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Transplantation News
Unplanned pregnancy may play role in poor graft outcomes for younger kidney transplant recipients
BOSTON — Female kidney transplant recipients who conceived between the ages of 18 and 25 years had higher rates of rejection and graft loss, as well as higher serum creatinine post-pregnancy, than women who were older at the age of conception, according to a speaker at the American Transplant Congress.
BMI impacts allograft outcomes in kidney transplant for recipients with type 2 diabetes
BOSTON — For transplant recipients with type 2 diabetes, delayed graft function was more common in those with higher BMIs and allograft survival was lowest in those categorized as obese or underweight, according to research presented at the American Transplant Congress.
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Kidney transplant recipients, especially women, have increased risk of cardiovascular mortality
BOSTON — Kidney transplant recipients have a substantially greater risk of cardiovascular mortality than the general population, and excess risk is higher for women than men, according to a speaker at the American Transplant Congress.
Greater odds of allograft survival after dual kidney transplant than expanded criteria donor transplant
BOSTON — Although allograft survival was lower in dual kidney transplant when compared with standard criteria donor transplant, it was significantly higher in dual kidney transplant recipients than in expanded criteria donor recipients, according to research presented at the American Transplant Congress.
Donor-derived cell-free DNA test may accurately diagnose antibody- mediated rejection in pediatric kidney transplant recipients
BOSTON — A donor-derived cell-free DNA test that considers donor-specific antibodies may help predict antibody-mediated rejection in patients younger than 21 years of age, according to research presented at the American Transplant Congress.
Social support networks are essential for care of kidney transplant candidates but barriers exist to optimal engagement
BOSTON — After barriers to participating in the care of patients awaiting kidney transplant were reported by friends and family, researchers began investigating ways to empower these social support networks and to increase their engagement in the transplant process, according to Allyson Hart, MD, MS, of Hennepin County Medical Center in Minnesota.
Donor-derived cell-free DNA test may help detect graft rejection in kidney transplant recipients
BOSTON — A test that uses donor-derived cell-free DNA accurately discriminated rejection from non-rejection in kidney transplant recipients and was particularly effective in the discrimination of antibody-mediated rejection, according to research presented at the American Transplant Congress.
Combined heart-kidney transplants show better patient, graft survival than single-organ transplant
BOSTON — Although only younger donor age was found to be significantly associated with improved survival, research presented here showed patients who received combined heart-kidney transplants had better overall survival and rejection-free graft outcomes at 1 year, 5 years and 10 years post-transplant compared with patients who had heart transplants alone.
Risk for kidney transplant failure quintuples with postsurgical diabetic foot ulcer
Kidney transplantation is more likely to fail for adults with diabetic kidney disease and diabetic neuropathy who then present with a diabetic foot ulcer after surgery vs. those without foot ulcer, according to findings presented at the American Diabetes Association 79th Scientific Sessions. In addition, common factors for post-transplant diabetic foot ulcers include a prior history of the condition as well as previous peripheral arterial disease.
Gut microbiota should be targeted as a strategy to prevent, treat viral infections in transplant recipients
BOSTON— Results from a study presented here confirmed the association between the gut microbiome and the development of viral infections from stem cell transplant recipients to solid organ graft recipients and reinforced the need to monitor the risk of infection closely.