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Transplantation. 2006 Jul 27;82(2):155-63.

Complications, resource utilization, and cost of ABO-incompatible living donor kidney transplantation.

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  • 1Department of Surgery, Division of Transplant Surgery, Mayo Clinic, Rochester, MN 55905, USA.

Abstract

BACKGROUND:

The transplantation of living donor renal allografts across blood group barriers requires protocols to reduce and maintain anti-blood group antibody at safe levels. These protocols lead to an increase in resource utilization and cost of transplantation and may result in increased complications.

METHODS:

In this retrospective study, we compared 40 ABO-incompatible to 77 matching ABO-compatible living donor renal allografts with respect to complications, resource utilization, and cost from day -14 to 90 days after transplantation.

RESULTS:

Overall, surgery-related complications and resource utilization were increased in the ABO-incompatible group, primarily due to the desensitization protocol and antibody-mediated rejection. In the absence of rejection, the mean number of complications was similar for both groups. ABO-incompatible kidney transplantation was approximately 38,000 US dollars more expensive than ABO-compatible transplants, but was cost effective when compared to maintaining the patient on dialysis while waiting for a blood group compatible deceased donor kidney. Actuarial graft and patient survival was similar in the two groups.

CONCLUSIONS:

We conclude that ABO-incompatible living donor kidney transplantation is a viable option for patients whose only donor is blood group incompatible despite the additional resource utilization and cost of therapy.

PMID:
16858274
[PubMed - indexed for MEDLINE]
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