2015 年 50 巻 6 号 p. 632-638
【Objective】In the Shizuoka area, we have managed kidney transplant recipients on the initiative of nephrologists in collaboration with urologists. We carried out this study to assess whether we had performed living-donor kidney transplantations (LDKTs), including preemptive kidney transplantations (PEKTs) adequately, and to detect tasks for future promotion of them in the Shizuoka area.
【Methods】We retrospectively reviewed all planned LDKTs at Shizuoka General Hospital from January 1, 2008, to May 31, 2015. Factors associated with the performance of PEKTs were analyzed, and we compared our number of LDKTs and executing rate of PEKTs with the national average and the average in Aichi Prefecture.
【Results】Fifty-five patients were referred to our division of transplantation from 22 hospitals in Shizuoka Prefecture. Fifty LDKTs were performed. The estimated glomerular filtration rate (eGFR) value of all 20 patients without dialysis treatment when introduced was lower than 15 ml/min, and we could perform PEKT on 8 recipients. The lower creatinine and the higher eGFR value were associated with the performance of PEKT (p＜0.05), but referral from our own facility and diabetic nephropathy were not associated (p＞0.05).
【Conclusions】We identified the characteristics of LDKTs including PEKTs in the Shizuoka area. Compared with the averages of Japan and Aichi Prefecture, the numbers of LDKTs and PEKTs were obviously low. Despite the initiative of nephrologists, we ourselves could not perform PEKTs appropriately because of late referral. We believe that appropriate explanations of transplantations by nephrologist at earlier stages are associated with subsequent promotions of LDKT and PEKT.