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Tytuł:
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Long-Term Outcome of Liver Transplant Recipients After the Development of Renal Failure Requiring Dialysis: A Study Using the National Health Insurance Database in Taiwan.
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Autorzy:
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Wang TJ; Division of Nephrology, Department of Internal Medicine, Chia-yi Branch, Taichung Veterans General Hospital, Taiwan; Division of Nephrology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Lin CH; Associate Investigator Department of Medical Research, Taichung Veterans General Hospital, Taichung, Taiwan.
Chang SN; Associate Investigator Department of Medical Research, Taichung Veterans General Hospital, Taichung, Taiwan.
Cheng SB; Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan; Department of Medicine, Chung Shan Medical University, Taichung, Taiwan.
Chou CW; Division of Hematology/Medical Oncology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan.
Chen CH; Division of Nephrology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan; Department of Medical Research, Taichung Veterans General Hospital, Taichung, Taiwan; Center for Quality Management, Taichung Veterans General Hospital, Taichung, Taiwan; Department of Life Science, Tunghai University, Taichung, Taiwan.
Shu KH; Division of Nephrology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan; School of Medicine, Chung Shan Medical University, Taichung, Taiwan.
Wu MJ; Division of Nephrology, Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan; School of Medicine, Chung Shan Medical University, Taichung, Taiwan; Rong Hsing Research Center for Translational Medicine, Institute of Biomedical Science, College of Life Science, National Chung Hsing University, Taichung, Taiwan; Graduate Institute of Clinical Medical Science, School of Medicine, China Medical University, Taichung, Taiwan. Electronic address: .
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Źródło:
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Transplantation proceedings [Transplant Proc] 2016 May; Vol. 48 (4), pp. 1194-7.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: New York, N.Y. : Elsevier Science Inc.
Original Publication: New York Stratton.
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MeSH Terms:
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Liver Transplantation*
Renal Dialysis*
Biliary Atresia/*epidemiology
Hypertension/*epidemiology
Kidney Failure, Chronic/*epidemiology
Postoperative Complications/*epidemiology
Adolescent ; Adult ; Female ; Humans ; Incidence ; Kidney Failure, Chronic/therapy ; Male ; Middle Aged ; Proportional Hazards Models ; Renal Insufficiency, Chronic/epidemiology ; Retrospective Studies ; Risk Factors ; Taiwan/epidemiology ; Young Adult
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Entry Date(s):
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Date Created: 20160621 Date Completed: 20170105 Latest Revision: 20181202
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Update Code:
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20240104
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DOI:
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10.1016/j.transproceed.2015.12.130
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PMID:
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27320585
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Background: The aims of this study were to identify the incidence of renal failure requiring dialysis and to investigate the long-term outcome after renal failure in liver transplantation (LT) patients.
Methods: The primary database used was the Taiwan National Health Insurance Research Database. Subjects with LT from 1997 to 2009 were included. Patients were grouped into the dialysis cohort if they once received hemodialysis owing to any pattern of renal failure during peri-transplantation periods or after LT. Otherwise, they were categorized into the nondialysis cohort. We conducted a retrospective observational study on the correlation of renal failure requiring dialysis and its effect on LT recipients.
Results: The analysis included data of 1,771 LT recipients with a mean follow-up time of 3.8 ± 2.9 years. The mean age was 43.2 ± 19.3 years, and 69.4% were male. Overall patient survival was 86.2% at 1 year, 82.2% at 3 years, and 80.5% at 5 years. Renal failure requiring dialysis had developed in the 323 patients (18.2%). Among them, 26 individuals (1.5%) had progressed to end-stage renal disease without renal recovery after perioperative hemodialysis. Individuals who developed renal failure requiring dialysis had a higher mortality compared with LT recipients never requiring dialysis (hazard ratio, 8.75; 95% confidence interval, 7.0-10.9).
Conclusions: Renal failure requiring dialysis development after LT is common and carries high mortality in Chinese liver allograft recipients. Recognizing risk factors permits the timely institution of proper treatment, which is the key to reducing untoward outcomes.
(Copyright © 2016 Elsevier Inc. All rights reserved.)
