澳大利亚基于登记处的活体肾脏供体随访：2003 - 2021年澳新肾脏与移植登记处分析
Registry-Based Living Kidney Donor Follow-Up in Australia: An ANZLKD Analysis 2003-2021.
作者信息
David Neesan George, Vangaveti Venkat, Ng Monica Suet Ying, Mallett Andrew John
机构信息
Kidney Health Service, Royal Brisbane and Women's Hospital, Brisbane, Queensland, Australia.
College of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia.
出版信息
Nephrology (Carlton). 2025 Jun;30(6):e70065. doi: 10.1111/nep.70065.
The Australia and New Zealand Live Kidney Donor (ANZLKD) Registry is the binational registry for recording live kidney donor outcomes in Australia and New Zealand. In this retrospective analysis, it is demonstrated that only 2.93% of living kidney donors in Australia across 2004-2021 have adequate follow-up data recorded in ANZLKD. Response rates recorded through ANZLKD gradually decline from year after donation, starting at 38% at 1 year and reaching 1.6% at 15 years. Factors associated with adequate follow-up in ANZLKD included reduced eGFR and later donation year. This is amongst the first studies to objectively assess kidney donor follow-up recorded in ANZLKD and highlights a critical gap in binationally documented donor follow-up and outcome monitoring in live kidney donors. This study highlights the urgent need to improve live kidney donor data input in ANZLKD and/or live kidney donor follow-up.
澳大利亚和新西兰活体肾捐赠者（ANZLKD）登记处是用于记录澳大利亚和新西兰活体肾捐赠者结果的双边登记处。在这项回顾性分析中，结果表明，在2004年至2021年期间，澳大利亚只有2.93%的活体肾捐赠者在ANZLKD中记录了充分的随访数据。通过ANZLKD记录的响应率从捐赠后的年份开始逐年逐渐下降，捐赠后1年时为38%，15年时降至1.6%。与ANZLKD中充分随访相关的因素包括估算肾小球滤过率（eGFR）降低和捐赠年份较晚。这是首批客观评估ANZLKD中记录的肾捐赠者随访情况的研究之一，突出了双边记录的活体肾捐赠者随访和结果监测方面的一个关键差距。这项研究强调了迫切需要改进ANZLKD中的活体肾捐赠者数据录入和/或活体肾捐赠者随访工作。
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