Ten years of training community urologists and general surgeons to do cadaver kidney retrievals

John Barry, T. R. Hefty, K. A. Nelson, T. Johnston

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

We trained 82 community hospital cadaver kidney retrieval teams during a 10-year period ending June 30, 1987. During the last 5 years of that period the concept of multiple organ retrieval was introduced into the training sessions and 429 cadaver kidney grafts were retrieved. Of those kidneys 292 were transplanted at our hospital, and the function of 220 cadaver kidney grafts retrieved by the community hospital teams was compared to that of 72 retrieved by the transplant center retrieval team. Of the cadaver kidney transplants 114 were from multiple organs donors. There was no significant difference in 1-month serum creatinine nadir of surviving grafts (2.1 ± 1.8 versus 1.9 ± 1.7 mg. per dl.), 6-month serum creatinine level (1.7 ± 0.8 versus 1.6 ± 0.6 mg. per dl.), 12-month serum creatinine level (1.8 ± 0.9 versus 1.6 ± 0.6 mg. per dl.) and 5-year actuarial graft survival (44.8 ± 4.1 versus 52.4 ± 7.5%), with the community hospital data presented first. The delayed graft function rate was significantly higher in the recipients of cadaver kidney grafts retrieved by community hospital teams (54 versus 35%), which was reduced by the in situ flush technique. There was no significant difference in delayed graft function rate (48 versus 40%) for the 114 cadaver kidney transplants retrieved from multiple organ donors by either community hospital or transplant center teams. With continuing education and quality control, community hospital retrieval teams can provide kidneys satisfactory for transplantation, even when working with multiple organ retrieval teams.

Original languageEnglish (US)
Pages (from-to)897-899
Number of pages3
JournalJournal of Urology
Volume143
Issue number5
StatePublished - 1990

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Cadaver
Community Hospital
Transplants
Kidney
Tissue and Organ Harvesting
Delayed Graft Function
Creatinine
Serum
Tissue Donors
Surgeons
Urologists
Continuing Education
Graft Survival
Quality Control
Kidney Transplantation

ASJC Scopus subject areas

  • Urology

Cite this

Ten years of training community urologists and general surgeons to do cadaver kidney retrievals. / Barry, John; Hefty, T. R.; Nelson, K. A.; Johnston, T.

In: Journal of Urology, Vol. 143, No. 5, 1990, p. 897-899.

Research output: Contribution to journalArticle

Barry, John ; Hefty, T. R. ; Nelson, K. A. ; Johnston, T. / Ten years of training community urologists and general surgeons to do cadaver kidney retrievals. In: Journal of Urology. 1990 ; Vol. 143, No. 5. pp. 897-899.
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