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The Irish experience of kidney transplantation among recipients with prior non‐renal solid organ transplants: A retrospective study on short‐ and long‐term outcomes
Author(s) -
Ferede Atakelet A.,
O'Connell Clare,
Davis Niall F.,
Mohan Ponnusamy,
Robertson Ian,
O'Kelly Patrick,
Little Dilly M.
Publication year - 2021
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.14156
Subject(s) - medicine , kidney , solid organ , kidney transplantation , transplantation , nephrology , organ transplantation , retrospective cohort study , kidney disease , surgery , urology
Background This study aims to evaluate allograft and patient outcomes among recipients of kidney transplants after non‐renal solid organ transplants. We also aim to compare our findings with recipients of a repeat kidney transplant. Methods We performed an analysis on kidney transplant recipients who underwent kidney transplantation after a non‐renal solid organ transplant. Survival data were stratified into 2 groups: Group A ( n = 37) consisted of recipients of a kidney transplant after prior non‐renal solid organ transplant, and Group B ( n = 330) consisted of recipients of a repeat kidney transplant. Results The 1‐,5‐, and 10‐year graft survival (death‐censored) for recipients of a kidney transplant post–non‐renal solid organ transplant (Group A) were 97.3%, 91.5%, and 86.9%, compared with 97.9%, 90.2%, and 83.4% for recipients of a repeat kidney transplant (Group B) ( p = .32). The 1‐, 5‐, and 10‐year patient survival rates were 97.3%, 82.7%, and 79.1% in Group A compared to 97.9%, 90.2%, and 83.4% in Group B. Unadjusted overall patient survival was significantly lower for Group A ( p = .017). Conclusion Kidney transplant recipients who have undergone a previous non‐renal solid organ transplant have similar allograft survival outcomes, but higher long‐term mortality rates compared to repeat kidney transplant recipients.