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001-es BibID:	BIBFORM121569
035-os BibID:	(scopus)85191543995
Első szerző:	Assfalg, Volker
Cím:	Rescue Allocation Modes in Eurotransplant Kidney Transplantation : recipient Oriented Extended Allocation Versus Competitive Rescue Allocation - A Retrospective Multicenter Outcome Analysis / Assfalg Volker, Miller Gregor, Stocker Felix, Hüser Norbert, Hartmann Daniel, Heemann Uwe, Tieken Ineke, Zanen Wouter, Vogelaar Serge, Rosenkranz Alexander R., Schneeberger Stefan, Függer Reinhold, Berlakovich Gabriela, Ysebaert Dirk R., Jacobs-Tulleneers-Thevissen Daniel, Mikhalski Dimitri, van Laecke Steven, Kuypers Dirk, Mühlfeld Anja S., Viebahn Richard, Pratschke Johann, Melchior Sebastian, Hauser Ingeborg A., Jänigen Bernd, Weimer Rolf, Richter Nicolas, Foller Susan, Schulte Kevin, Kurschat Christine, Harth Ana, Moench Christian, Rademacher Sebastian, Nitschke Martin, Krämer Bernhard K., Renders Lutz, Koliogiannis Dionysios, Pascher Andreas, Hoyer Joachim, Weinmann-Menke Julia, Schiffer Mario, Banas Bernhard, Hakenberg Oliver, Schwenger Vedat, Nadalin Silvio, Lopau Kai, Piros Laszlo, Nemes Balazs, Szakaly Peter, Bouts Antonia, Bemelman Frederike J., Sanders Jan S., de Vries Aiko P. J., Christiaans Maarten H. L., Hilbrands Luuk, van Zuilen Arjan D., Arnol Miha, Stippel Dirk, Wahba Roger
Dátum:	2024
ISSN:	0041-1337
Megjegyzések:	Background. Whenever the kidney standard allocation (SA) algorithms according to the Eurotransplant (ET) Kidney Allocation System or the Eurotransplant Senior Program fail, rescue allocation (RA) is initiated. There are 2 procedurally different modes of RA: recipient oriented extended allocation (REAL) and competitive rescue allocation (CRA). The objective of this study was to evaluate the association of patient survival and graft failure with RA mode and whether or not it varied across the different ET countries. Methods. The ET database was retrospectively analyzed for donor and recipient clinical and demographic characteristics in association with graft outcomes of deceased donor renal transplantation (DDRT) across all ET countries and centers from 2014 to 2021 using Cox proportional hazards methods. Results. Seventeen thousand six hundred seventy-nine renal transplantations were included (SA 15 658 [89%], REAL 860 [4.9%], and CRA 1161 [6.6%]). In CRA, donors were older, cold ischemia times were longer, and HLA matches were worse in comparison with REAL and especially SA. Multivariable analyses showed comparable graft and recipient survival between SA and REAL; however, CRA was associated with shorter graft survival. Germany performed 76% of all DDRTs after REAL and CRA and the latter mode reduced waiting times by up to 2.9 y. Conclusions. REAL and CRA are used differently in the ET countries according to national donor rates. Both RA schemes optimize graft utilization, lead to acceptable outcomes, and help to stabilize national DDRT programs, especially in Germany.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban folyóiratcikk Adult Aged Databases, Factual Europe Female Graft Survival Humans Kidney Transplantation Male Middle Aged Patient Selection Retrospective Studies Risk Factors Time Factors Tissue and Organ Procurement Tissue Donors Treatment Outcome Waiting Lists
Megjelenés:	Transplantation. - 108 : 5 (2024), p. 1200-1211. -
További szerzők:	Miller, Gregor Stocker, Felix Hüser, Norbert Hartmann, Daniel Heemann, Uwe Tieken, Ineke Zanen, Wouter Vogelaar, Serge Rosenkranz, Alexander R. Schneeberger, Stefan Függer, Reinhold Berlakovich, Gabriela Ysebaert, Dirk R. Jacobs-Tulleneers-Thevissen, Daniel Mikhalski, Dimitri van Laecke, Steven Kuypers, Dirk Mühlfeld, Anja S. Viebahn, Richard Pratschke, Johann Melchior, Sebastian Hauser, Ingeborg A. Jänigen, Bernd Weimer, Rolf Richter, Nicolas Foller, Susan Schulte, Kevin Kurschat, Christine Harth, Ana Moench, Christian Rademacher, Sebastian Nitschke, Martin Krämer, Bernhard K. Renders, Lutz Koliogiannis, Dionysios Pascher, Andreas Hoyer, Joachim Weinmann-Menke, Julia Schiffer, Mario Banas, Bernhard Hakenberg, Oliver Schwenger, Vedat Nadalin, Silvio Lopau, Kai Piros László Nemes Balázs Áron (1969-) (sebész) Szakály Péter Bouts, Antonia H. M. Bemelman, Frederike J. Sanders, Jan S. de Vries, Aiko P. J. Christiaans, Maarten H. L. Hilbrands, Luuk van Zuilen, Arjan D. Arnol, Miha Stippel, Dirk Wahba, Roger
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