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Assessment of Deceased Donor Kidneys Using a Donor Scoring System
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Bang, Kitae | - |
dc.contributor.author | Lee, Han Kyu | - |
dc.contributor.author | Lee, Yu-ji | - |
dc.contributor.author | Huh, Wooseong | - |
dc.contributor.author | Byun, Seung Woon | - |
dc.contributor.author | Hwang, Young-Hwan | - |
dc.contributor.author | Park, Myoung Hee | - |
dc.contributor.author | Park, Su-Kil | - |
dc.contributor.author | Yang, Jaeseok | - |
dc.contributor.author | Ahn, Curie | - |
dc.contributor.author | Oh, Ha-Young | - |
dc.contributor.author | Kim, Sung-Joo | - |
dc.contributor.author | Ha, Jongwon | - |
dc.contributor.author | Ro, Han | - |
dc.date.accessioned | 2012-05-23T00:27:43Z | - |
dc.date.available | 2012-05-23T00:27:43Z | - |
dc.date.issued | 2010-11-01 | - |
dc.identifier.citation | YONSEI MEDICAL JOURNAL; Vol.51 6; 870-876 | ko_KR |
dc.identifier.issn | 0513-5796 | - |
dc.identifier.uri | https://hdl.handle.net/10371/76282 | - |
dc.description.abstract | Purpose: Marginal grafts should be used more actively in Asian countries where deceased donor transplantation is unpopular. We modified a quantitative donor scoring system proposed by Nyberg and his colleagues and developed a donor scoring system in order to assess the quality of deceased donor grafts and their prognostic value as an initial effort to promote usage of marginal donors. Materials and Methods: We retrospectively evaluated 337 patients. Results: A scoring system was derived from six donor variables [age, 0-25; renal function, 0-4; history of hypertension, 0-4; Human Leukocyte Antigen (HLA) mismatch, 0-3; body weight, 0-1; cause of death, 0-3 points]. Donor grafts were stratified by scores: grade A, 0-10; grade B, 11-20; grade C, 21-30; and grade D, 31-40 points. Donor grades significantly correlated with estimated glomerular filtration rate (eGFR) at 6 months (A, 64.0 mL/min/1.73 m(2); B, 57.0 mL/min/1.73 m(2); C, 46.8 mL/min/1.73 m(2); p < 0.001). The five-year graft survival rate was also lower in grade C than grade A (74% vs. 93%, p = 0.002). Donors in grade C and D were regarded as marginal donors. The proportion of marginal donors was much lower in Korea, compared with data from the United Network for Organ Sharing (15.2% vs. 29%). Conclusion: Considering the scarcity of deceased donor kidneys and the relatively better graft outcome with lower grade-donors in Korea, it is worth increasing the usage of marginal grafts. | ko_KR |
dc.language.iso | en | ko_KR |
dc.publisher | YONSEI UNIV COLLEGE MEDICINE | ko_KR |
dc.subject | Kidney transplantation | ko_KR |
dc.subject | cadaver | ko_KR |
dc.subject | donor selection | ko_KR |
dc.title | Assessment of Deceased Donor Kidneys Using a Donor Scoring System | ko_KR |
dc.type | Article | ko_KR |
dc.contributor.AlternativeAuthor | 방기태 | - |
dc.contributor.AlternativeAuthor | 안규리 | - |
dc.contributor.AlternativeAuthor | 양재석 | - |
dc.contributor.AlternativeAuthor | 오하영 | - |
dc.contributor.AlternativeAuthor | 박수길 | - |
dc.contributor.AlternativeAuthor | 김성주 | - |
dc.contributor.AlternativeAuthor | 박명희 | - |
dc.contributor.AlternativeAuthor | 이유지 | - |
dc.contributor.AlternativeAuthor | 변승운 | - |
dc.contributor.AlternativeAuthor | 노한 | - |
dc.contributor.AlternativeAuthor | 하종원 | - |
dc.contributor.AlternativeAuthor | 황영환 | - |
dc.contributor.AlternativeAuthor | 허우성 | - |
dc.contributor.AlternativeAuthor | 이한규 | - |
dc.identifier.doi | 10.3349/ymj.2010.51.6.870 | - |
dc.citation.journaltitle | YONSEI MEDICAL JOURNAL | - |
dc.description.citedreference | Nyberg SL, 2005, TRANSPLANTATION, V80, P925, DOI 10.1097/01.TP.0000173798.04043.AF | - |
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dc.description.citedreference | Nyberg SL, 2001, AM J TRANSPLANT, V1, P162 | - |
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dc.description.citedreference | NYENGAARD JR, 1992, ANAT REC, V232, P194 | - |
dc.description.citedreference | WHITE AJ, 1991, EUR J NUCL MED, V18, P385 | - |
dc.description.citedreference | KASISKE BL, 1986, ARCH PATHOL LAB MED, V110, P55 | - |
dc.description.citedreference | NEWMAN EV, 1944, J HOPKINS MED J, V75, P253 | - |
dc.description.citedreference | INT REGISTRY ORGAN D | - |
dc.description.tc | 2 | - |
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