Terasaki P I, Cecka J M
Clin Transpl. 1999:317-24.
Grouping US kidney transplant centers according to the number of transplants performed during the past 10 years into those that reported more than 1,000 transplants and all others showed: 1. Ten-year graft survival rates at larger centers were no more than 5% higher than those at other centers. 2. Graft survival rates were most similar between the 2 center groups when the donor was an HLA-identical sibling or when the recipient had chronic glomerulonephritis. 3. Larger centers had a slightly but noticeably higher graft survival rate when the patient had juvenile onset diabetes, when the donor was older than age 60 and when the donor was a spouse. 4. Most differences in graft survival rates between larger and all other centers were apparent only 2-3 years after transplantation, suggesting that the differences reflect long-term management of the patients or that an historical difference existed that has disappeared in recent years.
根据过去10年进行的移植手术数量，将美国肾脏移植中心分为报告移植手术超过1000例的中心和其他所有中心，结果显示：1. 大型中心的10年移植物存活率比其他中心高不超过5%。2. 当供体为HLA相同的同胞或受体患有慢性肾小球肾炎时，两组中心之间的移植物存活率最为相似。3. 当患者患有青少年型糖尿病、供体年龄超过60岁以及供体为配偶时，大型中心的移植物存活率略高但明显更高。4. 大型中心与其他所有中心之间移植物存活率的大多数差异仅在移植后2至3年才明显，这表明这些差异反映了患者的长期管理情况，或者存在一种近年来已消失的历史差异。
