Factors affecting the ten-year outcome of human renal allografts. The effect of viral infections

D. Ranjan, George W Burke, V. Esquenazi, M. Milgrom, N. Koleilat, David Roth, C. Gomez, L. Olson, S. Babischkin, H. Gharagozloo, J. Miller

Research output: Contribution to journalArticle

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Abstract

Long-term(10-year) results of kidney transplantation have been analyzed from this center with respect to several variables. In this report the influence of viral disease was added in studying the effect of cadaver versus living-related donor, recipient race, and compliance. Over all, 10-year actuarial patient and graft survival were 68% and 48%, respectively. Cytomegalovirus, hepatitis B and C, and HIV-1 were studied for their effects, and survival curves analyzed statistically. Although cadaver and living-related donor, recipient race, and compliance were 3 main variables influencing graft survival, these 4 viruses were not selective in their effects on any of them. Hepatitis B surface antigen positivity and hepatitis C antibody positivity did not influence overall mortality or graft survival. Only cytomegalovirus seronegative status was important (as opposed to seropositive status, which was not). Of seronegative patients only those receiving a kidney from a seropositive donor were adversely affected. The presence of HIV-1 antibody had an adverse effect on graft survival, but the question remains as to whether overall mortality in HIV seropositive patients is any worse than those receiving dialysis therapy.

Original languageEnglish
Pages (from-to)113-117
Number of pages5
JournalTransplantation
Volume51
Issue number1
StatePublished - Jan 1 1991

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Graft Survival
Virus Diseases
Allografts
Kidney
Living Donors
Cytomegalovirus
Cadaver
Compliance
HIV-1
HIV Antibodies
Hepatitis C Antibodies
Mortality
Hepatitis C
Hepatitis B Surface Antigens
Hepatitis B
Kidney Transplantation
Dialysis
Tissue Donors
HIV
Viruses

ASJC Scopus subject areas

  • Immunology
  • Transplantation

Cite this

Ranjan, D., Burke, G. W., Esquenazi, V., Milgrom, M., Koleilat, N., Roth, D., ... Miller, J. (1991). Factors affecting the ten-year outcome of human renal allografts. The effect of viral infections. Transplantation, 51(1), 113-117.

Factors affecting the ten-year outcome of human renal allografts. The effect of viral infections. / Ranjan, D.; Burke, George W; Esquenazi, V.; Milgrom, M.; Koleilat, N.; Roth, David; Gomez, C.; Olson, L.; Babischkin, S.; Gharagozloo, H.; Miller, J.

In: Transplantation, Vol. 51, No. 1, 01.01.1991, p. 113-117.

Research output: Contribution to journalArticle

Ranjan, D, Burke, GW, Esquenazi, V, Milgrom, M, Koleilat, N, Roth, D, Gomez, C, Olson, L, Babischkin, S, Gharagozloo, H & Miller, J 1991, 'Factors affecting the ten-year outcome of human renal allografts. The effect of viral infections', Transplantation, vol. 51, no. 1, pp. 113-117.
Ranjan, D. ; Burke, George W ; Esquenazi, V. ; Milgrom, M. ; Koleilat, N. ; Roth, David ; Gomez, C. ; Olson, L. ; Babischkin, S. ; Gharagozloo, H. ; Miller, J. / Factors affecting the ten-year outcome of human renal allografts. The effect of viral infections. In: Transplantation. 1991 ; Vol. 51, No. 1. pp. 113-117.
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