학술논문
Non-immunologic allograft loss in pediatric kidney transplant recipients.
Document Type
Article
Author
Source
Subject
*OPPORTUNISTIC infections
*KIDNEY tumors
*GRAFT rejection
*GRAFT versus host reaction
*HOMOGRAFTS
*HYDROLASES
*IMMUNOSUPPRESSION
*KIDNEY transplantation
*PEDIATRICS
*RISK assessment
*TRANSPLANTATION of organs, tissues, etc.
*DISEASE relapse
*TREATMENT effectiveness
*CHEMICAL inhibitors
*DISEASE risk factors
*TUMOR risk factors
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Language
ISSN
0931-041X
Abstract
Non-immunologic risk factors are a major obstacle to realizing long-term improvements in kidney allograft survival. A standardized approach to assess donor quality has recently been introduced with the new kidney allocation system in the USA. Delayed graft function and surgical complications are important risk factors for both short- and long-term graft loss. Disease recurrence in the allograft remains a major cause of graft loss in those who fail to respond to therapy. Complications of over immunosuppression including opportunistic infections and malignancy continue to limit graft survival. Alternative immunosuppression strategies are under investigation to limit calcineurin inhibitor toxicity. Finally, recent studies have confirmed long-standing observations of the significant negative impact of a high-risk age window in late adolescence and young adulthood on long-term allograft survival. [ABSTRACT FROM AUTHOR]