title: Comparison of clinical outcomes between ABO-compatible and ABO-incompatible spousal donor kidney transplantation.
abstract: BACKGROUND
  Kidney transplantation (KT) is the treatment of choice for end-stage renal disease patients. The spouse is a major donor in living KT. Clinical outcomes of spousal donor KT are not inferior to those of living related donor KT. In this study, we compared clinical outcomes between ABO-compatible (ABOc) and ABO-incompatible (ABOi) spousal donor KTs.
  
  
  METHODS
  Thirty-two cases of spousal donor KT performed from January 2011 to August 2013 were analyzed retrospectively. Twenty-one ABOc KTs and 11 ABOi KTs were performed. We investigated patient survival, graft survival, acute rejection, graft function, and complications.
  
  
  RESULTS
  During follow-up, patient and graft survival rates were 100% in both groups. There were no significant differences in the incidence of delayed graft function, acute rejection, and the change in graft function between the 2 groups. Medical and surgical complications were not significantly different between the groups.
  
  
  CONCLUSIONS
  The clinical outcomes of ABOc and ABOi spousal donor KTs were equivalent. In ABOi KT, an emotionally motivated spousal donor KT may be a good alternative to the problem of the absolute shortage of kidney donations.
authors.affiliation: Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea; Keimyung University Kidney Institute, Daegu, Korea.
authors.forename: Woo Yeong
authors.initials: WY
authors.lastname: Park
authors.affiliation: Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea; Keimyung University Kidney Institute, Daegu, Korea.
authors.forename: Seong Sik
authors.initials: SS
authors.lastname: Kang
authors.affiliation: Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea; Keimyung University Kidney Institute, Daegu, Korea.
authors.forename: Sung Bae
authors.initials: SB
authors.lastname: Park
authors.affiliation: Department of Surgery, Keimyung University School of Medicine, Daegu, Korea; Keimyung University Kidney Institute, Daegu, Korea.
authors.forename: Ui Jun
authors.initials: UJ
authors.lastname: Park
authors.affiliation: Department of Surgery, Keimyung University School of Medicine, Daegu, Korea; Keimyung University Kidney Institute, Daegu, Korea.
authors.forename: Hyong Tae
authors.initials: HT
authors.lastname: Kim
authors.affiliation: Department of Surgery, Keimyung University School of Medicine, Daegu, Korea; Keimyung University Kidney Institute, Daegu, Korea.
authors.forename: Won Hyun
authors.initials: WH
authors.lastname: Cho
authors.affiliation: Department of Internal Medicine, Keimyung University School of Medicine, Daegu, Korea; Keimyung University Kidney Institute, Daegu, Korea.
authors.forename: Seungyeup
authors.initials: S
authors.lastname: Han
keywords: Blood group incompatibility; Kidney transplantation; Spouses