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array:24 [ "pii" => "S0210480609741208" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74120-8" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74120" "copyright" => "Asociación Española de Urología (AEU)" "copyrightAnyo" => "2009" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:182-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1431 "formatos" => array:3 [ "EPUB" => 10 "HTML" => 784 "PDF" => 637 ] ] "itemSiguiente" => array:18 [ "pii" => "S021048060974121X" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74121-X" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74121" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:188-91" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1707 "formatos" => array:3 [ "EPUB" => 5 "HTML" => 926 "PDF" => 776 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Experiencia inicial de nefrectomía derecha de donante vivo por laparoscopia" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "188" "paginaFinal" => "191" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Experience initial right side laparoscopic live donor" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Robert J. de Andrade Andrade, David S. Arana Castro, David E. Arana García, C. Juan, Córdova Melo" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Robert" "apellidos" => "J. de Andrade Andrade" ] 1 => array:2 [ "nombre" => "David" "apellidos" => "S. Arana Castro" ] 2 => array:2 [ "nombre" => "David" "apellidos" => "E. Arana García" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Juan" ] 4 => array:2 [ "nombre" => "Córdova" "apellidos" => "Melo" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S021048060974121X?idApp=UINPBA00004N" "url" => "/02104806/0000003300000002/v1_201304251922/S021048060974121X/v1_201304251922/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0210480609741191" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74119-1" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74119" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:172-81" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1677 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 851 "PDF" => 819 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Laparo-endoscopia por acceso único: experiencia inicial" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "172" "paginaFinal" => "181" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Laparo-endoscopic single site (LESS)" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Rene Sotelo, Juan Carlos Astigueta, Oswaldo Carmona, Robert De Andrade, Rafael Sanchez-Salas" "autores" => array:5 [ 0 => array:2 [ "nombre" => "Rene" "apellidos" => "Sotelo" ] 1 => array:2 [ "nombre" => "Juan" "apellidos" => "Carlos Astigueta" ] 2 => array:2 [ "nombre" => "Oswaldo" "apellidos" => "Carmona" ] 3 => array:2 [ "nombre" => "Robert" "apellidos" => "De Andrade" ] 4 => array:2 [ "nombre" => "Rafael" "apellidos" => "Sanchez-Salas" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609741191?idApp=UINPBA00004N" "url" => "/02104806/0000003300000002/v1_201304251922/S0210480609741191/v1_201304251922/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Riñones parejos en trasplante" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "182" "paginaFinal" => "187" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "C. Juan, Regueiro. López, Manuel. Leva Vallejo, Rafael. Prieto Castro, Francisco. Anglada Curado, Francisco. Vela Jiménez, Mª. José Requena Tapia" "autores" => array:7 [ 0 => array:4 [ "nombre" => "C." "apellidos" => "Juan" "email" => array:1 [ 0 => "jcregue0@ono.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Regueiro." "apellidos" => "López" ] 2 => array:2 [ "nombre" => "Manuel." "apellidos" => "Leva Vallejo" ] 3 => array:2 [ "nombre" => "Rafael." "apellidos" => "Prieto Castro" ] 4 => array:2 [ "nombre" => "Francisco." "apellidos" => "Anglada Curado" ] 5 => array:2 [ "nombre" => "Francisco." "apellidos" => "Vela Jiménez" ] 6 => array:2 [ "nombre" => "Mª." "apellidos" => "José Requena Tapia" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Urología. Hospital Regional Universitario Reina Sofía.Córdoba, España" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia autor: Dr. Juan C. Regueiro López Servicio de Urología Hospital Regional Universitario Reina Sofía Avda. Menéndez Pidal, 1 - 14004 Córdoba Tel.: 957 010 001" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Paired kidneys in transplant" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-06-30" "fechaAceptado" => "2008-10-31" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec88821" "palabras" => array:4 [ 0 => "Trasplante renal" 1 => "Riñones parejas" 2 => "Supervivencia de injerto" 3 => "Supervivencia de paciente" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec88822" "palabras" => array:4 [ 0 => "Kidney transplant" 1 => "Paired Kidney" 2 => "Graft survival" 3 => "Patient survival" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivos</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Muchos factores afectan la supervivencia del injerto y paciente en el resultado de un trasplante renal. Estos factores dependen tanto del receptor como del donante. Realizamos un estudio intentando obviar factores que dependen del donante. Revisamos los riñones parejas provenientes de un mismo donante cadáver.</p> <span class="elsevierStyleSectionTitle">Pacientes y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Analizamos los factores de riesgo en la evolución y seguimiento de 556 trasplantes renales que corresponden a 278 parejas de riñones. Describimos sus diferencias, su significación, la supervivencia de injerto y paciente, su funcionalidad a 3 y 5 años y los factores de riesgo implicados en su función. Se estudian variables inmunológicas y no inmunológicas intentando explicar los resultados inferiores en los injertos que se implantan en segundo lugar. Se reagrupan los riñones parejos en aquellos que no mostraron función pareja inicial dentro de la misma pareja.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Los resultados arrojan un discreto empeoramiento en la supervivencia de injerto y paciente para el grupo de segundo implante, cifras superiores de creatinina, sin obtener significación estadística. El estudio por regresión de Cox solo establece como factores de riesgo el rechazo precoz (inferior a tres meses) y la tasa de incompatibilidad DR.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Este modelo de riñones parejos podría acercarnos de forma más adecuada al análisis de los factores de riesgo en trasplante de donante cadáver, si más pacientes se analizan de la misma forma. Los riñones parejas provenientes del mismo donante no muestran igual función a pesar de compartir las mismas condiciones del donante y del manejo peroperatorio.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objectives</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Many factors affect the graft and patient survival on the renal transplant outcome. These factors depend so much of the recipient and donor. We accomplished a study trying to circumvent factors that depend on the donor. We checked the paired kidneys originating of a same donor cadaver.</p> <span class="elsevierStyleSectionTitle">Patients and method</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We examined the risk factors in the evolution and follow-up in 278 couples of kidney transplant. We describe their differences, significance, the graft and patient survival, their functionality in 3 and 5 years and the risk factors implicated in their function. We study immunogenic and no immunogenic variables, trying to explain the inferior results in the grafts that are established secondly. We regroup the paired kidneys in those that they did not show paired initial function within the same couple.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">The results yield a discreet deterioration in the graft and patient survival for second group establish, superior creatinina concentration, without obtaining statistical significance. The Cox regression study establishes the early rejection (inferior to three months) and DR incompatibility values like risk factors.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">This model of paired kidneys would be able to get close to best-suited form for risk factors analysis in kidney transplant from cadaver donors, if more patients examine themselves in the same way. The paired kidneys originating from the same donor do not show the same function in spite of sharing the same conditions of the donor and perioperative management.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:17 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Immediate function and cost comparison between static and pulsatile preservation in kidney recipients" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "J.A. Light" 1 => "F. Gage" 2 => "A.E. Kowalski" 3 => "T.M. Sasaki" 4 => "C.O. Callender" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Clin Transplant" "fecha" => "1996" "volumen" => "10" "numero" => "3" "paginaInicial" => "233" "paginaFinal" => "236" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8826658" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Racial differences in the survival of cadaveric renal allografts. 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"referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Donor age and delayed graft function as predictors of renal allograft survival in rejection-free patients" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "F. Moreso" 1 => "D. Serón" 2 => "S. Gil-Vernet" 3 => "L. Riera" 4 => "X. Fulladosa" 5 => "R. Ramos" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Nephrol Dial Transplant" "fecha" => "1999" "volumen" => "14" "numero" => "4" "paginaInicial" => "930" "paginaFinal" => "935" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10328472" "web" => "Medline" ] ] ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The impact of the quality of initial graft function on cadaver kidney transplants" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J.S. Najarian" 1 => "K.J. Gillingham" 2 => "D.E. Sutherland" 3 => "N.L. Reinsmoen" 4 => "W.D. Payne" 5 => "A.J. Matas" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Transplantation" "fecha" => "1994" "volumen" => "57" "numero" => "6" "paginaInicial" => "812" "paginaFinal" => "816" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8154026" "web" => "Medline" ] ] ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Deleterious effects of delayed graft function in cadaveric renal transplant recipients independent of acute rejection" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "D.A. Shoskes" 1 => "J.M. Cecka" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Transplantation" "fecha" => "1998" "volumen" => "66" "numero" => "12" "paginaInicial" => "1697" "paginaFinal" => "1701" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9884262" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Ischemia/ reperfusion injury in human kidney transplantation: an immunohistochemical analysis of changes after reperfusion" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "D.D. Koo" 1 => "K.I. Welsh" 2 => "J.A. Roake" 3 => "P.J. Morris" 4 => "S.V. Fuggle" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/S0002-9440(10)65598-8" "Revista" => array:7 [ "tituloSerie" => "Am J Pathol" "fecha" => "1998" "volumen" => "153" "numero" => "2" "paginaInicial" => "557" "paginaFinal" => "566" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9708815" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Evaluation of renal transplant recipients of paired cadaveric kidneys" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M. Gokhan" 1 => "K. Hamdi" 2 => "D. Alp" 3 => "A. Gulnaz" 4 => "T. Munire" 5 => "N. Bilgin" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:7 [ "tituloSerie" => "Transplant Proc" "fecha" => "1999" "volumen" => "31" "numero" => "8" "paginaInicial" => "3119" "paginaFinal" => "3120" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10616400" "web" => "Medline" ] ] ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0065" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transplantation of both kidneys from 408 donors; comparison of results" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "L. 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