Cyclosporine and trends in kidney transplantation. 1986

J Cicciarelli

1. In the past 4 years there has been a definite trend to increase the number of first cadaver transplants using cyclosporine. In 1985, three fourths of the patients were treated with cyclosporine. 2. One-day, one-week, and one-month function data show that there is no increased nonfunction associated with the use of cyclosporine, and in those cases with a nonfunctioning kidney, one-year survival is higher with cyclosporine treatment compared with those patients who are not treated with cyclosporine. 3. Fewer patients treated with cyclosporine are transfused or A,B,DR matched compared with similar groups of noncyclosporine-treated patients. 4. Since the advent of cyclosporine, more kidneys have been used locally and, in addition, ischemia times are lower for cadaver kidneys. In addition, more diabetics are being transplanted with better results. 5. Cyclosporine does not seem to have an effect in living-related transplants that are one- or two-haplotype matched. There may possibly be deleterious effects associated with living-related transplants and the use of cyclosporine. 6. Patient survival since 1972 has increased one to two percentage points each year to the present time. This increase in patient survival is probably associated with those factors that strongly influence graft outcome (i.e., patient care, transfusions, matching, and immunosuppressive therapy).

UI MeSH Term Description Entries
D003524 Cyclosporins A group of closely related cyclic undecapeptides from the fungi Trichoderma polysporum and Cylindocarpon lucidum. They have some antineoplastic and antifungal action and significant immunosuppressive effects. Cyclosporins have been proposed as adjuvants in tissue and organ transplantation to suppress graft rejection. Cyclosporines
D006085 Graft Survival The survival of a graft in a host, the factors responsible for the survival and the changes occurring within the graft during growth in the host. Graft Survivals,Survival, Graft,Survivals, Graft
D006680 HLA Antigens Antigens determined by leukocyte loci found on chromosome 6, the major histocompatibility loci in humans. They are polypeptides or glycoproteins found on most nucleated cells and platelets, determine tissue types for transplantation, and are associated with certain diseases. Human Leukocyte Antigen,Human Leukocyte Antigens,Leukocyte Antigens,HL-A Antigens,Antigen, Human Leukocyte,Antigens, HL-A,Antigens, HLA,Antigens, Human Leukocyte,Antigens, Leukocyte,HL A Antigens,Leukocyte Antigen, Human,Leukocyte Antigens, Human
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D016030 Kidney Transplantation The transference of a kidney from one human or animal to another. Grafting, Kidney,Renal Transplantation,Transplantation, Kidney,Transplantation, Renal,Kidney Grafting,Kidney Transplantations,Renal Transplantations,Transplantations, Kidney,Transplantations, Renal

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