| Item type |
デフォルトアイテムタイプ（フル）(1) |
| 公開日 |
2020-12-15 |
| タイトル |
|
|
タイトル |
20年以上生着した腎移植症例の検討 |
|
言語 |
ja |
| タイトル |
|
|
タイトル |
Clinical studies of 20-year graft survivals of kidney transplantations |
|
言語 |
en |
| 作成者 |
大城, 吉則
安次嶺, 聡
木村, 隆
宮城, 亮太
玉城, 由光
仲西, 昌太郎
松村, 英理
大城, 琢磨
宮里, 実
呉屋, 真人
斎藤, 誠一
Oshiro, Yoshinori
Ashimine, Satoshi
Kimura, Ryu
Miyagi, Ryota
Tamaki, Mitsuyoshi
Nakanishi, Syotarou
Matsumura, Eiri
Oshiro, Takuma
Goya, Masato
Miyazato, Minoru
Saito, Seiichi
|
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 権利情報 |
|
|
言語 |
en |
|
権利情報 |
Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
kidney transplantation |
| 主題 |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
long term graft survival |
| 内容記述 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
【Objective】Good long-term kidney graft function and graft survival depend on multiple factors. This study aimed to assess the impact of donor and recipient clinical factors on 20-year graft survival after kidney transplantation (KT).\n【Material and Methods】From 1987-1994, twenty-five KTs (14 living and 11 deceased donors) were performed at Ryukyu University Hospital, and 24 of these cases were followed for more than 20 years after the KTs and reviewed. Ten patients had 20 years of graft survival, and 14 experienced graft failure for some reason within 20 years after KTs. Retrospective analyses were performed to elucidate the difference in donor and recipient factors among these patients.\n【Results】The death censored graft survival rates at 5, 10, 15, and 20 years were 92.0%, 83.0%, 67.0%, and 67.0% in living-donor KTs and 73.0%, 62.0%, 62.0%, and 31.0% in deceased-donor KTs, respectively. The overall graft survival rates at 5, 10, 15, and 20 years were 85.0%, 77.0%, 62.0%, and 54.0% in living-donor KTs and 63.0%, 55.0%, 45.0%, and 27.0% in deceased-donor KTs, respectively. Comparison of clinical factors between the ≥ 20-year graft survivor group (10 cases) and <20-year graft survivor group (14 cases) revealed no differences in, for example, recipient age, duration of dialysis, donor age, donor type, number of human leukocyte antigen mismatches, and occurrence of acute rejections within 1 year of KTs. However, among 13 cases of living-donor KTs, the overall graft survivals after KTs from donors older than 50 years were worse than those after KTs from donors younger than 50 years. Also, the death-censored graft survivals after KTs from donors older than 60 years were worse than those after KTs from donors younger than 60 years. Moreover, graft survivals after KTs from maternal donors were worse than those after KTs from nonmaternal living donors, and there were no 20-year graft survivors after KTs from maternal donors.\n【Conclusion】Our results suggest that the principal risk factors associated with <20-year graft survival after living-donor KTs are the presence of donors older than 50 or 60 years and a maternal donor. |
| 内容記述 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
論文 |
| 出版者 |
|
|
出版者 |
一般社団法人 日本移植学会 |
|
言語 |
ja |
| 出版者 |
|
|
出版者 |
The Japan Society for Transplantation |
|
言語 |
en |
| 言語 |
|
|
言語 |
jpn |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 識別子 |
|
|
識別子 |
http://hdl.handle.net/20.500.12000/47494 |
|
識別子タイプ |
HDL |
| 関連情報 |
|
|
|
識別子タイプ |
DOI |
|
|
関連識別子 |
https://doi.org/10.11386/jst.51.1_040 |
| 関連情報 |
|
|
|
識別子タイプ |
DOI |
|
|
関連識別子 |
https://doi.org/10.11386/jst.51.1_040 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
2188-0034 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0578-7947 |
| 収録物名 |
|
|
収録物名 |
移植 |
|
言語 |
ja |
| 書誌情報 |
巻 51,
号 1,
p. 40-47,
発行日 2016-03-10
|
51_040.pdf
