Title

Pancreatic Retransplantation Is Associated With Poor Allograft Survival An Update of the United Network for Organ Sharing Database

Publication Date

January 2015

Journal Title

Pancreas

Abstract

Objective The aim of the study was to assess outcomes of pancreas retransplantation versus primary pancreas transplantation. Methods Data from the United Network for Organ Sharing database on all adult (age, 18 years) subjects who received pancreas and kidney-pancreas transplants between 1996 and 2012 were analyzed (n = 20,854). The subjects were analyzed in the following 2 groups: retransplant (n = 1149) and primary transplant (n = 19,705). Results Kaplan-Meier analysis demonstrated significantly different patient survival (P < 0.0001) and death-censored graft survival (P < 0.0001) between the primary transplant versus retransplant subjects. Allograft survival was significantly poorer in the retransplantation group. Patient survival was greater in the retransplant group. Conclusions The results of our study differ from previous studies, which showed similar allograft survival in primary and secondary pancreas transplants. Further studies may elucidate specific patients who will benefit from retransplantation. At the present time, it would appear that pancreas retransplantation is associated with poor graft survival and that retransplantation should not be considered for all patients with primary pancreatic allograft failure.

Volume Number

44

Issue Number

5

Pages

769-772

Document Type

Article

EPub Date

2015/05/02

Facility

School of Medicine

Primary Department

Surgery

Additional Departments

Medicine

PMID

WOS:000360629300012

DOI

10.1097/mpa.0000000000000330

This document is currently not available here.


Share

COinS