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Biomédica
Print version ISSN 0120-4157
Abstract
OSORIO-ARANGO, Karime et al. Survival in renal transplant recipients in Colombia, 2008-2012. Biomédica [online]. 2017, vol.37, n.2, pp.175-183. ISSN 0120-4157. https://doi.org/10.7705/biomedica.v37i2.3246.
Introduction:
The Red Nacional de Donación y Trasplantes of the Colombian Instituto Nacional de Salud reported that in 2014, 1,059 organ transplants were performed, of which 761 were kidney transplants, and 643 (84.5%) of these were from cadaveric organ donors.
Objective:
To describe the socio-demographic characteristics of patients who received renal transplants, as well as their outcomes in terms of survival.
Materials and methods:
National kidney transplants were analyzed through an observational retrospective cohort study. Overall survival was estimated using the Kaplan-Meier method. The survival curves by sex, age, type of donor, type of insurance, and time on the waiting list were compared utilizing the log rank hypothesis and a Cox regression.
Results:
A total of 3,980 patients were included, of whom 338 died according to the Registry of Affiliates. The median follow-up time was 49 months, overall survival was 6.35 years (95% CI: 6.30 to 6.40), the one-year survival following transplantation was 97.2%, the three-year survival, 93.2%, and the five-year survival, 90.8%. The survival rate was higher in patients under 50 years of age, receptors of living donor transplants, and with less than six months on the waiting list.
Conclusions:
The results obtained serve as the basis for future studies with strict monitoring of survival among kidney transplant recipients in Colombia.
Keywords : Renal insufficiency; chronic; kidney transplantation; survival; tissue donor; Colombia.