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Assessment of Deceased Donor Kidneys Using a Donor Scoring System

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dc.contributor.authorBang, Kitae-
dc.contributor.authorLee, Han Kyu-
dc.contributor.authorLee, Yu-ji-
dc.contributor.authorHuh, Wooseong-
dc.contributor.authorByun, Seung Woon-
dc.contributor.authorHwang, Young-Hwan-
dc.contributor.authorPark, Myoung Hee-
dc.contributor.authorPark, Su-Kil-
dc.contributor.authorYang, Jaeseok-
dc.contributor.authorAhn, Curie-
dc.contributor.authorOh, Ha-Young-
dc.contributor.authorKim, Sung-Joo-
dc.contributor.authorHa, Jongwon-
dc.contributor.authorRo, Han-
dc.date.accessioned2012-05-23T00:27:43Z-
dc.date.available2012-05-23T00:27:43Z-
dc.date.issued2010-11-01-
dc.identifier.citationYONSEI MEDICAL JOURNAL; Vol.51 6; 870-876ko_KR
dc.identifier.issn0513-5796-
dc.identifier.urihttps://hdl.handle.net/10371/76282-
dc.description.abstractPurpose: 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.isoenko_KR
dc.publisherYONSEI UNIV COLLEGE MEDICINEko_KR
dc.subjectKidney transplantationko_KR
dc.subjectcadaverko_KR
dc.subjectdonor selectionko_KR
dc.titleAssessment of Deceased Donor Kidneys Using a Donor Scoring Systemko_KR
dc.typeArticleko_KR
dc.contributor.AlternativeAuthor방기태-
dc.contributor.AlternativeAuthor안규리-
dc.contributor.AlternativeAuthor양재석-
dc.contributor.AlternativeAuthor오하영-
dc.contributor.AlternativeAuthor박수길-
dc.contributor.AlternativeAuthor김성주-
dc.contributor.AlternativeAuthor박명희-
dc.contributor.AlternativeAuthor이유지-
dc.contributor.AlternativeAuthor변승운-
dc.contributor.AlternativeAuthor노한-
dc.contributor.AlternativeAuthor하종원-
dc.contributor.AlternativeAuthor황영환-
dc.contributor.AlternativeAuthor허우성-
dc.contributor.AlternativeAuthor이한규-
dc.identifier.doi10.3349/ymj.2010.51.6.870-
dc.citation.journaltitleYONSEI MEDICAL JOURNAL-
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dc.description.tc2-
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College of Medicine/School of Medicine (의과대학/대학원)Laboratory Medicine (검사의학전공)Journal Papers (저널논문_검사의학전공)
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