Article ; Online: Predictive Factors of Renal Graft Failure in Tunisian Children and young adults: A Retrospective Study.
2024 Volume 102, Issue 1, Page(s) 38–43
Abstract: Introduction: Pediatric end-stage renal disease is a rare but severe condition that causes numerous complications and impairs the quality of life of children. Kidney transplantation is the therapy of choice in pediatric end-stage renal disease.: Aim: ...
| Abstract | Introduction: Pediatric end-stage renal disease is a rare but severe condition that causes numerous complications and impairs the quality of life of children. Kidney transplantation is the therapy of choice in pediatric end-stage renal disease. Aim: Our study aimed to identify the predictive factors of renal graft failure after kidney transplantation in Tunisian children and young adults. Methods: We conducted a retrospective bicentric study of children and young adults (age≤20 years) who had undergone renal transplantation between 1989 and 2019 in Tunisia. We analyzed long-term survival rates and complications after pediatric kidney transplantation and searched for predictive parameters for graft dysfunction. We used a univariate and a multivariate analysis to identify predictive factors of graft survival. Results: A total of 112 patients underwent 115 kidney transplantations. Graft failure occurred in 30% of the cases. The overall 1-, 3-, 5- and 10-year graft survival rates were 92%, 89.1%, 85.9% and 74.5% respectively. The following parameters strongly influenced graft survival: immunosuppressive regimen including an association other than Mycophenolate mofetil- tacrolimus and corticosteroids (p=0.002), year of transplant (p<0.0001 for 1987-2000), deceased donor (p = 0.039), underlying etiology of end-stage renal disease (p=0.045), occurrence of acute or chronic rejection (p<0.001), a urine protein greater than 0.3 g/l per day (p=0.002), post-transplant urologic complications (p=0.002), five-year creatinine level>1.28 mg/dl (p<0.001). The overall 1-, 3-, 5- and 10-year patients survival rates were 97%, 95%, 90.2% and 84.4% respectively. Conclusions: Our study identified several predictive factors of graft failure in Tunisian children and young adults undergoing renal transplantation. |
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| MeSH term(s) | Humans ; Child ; Young Adult ; Adult ; Retrospective Studies ; Quality of Life ; Immunosuppressive Agents/therapeutic use ; Kidney Diseases ; Tacrolimus ; Kidney Failure, Chronic/epidemiology ; Kidney Failure, Chronic/surgery ; Mycophenolic Acid |
| Chemical Substances | Immunosuppressive Agents ; Tacrolimus (WM0HAQ4WNM) ; Mycophenolic Acid (HU9DX48N0T) |
| Language | English |
| Publishing date | 2024-01-05 |
| Publishing country | Tunisia |
| Document type | Journal Article |
| ZDB-ID | 128627-4 |
| ISSN | 2724-7031 ; 0041-4131 |
| ISSN (online) | 2724-7031 |
| ISSN | 0041-4131 |
| DOI | 10.62438/tunismed.v102i1.4328 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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