Riñones parejos en trasplante
Paired kidneys in transplant
C. Juan1
, Regueiro. López, Manuel. Leva Vallejo, Rafael. Prieto Castro, Francisco. Anglada Curado, Francisco. Vela Jiménez, Mª. José Requena Tapia
Autor para correspondencia
jcregue0@ono.com
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
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
Servicio de Urología. Hospital Regional Universitario Reina Sofía.Córdoba, España
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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." 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Henry" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1046/j.1523-1755.1998.00787.x" "Revista" => array:7 [ "tituloSerie" => "Kidney Int" "fecha" => "1998" "volumen" => "53" "numero" => "3" "paginaInicial" => "767" "paginaFinal" => "772" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9507225" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/02104806/0000003300000002/v1_201304251922/S0210480609741208/v1_201304251922/es/main.assets" "Apartado" => array:4 [ "identificador" => "6429" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Original" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/02104806/0000003300000002/v1_201304251922/S0210480609741208/v1_201304251922/es/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609741208?idApp=UINPBA00004N" "pdfAlternativo" => array:1 [ 0 => array:3 [ "idioma" => "en" "documentoPdf" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/file/02104806/addon/S0210480609741208/S300/en/292v33n02a13143324pdf001_2.pdf" "portada" => "292v33n02a13143324pdf001_2.png" ] ] ]
| año/Mes | Html | Total | |
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| 2024 Octubre | 0 | 11 | 11 |
| 2024 Septiembre | 0 | 5 | 5 |
| 2024 Agosto | 0 | 2 | 2 |
| 2024 Julio | 0 | 2 | 2 |
| 2024 Junio | 0 | 4 | 4 |
| 2024 Mayo | 0 | 3 | 3 |
| 2024 Abril | 0 | 9 | 9 |
| 2024 Marzo | 0 | 30 | 30 |
| 2024 Febrero | 0 | 12 | 12 |
| 2024 Enero | 0 | 16 | 16 |
| 2023 Diciembre | 0 | 14 | 14 |
| 2023 Noviembre | 0 | 27 | 27 |
| 2023 Octubre | 0 | 40 | 40 |
| 2023 Septiembre | 0 | 26 | 26 |
| 2023 Agosto | 0 | 17 | 17 |
| 2023 Julio | 0 | 28 | 28 |
| 2023 Junio | 0 | 4 | 4 |
| 2023 Mayo | 0 | 2 | 2 |
| 2023 Marzo | 1 | 2 | 3 |
| 2023 Febrero | 0 | 6 | 6 |
| 2023 Enero | 0 | 8 | 8 |
| 2022 Noviembre | 0 | 15 | 15 |
| 2022 Octubre | 0 | 10 | 10 |
| 2022 Septiembre | 0 | 7 | 7 |
| 2022 Agosto | 0 | 16 | 16 |
| 2022 Julio | 0 | 4 | 4 |
| 2022 Junio | 0 | 11 | 11 |
| 2022 Mayo | 0 | 4 | 4 |
| 2022 Abril | 0 | 10 | 10 |
| 2022 Marzo | 0 | 8 | 8 |
| 2022 Febrero | 0 | 4 | 4 |
| 2022 Enero | 0 | 1 | 1 |
| 2021 Diciembre | 0 | 4 | 4 |
| 2021 Noviembre | 0 | 2 | 2 |
| 2021 Octubre | 0 | 6 | 6 |
| 2021 Septiembre | 0 | 3 | 3 |
| 2021 Agosto | 0 | 5 | 5 |
| 2021 Julio | 0 | 1 | 1 |
| 2021 Junio | 0 | 4 | 4 |
| 2021 Mayo | 0 | 4 | 4 |
| 2021 Abril | 0 | 7 | 7 |
| 2021 Marzo | 0 | 10 | 10 |
| 2021 Febrero | 0 | 3 | 3 |
| 2021 Enero | 0 | 4 | 4 |
| 2020 Diciembre | 0 | 3 | 3 |
| 2020 Octubre | 0 | 4 | 4 |
| 2020 Septiembre | 0 | 3 | 3 |
| 2020 Agosto | 0 | 11 | 11 |
| 2020 Junio | 0 | 1 | 1 |
| 2020 Mayo | 0 | 5 | 5 |
| 2020 Abril | 0 | 1 | 1 |
| 2020 Marzo | 0 | 2 | 2 |
| 2020 Febrero | 0 | 3 | 3 |
| 2020 Enero | 0 | 13 | 13 |
| 2019 Diciembre | 0 | 10 | 10 |
| 2019 Noviembre | 0 | 6 | 6 |
| 2019 Octubre | 0 | 9 | 9 |
| 2019 Septiembre | 0 | 1 | 1 |
| 2019 Agosto | 0 | 1 | 1 |
| 2019 Julio | 0 | 8 | 8 |
| 2019 Junio | 0 | 16 | 16 |
| 2019 Mayo | 0 | 46 | 46 |
| 2019 Abril | 0 | 17 | 17 |
| 2019 Marzo | 0 | 4 | 4 |
| 2019 Febrero | 0 | 11 | 11 |
| 2019 Enero | 0 | 4 | 4 |
| 2018 Diciembre | 0 | 13 | 13 |
| 2018 Noviembre | 0 | 19 | 19 |
| 2018 Octubre | 0 | 16 | 16 |
| 2018 Septiembre | 0 | 1 | 1 |
| 2018 Agosto | 2 | 1 | 3 |
| 2018 Julio | 0 | 3 | 3 |
| 2018 Mayo | 0 | 1 | 1 |
| 2018 Abril | 0 | 1 | 1 |
| 2018 Marzo | 0 | 1 | 1 |
| 2018 Febrero | 4 | 0 | 4 |
| 2017 Diciembre | 0 | 3 | 3 |
| 2017 Noviembre | 6 | 5 | 11 |
| 2017 Octubre | 3 | 2 | 5 |
| 2017 Septiembre | 4 | 5 | 9 |
| 2017 Agosto | 4 | 1 | 5 |
| 2017 Julio | 5 | 6 | 11 |
| 2017 Junio | 5 | 8 | 13 |
| 2017 Mayo | 12 | 8 | 20 |
| 2017 Abril | 11 | 26 | 37 |
| 2017 Marzo | 16 | 21 | 37 |
| 2017 Febrero | 7 | 8 | 15 |
| 2017 Enero | 4 | 1 | 5 |
| 2016 Diciembre | 27 | 16 | 43 |
| 2016 Noviembre | 34 | 12 | 46 |
| 2016 Octubre | 28 | 31 | 59 |
| 2016 Septiembre | 22 | 6 | 28 |
| 2016 Agosto | 15 | 2 | 17 |
| 2016 Julio | 11 | 11 | 22 |
| 2016 Junio | 10 | 18 | 28 |
| 2016 Mayo | 15 | 18 | 33 |
| 2016 Abril | 5 | 14 | 19 |
| 2016 Marzo | 13 | 14 | 27 |
| 2016 Febrero | 8 | 16 | 24 |
| 2016 Enero | 11 | 37 | 48 |
| 2015 Diciembre | 7 | 14 | 21 |
| 2015 Noviembre | 7 | 6 | 13 |
| 2015 Octubre | 17 | 10 | 27 |
| 2015 Septiembre | 8 | 7 | 15 |
| 2015 Agosto | 14 | 5 | 19 |
| 2015 Julio | 10 | 7 | 17 |
| 2015 Junio | 4 | 6 | 10 |
| 2015 Mayo | 6 | 3 | 9 |
| 2015 Abril | 3 | 11 | 14 |
| 2015 Marzo | 5 | 5 | 10 |
| 2015 Febrero | 2 | 5 | 7 |
| 2015 Enero | 3 | 4 | 7 |
| 2014 Diciembre | 10 | 13 | 23 |
| 2014 Noviembre | 2 | 3 | 5 |
| 2014 Octubre | 13 | 6 | 19 |
| 2014 Septiembre | 17 | 3 | 20 |
| 2014 Agosto | 8 | 3 | 11 |
| 2014 Julio | 20 | 3 | 23 |
| 2014 Junio | 8 | 8 | 16 |
| 2014 Mayo | 5 | 2 | 7 |
| 2014 Abril | 2 | 3 | 5 |
| 2014 Marzo | 7 | 1 | 8 |
| 2014 Febrero | 5 | 3 | 8 |
| 2014 Enero | 5 | 2 | 7 |
| 2013 Diciembre | 4 | 2 | 6 |
| 2013 Noviembre | 8 | 4 | 12 |
| 2013 Octubre | 0 | 2 | 2 |
| 2013 Septiembre | 3 | 2 | 5 |
| 2013 Agosto | 1 | 2 | 3 |
| 2013 Julio | 4 | 1 | 5 |
| 2009 Febrero | 294 | 0 | 294 |
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