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Selected Publication:
SHR Neuro Cancer Cardio Lipid Metab Microb
Zorn, KS; Littbarski, S; Schwager, Y; Kaltenborn, A; Beneke, J; Gwiasda, J; Becker, T; Braun, F; Reichert, B; Klempnauer, J; Schrem, H.
Development and validation of a prognostic model for kidney function 1 year after combined pancreas and kidney transplantation using pre-transplant donor and recipient variables.
Langenbecks Arch Surg. 2018; 403(7): 837-849.
Doi: 10.1007/s00423-018-1712-z
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- Leading authors Med Uni Graz
- Schrem Harald Heinrich
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- Abstract:
- The widening gap between demand and supply of organs for transplantation provides extraordinary challenges for ethical donor organ allocation rules. The transplant community is forced to define favorable recipient/donor combinations for simultaneous kidney-pancreas transplantation. The aim of this study is the development of a prognostic model for the prediction of kidney function 1 year after simultaneous pancreas and kidney transplantation using pre-transplant donor and recipient variables with subsequent internal and external validation. Included were patients with end-stage renal failure due to diabetic nephropathy. Multivariable logistic regression modeling was applied for prognostic model design with retrospective data from Hannover Medical School, Germany (01.01.2000-31.12.2011) followed by prospective internal validation (01 Jan. 2012-31 Dec. 2015). Retrospective data from another German transplant center in Kiel was retrieved for external model validation via the initially derived logit link function. The developed prognostic model is able to predict kidney graft function 1 year after transplantation ≥ KDIGO stage III with high areas under the receiver operating characteristic curve in the development cohort (0.943) as well as the internal (0.807) and external validation cohorts (0.784). The proposed validated model is a valuable tool to optimize present allocation rules with the goal to prevent transplant futility. It might be used to support donor organ acceptance decisions for individual recipients.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Cohort Studies -
- Donor Selection - methods
- Female -
- Female -
- Graft Rejection -
- Graft Survival -
- Humans -
- Kaplan-Meier Estimate -
- Kidney Failure, Chronic - mortality
- Kidney Failure, Chronic - surgery
- Kidney Function Tests -
- Kidney Transplantation - methods
- Kidney Transplantation - mortality
- Logistic Models -
- Male -
- Middle Aged -
- Multivariate Analysis -
- Pancreas Transplantation - methods
- Pancreas Transplantation - mortality
- Prognosis -
- Retrospective Studies -
- Risk Assessment -
- Time Factors -
- Tissue Donors -
- Transplant Recipients -
- Treatment Outcome -
- Find related publications in this database (Keywords)
- Prognostic scores
- Simultaneous pancreas kidney transplantation
- Donor variables
- Recipient variables
- Post-transplant graft function
- Diabetic nephropathy