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• W2772076176 abstract "The management of the renal transplant waiting list allows the knowledge of the characteristics of the assisted population, contributing to development of strategies to facilitate access to the transplant. Objective: To analyze the wait list composition, based on percent of sensitized patients, mortalitiy on list and chance of transplant (waiting time according to blood group, age and comorbidities). Methodology: A retrospective review of the Waiting List database from a regional referral center for transplantation. Data analysis included blood type, time of dialysis, primary renal disease, and panel antibody reactivity. Patients who were active on list in January 2012 (data of database was initiated) and new cases included until June 2013 were considered for analysis. For analysis, following status were considered: active, death on list, transplants (from January 2012 to June 2013), removed without clinical condition and under evaluation. Results: From January/2012 to June/2013, 1210 patients were registered with the transplant program, including new cases and review of all previously enrolled patients. Of them, 492 are active on the list, 150 were transplanted with deceased donor, 60 died and 49 were removed without clinical conditions. The remaining patients are under evaluation or included in the living donor program. From active group, 22 % are HLA sensitized (defined as class I PRA > 50). The distribution of active patients by blood group was 0= 43.5 %; A=42.2 %; B=27.9% and AB=24.3%. The transplant chance (number of transplants/active patients) was higher for AB type (54.4 %) followed by B (41.5%), A (21.5%) and O blood type (18.7%). The higher incidence of sensitized patients was in blood group B (36.8%), while other groups had about 20% of sensitized patients (O=19.3%. AB=20% and A= 23.4%). There was no difference in mean age between the groups (46 years), with a comparable dialysis therapy of 5 years. Conclusion: The waiting list management allowed the group to define the characteristics of the program, and to determine the chance for transplant in each blood group and its specificities. The high rate of transplants in AB and B groups justifies the current high prevalence of sensitized patients in these groups." @default.
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• W2772076176 date "2014-07-01" @default.
• W2772076176 modified "2023-09-30" @default.
• W2772076176 title "Waiting List Management: Understanding The Problem and Looking For a Better Approach For Special Needs." @default.
• W2772076176 doi "https://doi.org/10.1097/00007890-201407151-02227" @default.
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