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September 1987

Kidney Transplantation in the Cyclosporine Era

Author Affiliations

From the Departments of Surgery (Drs Halasz, Gamboa, and Bronsther) and Medicine (Drs Ward and Steiner), University of California at San Diego.

Arch Surg. 1987;122(9):1001-1004. doi:10.1001/archsurg.1987.01400210039005

• Seventy-seven patients underwent transplantation, using a cyclosporine-prednisone immunosuppression protocol. No recipients died, and graft survival at one year was 100% for living related donor (LRD) recipients and 84% for cadaver donor (CD) recipients. Nineteen percent of locally harvested, flush-cooled kidney recipients required dialysis, whereas imported kidneys had a 66% dialysis rate. Infectious complications occurred in 17% of patients. Mean hospitalization was 12.8 days for LRD recipients and 13.6 days for CD recipients. Twenty-eight patients required 37 readmissions, mostly for treatment of rejection and infections. Total two-year cost for LRD transplants was $21400; for CD transplants, $23 900.

(Arch Surg 1987;122:1001-1004)