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Comparison of outcomes of kidney transplantation from donation after brain death, donation after circulatory death, and donation after brain death followed by circulatory death donors
Author(s) -
Chen Guodong,
Wang Chang,
Ko Dicken ShiuChung,
Qiu Jiang,
Yuan Xiaopeng,
Han Ming,
Wang Changxi,
He Xiaoshun,
Chen Lizhong
Publication year - 2017
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1111/ctr.13110
Subject(s) - medicine , donation , transplantation , kidney transplantation , organ donation , urinary system , kidney , surgery , circulatory system , cause of death , disease , economic growth , economics
Background There are three categories of deceased donors of kidney transplantation in China, donation after brain death ( DBD ), donation after circulatory death ( DCD ), and donation after brain death followed by circulatory death ( DBCD ) donors. The aim of this study was to compare the outcomes of kidney transplantation from these three categories of deceased donors. Methods We retrospectively reviewed 469 recipients who received deceased kidney transplantation in our hospital from February 2007 to June 2015. The recipients were divided into three groups according to the source of their donor kidneys: DBD , DCD , or DBCD . The primary endpoints were delayed graft function ( DGF ), graft loss, and patient death. Results The warm ischemia time was much longer in DCD group compared to DBCD group (18.4 minutes vs 12.9 minutes, P < .001). DGF rate was higher in DCD group than in DBD and DBCD groups (22.5% vs 10.2% and 13.8%, respectively, P = .021). Urinary leakage was much higher in DCD group ( P = .049). Kaplan‐Meier analysis showed that 1‐, 2‐, and 3‐year patient survivals were all comparable among the three groups. Conclusion DBCD kidney transplantation has lower incidences of DGF and urinary leakage than DCD kidney transplant. However, the overall patient and graft survival were comparable among DBD , DCD , and DBCD kidney transplantation.