title: Preemptive kidney transplantation--a team experience in Uruguay.
abstract: Kidney transplantation is the best treatment for end-stage chronic renal disease. In Uruguay, the prevalence of patients on dialysis is 757 patients per millon inhabitants, plus 316 alive with a functioning renal graft. We install a preemptive renal transplantation program. Twenty-five patients received grafts without dialysis from 2004 to 2013, 5 receiving their 2nd transplantation and 17 from cadaveric donors, with 7.4 ± 7.7 months in the waiting list. At 24 months, patients' survival rate was 100% and the grafts' 97%, with a serum creatinine of 1.4 ± 0.6 mg%. The developed programs of dialysis and renal health care contributed install our preemptive kidney transplantation. Kidney transplantation should be proposed to selected patients with chronic renal failure as primary therapy of substitution of renal function.
authors.affiliation: Institute of Nephrology and Urology, School of Medicine, Universidad de la República, Montevideo, Uruguay. Electronic address: frgongalezmartinez@gmail.com.
authors.forename: F
authors.initials: F
authors.lastname: González-Martínez
authors.affiliation: Institute of Nephrology and Urology, School of Medicine, Universidad de la República, Montevideo, Uruguay.
authors.forename: L
authors.initials: L
authors.lastname: Curi
authors.affiliation: Institute of Nephrology and Urology, School of Medicine, Universidad de la República, Montevideo, Uruguay.
authors.forename: G
authors.initials: G
authors.lastname: González-Carballido
authors.affiliation: Institute of Nephrology and Urology, School of Medicine, Universidad de la República, Montevideo, Uruguay.
authors.forename: N
authors.initials: N
authors.lastname: Núñez
authors.affiliation: Institute of Nephrology and Urology, School of Medicine, Universidad de la República, Montevideo, Uruguay.
authors.forename: L
authors.initials: L
authors.lastname: Manzo
authors.affiliation: Institute of Nephrology and Urology, School of Medicine, Universidad de la República, Montevideo, Uruguay.
authors.forename: M
authors.initials: M
authors.lastname: Kurdián
authors.affiliation: Institute of Nephrology and Urology, School of Medicine, Universidad de la República, Montevideo, Uruguay.
authors.forename: P
authors.initials: P
authors.lastname: Larre Borges
authors.affiliation: Institute of Nephrology and Urology, School of Medicine, Universidad de la República, Montevideo, Uruguay.
authors.forename: M
authors.initials: M
authors.lastname: Nin
authors.affiliation: Institute of Nephrology and Urology, School of Medicine, Universidad de la República, Montevideo, Uruguay.
authors.forename: S
authors.initials: S
authors.lastname: Orihuela
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006085:Graft Survival; D006801:Humans; D007676:Kidney Failure, Chronic / Q000401:mortality / Q000601:surgery* / Q000628:therapy; D016030:Kidney Transplantation / Q000401:mortality; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D006435:Renal Dialysis; D015996:Survival Rate; D016896:Treatment Outcome; D014583:Uruguay; D014850:Waiting Lists; D055815:Young Adult