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dc.contributor.authorSánchez‐Fructuoso, Ana I.
dc.contributor.authorPérez‐Flores, Isabel
dc.contributor.authorDel Río, Francisco
dc.contributor.authorBlázquez, Jesús
dc.contributor.authorCalvo, Natividad
dc.contributor.authorMoreno de la Higuera, Maria Á.
dc.contributor.authorGómez, Angel
dc.contributor.authorAlonso‐Lera, Santiago
dc.contributor.authorSoria, Ana
dc.contributor.authorGonzález, Manuel
dc.contributor.authorCorral, Ervigio
dc.contributor.authorMateos Rodríguez, Alonso 
dc.contributor.authorMoreno‐Sierra, Jesús
dc.contributor.authorFernández Pérez, Cristina
dc.description.abstractDespite good long-term outcomes of kidney transplants from controlled donation after circulatory death (DCD) donors, there are few uncontrolled DCD (uDCD) programs. This longitudinal study compares outcomes for all uDCD (N = 774) and all donation after brain death (DBD) (N = 613) kidney transplants performed from 1996 to 2015 at our center. DBD transplants were divided into those from standard-criteria (SCD) (N = 366) and expanded-criteria (N = 247) brain-dead donors (ECD). One-, 5-, and 10-year graft survival rates were 91.7%, 85.7%, and 80.6% for SCD; 86.0%, 75.8%, and 61.4% for ECD; and 85.1%, 78.1%, and 72.2% for uDCD, respectively. Graft survival was worse in recipients of uDCD kidneys than of SCD (P = .004) but better than in transplants from ECD (P = .021). The main cause of graft loss in the uDCD transplants was primary nonfunction. Through logistic regression, donor death due to pulmonary embolism (OR 4.31, 95% CI 1.65-11.23), extrahospital CPR time ≥75 minutes (OR1.94, 95%CI 1.18-3.22), and in-hospital CPR time ≥50 minutes (OR 1.79, 95% CI 1.09-2.93) emerged as predictive factors of primary nonunction. According to the outcomes of our long-standing kidney transplantation program, uDCD could help expand the kidney donor
dc.publisherAmerican Journal of Transplantationspa
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 España*
dc.subjectClinical research/practicespa
dc.subjectDonation after brain death (DBD)spa
dc.subjectDonation after circulatory death (DCD)spa
dc.subjectKidney transplantation/nephrologyspa
dc.subjectOrgan procurementspa
dc.subjectOrgan procurement and allocationspa
dc.titleUncontrolled donation after circulatory death: A cohort study of data from a long‐standing deceased‐donor kidney transplantation
dc.description.extent1,71 MBspa

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Atribución-NoComercial-SinDerivadas 3.0 España
Except where otherwise noted, this item's license is described as Atribución-NoComercial-SinDerivadas 3.0 España