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泰国25年肾移植经验:泰国移植登记处报告

A 25-year experience of kidney transplantation in Thailand: report from the Thai Transplant Registry.

作者信息

Noppakun Kajohnsak, Ingsathit Atiporn, Pongskul Cholatip, Premasthian Nalinee, Avihingsanon Yingyos, Lumpaopong Adisorn, Vareesangthip Kriangsak, Sumethkul Vasant

机构信息

Renal Division, Department of Internal Medicine, Chiang Mai University, Chiang Mai, Thailand.

出版信息

Nephrology (Carlton). 2015 Mar;20(3):177-83. doi: 10.1111/nep.12378.

DOI:10.1111/nep.12378
PMID:25492162
Abstract

AIM

To report the kidney transplant activity and survival data during the past 25 years from the Thai Transplant Registry.

METHODS

By using the registry database that was collected and updated yearly by 26 transplant centres across the country, we have reported the donor, recipient, and transplant characteristics during the past 25 years from 1987 to 2012. The primary outcome was graft loss that was defined as return to dialysis, graft removal, retransplant, or patient death.

RESULTS

465 kidney transplants were performed in 2012, an 8.1% and 23.0% increase in living and deceased donor transplants compared to the previous year, respectively. Between 1987 and 2012 with the data of 3808 recipients, patient survival and graft survival improved significantly. Traffic accident was the most common cause of death in brain-dead donors. Additionally, the most common cause of end-stage kidney disease was glomerulonephritis. Infection has been among the most common causes of death in kidney transplant recipients.

CONCLUSION

We have reported the total number, the graft and the patient survival data of kidney transplant recipients in Thailand for the period from 1987 to 2012. Although the number of patients is much lower than that in the developed countries, the patients and the graft survival rates are comparable.

摘要

目的

报告泰国移植登记处过去25年的肾移植活动及生存数据。

方法

通过使用由全国26个移植中心每年收集和更新的登记数据库,我们报告了1987年至2012年过去25年中的供体、受体及移植特征。主要结局为移植物丢失,定义为恢复透析、移植物切除、再次移植或患者死亡。

结果

2012年进行了465例肾移植,活体供体移植和尸体供体移植分别比上一年增加了8.1%和23.0%。在1987年至2012年期间,有3808名受体的数据,患者生存率和移植物生存率显著提高。交通事故是脑死亡供体最常见的死亡原因。此外,终末期肾病最常见的病因是肾小球肾炎。感染一直是肾移植受者最常见的死亡原因之一。

结论

我们报告了1987年至2012年期间泰国肾移植受者的总数、移植物及患者生存数据。尽管患者数量远低于发达国家,但患者及移植物生存率具有可比性。

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A 25-year experience of kidney transplantation in Thailand: report from the Thai Transplant Registry.泰国25年肾移植经验:泰国移植登记处报告
Nephrology (Carlton). 2015 Mar;20(3):177-83. doi: 10.1111/nep.12378.
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