title: Preliminary results of transplantation with kidneys donated after cardiac death: a path of hope for organ transplantation in China.
abstract: BACKGROUND
  This article aims to explore the feasibility and effect of kidney transplantation (KT) from donation after cardiac death (DCD) donors in China.
  
  
  METHODS
  From July 2011 to April 2013, 94 DCD kidneys retrieved and transplanted by our centre were reviewed in this largest single-centre cohort study. Patients with and without delayed graft function (DGF) were compared between DCD KT cohorts. Estimated glomerular filtration rate (eGFR), post-operative complications and graft loss at different time points were recorded. Factors related to DGF were examined and analysed.
  
  
  RESULTS
  There was no primary non-function (PNF) graft observed from patients. DGF rate was 27.7%; and 1-year overall graft and patient survival rates were 95.7 and 98.9%, respectively. In the first 6 months post-transplantation, eGFR was significantly lower in the DGF group compared with the non-DGF group (46 versus 52 mL/min; P = 0.04); but the difference disappeared thereafter (50 versus 47 mL/min, after 1 year).
  
  
  CONCLUSIONS
  Despite early DGF and short-term observations, we are pleased to have this opportunity of sharing our initial experience and results, and justifying the continued DCD KT programmes in China.
authors.affiliation: Center of Nephropathy, The First Affiliated Hospital, Medical College of Xi'an Jiaotong University, Xi'an City, Shaanxi Province, People's Republic of China Institute of Organ Transplantation, Xi'an Jiaotong University, Xi'an City, Shaanxi Province, People's Republic of China.
authors.forename: Pan
authors.initials: P
authors.lastname: Xiaoming
authors.affiliation: Institute of Organ Transplantation, Xi'an Jiaotong University, Xi'an City, Shaanxi Province, People's Republic of China.
authors.forename: Heli
authors.initials: H
authors.lastname: Xiang
authors.affiliation: Coordination Group of Shaanxi Red Cross Organization, Xi'an City, Shaanxi Province, People's Republic of China.
authors.forename: Liu
authors.initials: L
authors.lastname: LinJuan
authors.affiliation: Center of Nephropathy, The First Affiliated Hospital, Medical College of Xi'an Jiaotong University, Xi'an City, Shaanxi Province, People's Republic of China.
authors.forename: Ding
authors.initials: D
authors.lastname: Chenguang
authors.affiliation: Institute of Organ Transplantation, Xi'an Jiaotong University, Xi'an City, Shaanxi Province, People's Republic of China.
authors.forename: Li
authors.initials: L
authors.lastname: Ren
mesh_terms: D000328:Adult; D002681:China / Q000453:epidemiology; D003643:Death; D051799:Delayed Graft Function / Q000401:mortality / Q000503:physiopathology; D005260:Female; D006084:Graft Rejection / Q000401:mortality / Q000503:physiopathology; D006085:Graft Survival; D006801:Humans; D007674:Kidney Diseases / Q000601:surgery*; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011379:Prognosis; D012189:Retrospective Studies; D015996:Survival Rate; D014019:Tissue Donors
keywords: complication; delayed graft function; donation after circulatory death; kidney transplantation; outcome