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供体和受体性别以及选定因素对肾移植五年生存率的影响。

Influence of donor and recipient gender as well as selected factors on the five-year survival of kidney graft.

作者信息

Głyda Maciej, Czapiewski Wojciech, Karczewski Marek, Pięta Renata, Oko Andrzej

机构信息

Department of Transplantology and Surgery, Provincial Hospital in Poznań.

出版信息

Pol Przegl Chir. 2011 Apr;83(4):188-95. doi: 10.2478/v10035-011-0029-1.

DOI:10.2478/v10035-011-0029-1
PMID:22166357
Abstract

UNLABELLED

The aim of the study was to determine the impact of the gender of renal allograft donor and recipient on the graft function over a 5-year follow-up period.

MATERIAL AND METHODS

The 154 kidney grafts from 77 donors transplanted into recipients of both genders. Two study groups were formed: one group consisted of male donors, while the other consisted of female donors. The recipients in each of the groups consisted of a pair, one male and one female.

RESULTS

71% of grafts survived the five-year period in the group of male and female recipients when the donor was male; in case of female donors, the rate was 62.5%. Depending on the gender of the donor and the recipient, the rates of grafts with five-year survival were as follows: 79.2% for male donors and female recipients (MF); 62.5% for male donors and male recipients (MM). The difference between both groups was not statistically significant. In the case of female donors and male recipients (FM), the five-year survival rate was 58.3%, while in female donors and female recipients, the five-year survival rate was 64.1%.

CONCLUSIONS

Grafts from male donors show a trend towards better five-year survival compared to grafts from female donors. The highest five-year survival rate was observed when the donor was male and the recipient was female; the lowest rate was observed for female donors and male recipients.

摘要

未标注

本研究的目的是确定在5年的随访期内,肾移植供体和受体的性别对移植肾功能的影响。

材料与方法

将来自77名供体的154个肾移植给不同性别的受体。形成了两个研究组:一组由男性供体组成,另一组由女性供体组成。每组中的受体由一对组成,一男一女。

结果

当供体为男性时,男性和女性受体组中71%的移植物存活了5年;在女性供体的情况下,这一比例为62.5%。根据供体和受体的性别,5年存活移植物的比例如下:男性供体和女性受体(MF)为79.2%;男性供体和男性受体(MM)为62.5%。两组之间的差异无统计学意义。在女性供体和男性受体(FM)的情况下,5年生存率为58.3%,而在女性供体和女性受体的情况下,5年生存率为64.1%。

结论

与女性供体的移植物相比,男性供体的移植物显示出5年生存率更高的趋势。当供体为男性而受体为女性时,观察到最高的5年生存率;女性供体和男性受体的生存率最低。

相似文献

1
Influence of donor and recipient gender as well as selected factors on the five-year survival of kidney graft.供体和受体性别以及选定因素对肾移植五年生存率的影响。
Pol Przegl Chir. 2011 Apr;83(4):188-95. doi: 10.2478/v10035-011-0029-1.
2
Improvement of renal transplantation outcome through matching donors and recipients.通过供体与受体匹配改善肾移植结局。
Ann Transplant. 2009 Oct-Dec;14(4):20-5.
3
Explainable variation in renal transplant outcomes: a comparison of standard and expanded criteria donors.肾移植结果的可解释变异:标准和扩大标准供体的比较。
Clin Transpl. 2004:303-14.
4
The impact of gender and age matching for long-term graft survival in living donor renal transplantation.活体供肾移植中性别和年龄匹配对长期移植肾存活的影响。
Transplant Proc. 2005 Mar;37(2):726-8. doi: 10.1016/j.transproceed.2004.12.137.
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The UNOS renal transplant registry.美国器官共享联合网络肾脏移植登记处。
Clin Transpl. 2001:1-18.
6
Three-year survival rates for all consecutive heart-only and lung-only transplants performed in Eurotransplant, 1997-1999.1997年至1999年在欧洲移植组织进行的所有连续单纯心脏移植和单纯肺移植的三年生存率。
Clin Transpl. 2003:89-100.
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Annual trends and triple therapy--1991-2000.1991 - 2000年的年度趋势与三联疗法
Clin Transpl. 2001:247-69.
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A multi-factor analysis of kidney regraft outcomes.肾脏再次移植结果的多因素分析。
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9
Donor factors.供体因素。
Clin Transpl. 1987:423-34.
10
Effect of sex on kidney transplants.性别对肾移植的影响。
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Cochrane Database Syst Rev. 2024 Dec 19;12(12):CD014966. doi: 10.1002/14651858.CD014966.pub2.
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Changes in Attitudes towards Organ Donation among Bosnian Immigrants in Sweden from Gender Perspective.从性别视角看瑞典波斯尼亚移民对器官捐赠的态度变化。
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Cross-sex transplantation alters gene expression and enhances inflammatory response in the transplanted kidneys.
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Biol Sex Differ. 2016 Jul 28;7:35. doi: 10.1186/s13293-016-0088-4. eCollection 2016.
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Rev Saude Publica. 2015;49:68. doi: 10.1590/S0034-8910.2015049005822. Epub 2015 Oct 9.
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Mortality predictors in renal transplant recipients with severe sepsis and septic shock.伴有严重脓毒症和脓毒性休克的肾移植受者的死亡预测因素
PLoS One. 2014 Nov 4;9(11):e111610. doi: 10.1371/journal.pone.0111610. eCollection 2014.