[Analysis of donor scoring systems in a single Hungarian transplant centre]

Orv Hetil. 2016 Jun 12;157(24):946-55. doi: 10.1556/650.2016.30497.
[Article in Hungarian]

Abstract

Introduction: To ease organ shortage many transplant centres developed different donor scoring systems, however, a general consensus among clinicians on the use of these systems does not still exist.

Aim: The aim of the authors was to analyse the effect of expanded criteria donor, deceased donor score and kidney donor risk index on postoperative kidney function and graft survival.

Method: Analysis of the characteristics of 138 kidney transplantations and 205 donors in a retrospective study of a five-year period.

Results: There was a trend towards rejecting donors in higher risk groups; 22.7% of standard criteria donors belonged to the high risk group of deceased donor score. Graft function was worse in high risk patients. High risk donors can be divided due to the use of deceased donor score. Patients with the highest risk had worse graft function and survival.

Conclusions: With the use of these scoring systems grafts with favourable outcome can be selected more precisely.

Keywords: extended criteria donor; kidney transplantation; kimenetel; kiterjesztett donorkritériumok; marginal donor; marginális donor; outcome; veseátültetés.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Aged
  • Cadaver*
  • Donor Selection / standards*
  • Donor Selection / trends
  • Female
  • Graft Rejection / prevention & control*
  • Graft Survival
  • Humans
  • Hungary / epidemiology
  • Kidney Transplantation / standards*
  • Kidney Transplantation / statistics & numerical data*
  • Living Donors / statistics & numerical data
  • Male
  • Middle Aged
  • Retrospective Studies
  • Risk Factors
  • Tissue Donors / statistics & numerical data*
  • Treatment Outcome