title: Dual Kidney Transplantation Offers a Valuable Source for Kidneys With Good Functional Outcome.
abstract: BACKGROUND
  Reasons for declining kidney donors are older age, with or without, hypertension, kidney dysfunction, and diabetes. Implantation of both kidneys into a single recipient from such donors may improve their acceptability and outcome.
  
  
  METHODS
  Patients who underwent dual kidney transplantation (DKT) between June 2010 and May 2014 were identified from a prospectively maintained database. Single kidney transplantations (SKT) with matching donor criteria were also identified. Donors considered for DKT were the following: DBDs >70 years of age with diabetes and/or hypertension; DCDs >65 years of age with diabetes and/or hypertension; and DCDs >70 years of age.
  
  
  RESULTS
  Over a 4-year period, 34 patients underwent adult DKT, and 51, with matching donor criteria, underwent SKT. The median estimated glomerular filtration rate (eGFR) at 12 and 36 months of DKT was 49 (range, 5-79) and 42 (range, 15-85) mL/min compared with SKT of 35 (range, 10-65) and 32 (range, 6-65), respectively. The 1-year graft survival for DKT and SKT was 88% and 96% (P = .52), and patient survival was 94% and 98%, respectively (P = .12). Median hospital stay, intensive care unit admission, and wound complications were more frequent in the DKT group.
  
  
  CONCLUSIONS
  Graft function following DKT is significantly better compared with matched criteria SKT; graft and patient survival are similar. There is an increased rate of complications following DKT, with longer hospital stay and ICU admission.
authors: Cardiff Transplant Unit, Department of Nephrology and Transplant Surgery, University Hospital of Wales, Cardiff, United Kingdom. Electronic address: usman.khalid@doctors.org.uk.
authors: U
authors: U
authors: Khalid
authors: Cardiff Transplant Unit, Department of Nephrology and Transplant Surgery, University Hospital of Wales, Cardiff, United Kingdom.
authors: A
authors: A
authors: Asderakis
authors: Cardiff Transplant Unit, Department of Nephrology and Transplant Surgery, University Hospital of Wales, Cardiff, United Kingdom.
authors: T
authors: T
authors: Rana
authors: Cardiff Transplant Unit, Department of Nephrology and Transplant Surgery, University Hospital of Wales, Cardiff, United Kingdom.
authors: L
authors: L
authors: Szabo
authors: Cardiff Transplant Unit, Department of Nephrology and Transplant Surgery, University Hospital of Wales, Cardiff, United Kingdom.
authors: R
authors: R
authors: Chavez
authors: Cardiff Transplant Unit, Department of Nephrology and Transplant Surgery, University Hospital of Wales, Cardiff, United Kingdom.
authors: M A
authors: MA
authors: Ilham
authors: Cardiff Transplant Unit, Department of Nephrology and Transplant Surgery, University Hospital of Wales, Cardiff, United Kingdom.
authors: E
authors: E
authors: Ablorsu
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006085:Graft Survival; D006801:Humans; D016030:Kidney Transplantation / Q000379:methods* / Q000401:mortality; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology*; D012189:Retrospective Studies; D014019:Tissue Donors / Q000600:supply & distribution; D016896:Treatment Outcome