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- W1979033022 abstract "Renal transplantation is the treatment of choice for most patients with ESRD because transplantation dramatically improves both the length and the quality of life for dialysis patients. More than 80,000 patients in the United States are on the deceased-donor waiting list, with average wait times now exceeding 5 years. Yearly mortality on the deceased-donor list exceeds 6% per year and 10% per year in high-risk groups such as patients with diabetes. More patients are now thought to die while waiting for a deceased donor transplant than actually receive one.The burgeoning use of kidneys from extended-criteria donors (ECDs) and donation after cardiac death (DCD) has positively affected the shortage of kidneys. ECD kidneys now account for 18% of all renal transplantations performed in the United States. Unfortunately, it seems this resource may have reached its ceiling for the maximum number of potential organs available to procure.1 The survival benefits of ECD kidneys have been validated in high-risk dialysis populations (age >40 years and history of diabetes, among others), in whom concerns regarding the ECD kidney, such as 70% decreased survival compared with standard-criteria donors (SCDs), are outweighed by the increased mortality and morbidity of remaining on dialysis.2DCD kidneys have excellent short- (1 year) and long-term (10 to 15 years) survival with outcomes similar to SCD kidneys.3 In a 1997 editorial in Clinical Transplantation , Terasaki et al. 4 predicted that …" @default.
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- W1979033022 date "2010-06-01" @default.
- W1979033022 modified "2023-10-17" @default.
- W1979033022 title "Renal donation after cardiac death." @default.
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- W1979033022 doi "https://doi.org/10.1681/asn.2010040415" @default.
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