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Effect on graft and patient survival between shipped and locally transplanted well‐matched cadaveric renal allografts in Australia over a 10‐year period

2006; Wiley; Volume: 11; Issue: 1 Linguagem: Inglês

10.1111/j.1440-1797.2006.00525.x

1440-1797

Wai H. Lim, Stephen P. McDonald, Graeme Russ,

Organ Donation and Transplantation

The national sharing of well-matched cadaveric renal allografts has been established since 1992 in Australia. It remains uncertain whether the shipment of renal allografts interstate has a detrimental effect on graft and patient survival.Using data collected by the Australia and New Zealand Dialysis and Transplant Registry (ANZDATA), graft and patient survival were compared between shipped (n = 623) and locally transplanted allografts (n = 894) in Australia between January 1992 and December 2001.Shipped renal allografts were from younger donors and had a longer ischaemic time, and were transplanted into higher risk recipients. Shipping of allografts had no effect on graft or patient survival, acute rejection at 6 months, presence of delayed graft function and serum creatinine at 6 and 12 months. In addition, human leucocyte antigen-matching and allograft ischaemic time had no effect on graft or patient survival.Recipients of either shipped or locally transplanted well-matched renal allografts have similar graft and patient survivals.