Medical follow-up of living kidney donors by 1 year after nephrectomy.
Medical follow-up of living kidney donors by 1 year after nephrectomy.
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DOI：
10.1016/j.transproceed.2009.04.016
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发表时间：
2009-11
影响因子：
0.9
通讯作者：
Bloom, R. D.
中科院分区：
文献类型：
--
作者：
Reese, P. P.;Simon, M. K.;Stewart, J.;Bloom, R. D.
许多肾脏捐献者在肾切除术后没有得到足够的医疗护理，这引起了人们的关注。2003年，我们的项目制定了一项政策，建议捐赠者在肾切除术后12个月内进行医疗随访。我们假设医学上复杂的捐赠者将比其他捐赠者有更高的随访率。对来自单个中心的137例活体肾脏供体进行了回顾性队列研究。如果供体患有高血压、体重指数≥ 30、肾结石、年龄≥ 65岁、肌酐清除率<80 ml/min/1.73m2或糖尿病一级亲属，则认为其病情复杂。充分的随访定义为：1）在我们中心的肾病学家处进行一次访视，或2）在其他地方检查血压、血清肌酐和尿分析。83名献血者（61%）有足够的随访，42名没有，12名无法联系。在多变量逻辑回归中，有足够随访的供体更可能是医学上复杂的（O.R. 2.48，C.I. 1.18- 5.23，p=0.017）和年龄大于供体，随访不足（O.R. 1.46每10岁，C.I. 1.01- 2.10，p=0.044。）相当一部分捐赠者在肾切除术后1年内没有接受推荐的护理。
Concerns have been raised that many kidney donors do not receive adequate medical care after nephrectomy. In 2003, our program developed a policy recommending that donors have medical follow-up by 12 months post-nephrectomy. We hypothesized that medically complex donors would have a higher rate of follow-up than other donors. A retrospective cohort study of 137 live kidney donors from a single center was performed. Donors were considered medically complex if they had hypertension, body mass index ≥ 30, nephrolithiasis, age ≥ 65 years, creatinine clearance <80 ml/min/1.73m2 or a 1st degree relative with diabetes. Adequate follow-up was defined as: 1) one visit with a nephrologist at our center, or 2) blood pressure, serum creatinine, and urinalysis checked elsewhere. 83 donors (61%) had adequate follow-up, 42 did not, and 12 could not be contacted. In multivariate logistic regression, donors with adequate follow-up were more likely to be medically complex (O.R. 2.48, C.I. 1.18 - 5.23, p=0.017) and older than donors with inadequate follow-up (O.R. 1.46 per ten years of age, C.I. 1.01 - 2.10, p=0.044.) A substantial minority of donors did not receive recommended care by 1 year following nephrectomy.
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影响因子：
19.6
作者：
NARKUNBURGESS, DM;NOLAN, CR;MEYER, TW
通讯作者：
MEYER, TW
影响因子：
6.2
作者：
Fehrman-Ekholm, I;Dunér, F;Elinder, CG
通讯作者：
Elinder, CG
影响因子：
8.8
作者：
Steiner, RW
通讯作者：
Steiner, RW
影响因子：
6.2
作者：
FehrmanEkholm, I;Elinder, CG;Groth, CG
通讯作者：
Groth, CG
影响因子：
6.2
作者：
Textor, SC;Taler, SJ;Stegall, M
通讯作者：
Stegall, M