Document Detail


Role of immediate versus delayed nephrectomy for failed renal transplants.
MedLine Citation:
PMID:  3307579     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The role of timing of transplant nephrectomy after renal transplantation has not been well defined. This report compares the morbidity, mortality, and hospitalization costs of 37 patients undergoing transplant nephrectomy within 14 days after graft failure and return to dialysis, with 31 patients undergoing delayed transplant nephrectomy (less than 14 days after graft failure and return to dialysis). This analysis revealed that there were no significant (P greater than .05) differences in patient morbidity and mortality between these groups. There was, however, a substantial increase (P less than .05) in the cost of hospitalization in the delayed nephrectomy group. For this reason, we recommend early nephrectomy after renal transplant failure in order to minimize the cost of health care for these patients undergoing failed cadaver donor transplant nephrectomy.
Authors:
L H Toledo-Pereyra; C Gordon; R Kaufmann; J I Whitten; V K Mittal
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  53     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  1987 Sep 
Date Detail:
Created Date:  1987-10-14     Completed Date:  1987-10-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  534-6     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Costs and Cost Analysis
Follow-Up Studies
Graft Rejection*
Humans
Immunosuppression
Kidney Transplantation*
Length of Stay / economics
Nephrectomy* / economics,  methods,  mortality
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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