title: Long-term outcomes of patients on the 1988 West of Scotland renal transplant waiting list.
abstract: BACKGROUND
  The prevalent population with established renal failure continues to grow.
  
  
  METHODS
  Using the Renal Electronic Patient Record, we assess the long-term outcomes of the adult population in the West of Scotland who were awaiting kidney transplantation in 1988 (n = 219), and compare the demographics to the 2011 transplant waiting list (n = 409).
  
  
  RESULTS
  Comparing the 2011 transplant waiting list, there are now more patients, but they are older, more likely to be female, and are more likely to have diabetes as a cause of renal failure. Seventy-four percent received a transplant; of these, 41% of the transplants ultimately failed and the patient returned to dialysis; 39% of patients died with a functioning graft and 20% remain alive with continuing transplant function. Life expectancy for those with renal failure was less than 60 years, significantly lower than the general population, though 29% survived for 20 years, half of these with a functioning kidney transplant and half having returned to dialysis.
  
  
  CONCLUSIONS
  As survival with a transplant improves, attention is required to reduce the causes of mortality, in particular cardiovascular disease, and malignancy and infection associated with immunosuppression.
authors.affiliation: Renal ST4 (LAT), Glasgow Renal and Transplant Unit, Western Infirmary, UK eleanormurray@doctors.org.uk.
authors.forename: Eleanor C
authors.initials: EC
authors.lastname: Murray
authors.affiliation: Consultant Renal Physician, Glasgow Renal and Transplant Unit, Western Infirmary, UK.
authors.forename: Margaret
authors.initials: M
authors.lastname: McMillan
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000401:mortality* / Q000601:surgery / Q000628:therapy; D016030:Kidney Transplantation / Q000401:mortality* / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D015995:Prevalence; D006435:Renal Dialysis / Q000401:mortality* / Q000706:statistics & numerical data; D012307:Risk Factors; D012606:Scotland / Q000453:epidemiology; D016019:Survival Analysis; D009927:Tissue and Organ Procurement / Q000458:organization & administration* / Q000706:statistics & numerical data; D014850:Waiting Lists
keywords: Transplantation; dialysis; survival