF at 3 months (P = .005) compared with MO.
  
  
  CONCLUSIONS
  Early graft function at 3 months decreases when the allograft is from KO retrievals compared with MO, probably related to the more unfavorable characteristics of these donors and their corresponding recipients.
authors: Urology Units, Reina Sofía University Hospital, Córdoba, Spain. Electronic address: alegonal@msn.com.
authors: A González
authors: AG
authors: Alfaro
authors: P Campos
authors: PC
authors: Hernández
authors: E Gómez
authors: EG
authors: Gómez
authors: J Ruiz
authors: JR
authors: Garcia
authors: J L Carazo
authors: JL
authors: Carazo
authors: F Márquez
authors: FM
authors: López
authors: F J Anglada
authors: FJ
authors: Curado
authors: M Leva
authors: ML
authors: Vallejo
authors: J C Regueiro
authors: JC
authors: López
authors: P
authors: P
authors: Aljama
authors: M J Requena
authors: MJ
authors: Tapia
mesh_terms: D000328:Adult; D016009:Chi-Square Distribution; D051799:Delayed Graft Function / Q000209:etiology / Q000503:physiopathology; D005260:Female; D006085:Graft Survival; D006801:Humans; D007668:Kidney / Q000503:physiopathology / Q000601:surgery*; D016030:Kidney Transplantation / Q000009:adverse effects / Q000379:methods*; D016031:Liver Transplantation; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009392:Nephrectomy / Q000009:adverse effects / Q000379:methods*; D012189:Retrospective Studies; D012307:Risk Factors; D013030:Spain; D013997:Time Factors; D020858:Tissue and Organ Harvesting / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome