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Iatreia
versión impresa ISSN 0121-0793
Resumen
NIETO-RIOS, John Fredy; BELLO-MARQUEZ, Diana Carolina; GAVIRIA-JIMENEZ, Juan José y SERNA-HIGUITA, Lina María. How residence affects the survival of kidney transplant recipients, can it be improved by telemedicine?. Iatreia [online]. 2022, vol.35, n.4, pp.383-394. Epub 24-Mayo-2023. ISSN 0121-0793. https://doi.org/10.17533/udea.iatreia.120.
Background:
Kidney transplantation is the treatment of choice for end-stage renal disease. An adequate post-transplant follow-up improves the graft and patient’s long-term survival.
Objective:
The aim of this study was to compare the outcomes of kidney transplant patients who live in the Medellin metropolitan area with those who live outside this area, to propose a model for follow-up care through telemedicine.
Methods:
Descriptive, retrospective and one-center study. Kaplan-Meier method was used to determine the survival rate.
Results:
Between 2005 and 2015, 742 patients were transplanted, 42% of whom lived outside the metropolitan area. The survival rates after 1, 3 and 5 years of treatment in patients in the metropolitan area of Medellín compared to those outside were 96.8%, 93.7% y 91.8% and 94.4%, 90.3% y 85.2% respectively, with statistically significant differences (Log-rank test p=0.048, Hazard ratio 1.68, IC 95% 0.99-2.84, p=0.052).
Conclusion:
The survival rate was lower in kidney transplant patients living outside the urban area. These findings motivate the development of a telemedicine project to facilitate the follow-up of these patients after a kidney transplantation.
Palabras clave : Graft Survival; Kidney Transplantation; Renal Insufficiency, Chronic; Survival; Telemedicine.