J Korean Soc Transplant.  2006 Dec;20(2):172-180.

Report of 1,500 Kidney Transplants at the Catholic University of Korea

• Kim JY
• Kim SH
• Kim YS
• Choi BS
• Kim JC
• Park SC
• Moon IS
• Yang CW
• Kim YS
• Whang TG
• Koh YB
• Bang BK

Abstract

Purpose: The present study aims to determine the clinical outcome of kidney transplantation and to provide data of long-term graft and patient survival.
Methods
Between 1969 and 2005, 1,500 kidney transplants were performed at the Kangnam st. Mary's hospital. We analyzed the clinical characteristics and outcomes of kidney transplant recipients retrospectively.
Results
The mean follow-up period was 112 months. Chronic glomerulonephritis was the leading cause of primary renal diseases, but the proportion of has increased from 1 % before 1985 to 6% afterwards. First renal transplantation was 94.5% (n=1418), and retransplantation was 5.4% (n=82). Type of donor source was mostly living-related, with the recent decrease in the number of living- unrelated donors. Currently, 72l patients are alive with functioning grafts, 297 cases had graft failure, 277 cases died, 205 cases were transferred or lost during follow-up. Main cause of graft failure was chronic allograft nephropathy (n=316). Overall, 1-, 5-, 10-, and 20-year graft survival were 92%, 81%, 66%, and 29% respectively. 1-, 5-, 10-, and 20-year patient survival were 93%, 88%, 81%, and 69% respectively.
Conclusion
This review of 36-years experience in a single center showed that the graft survival has improved compared to the initial transplantation era.

Keyword

Kidney transplantation; Kidney graft survival; Risk Factor

MeSH Terms

Allografts
Follow-Up Studies
Glomerulonephritis
Graft Survival
Humans
Kidney Transplantation
Kidney*
Korea*
Retrospective Studies
Risk Factors
Tissue Donors
Transplantation
Transplants
Unrelated Donors