國家衛生研究院 NHRI:Item 3990099045/5258
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    Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/5258


    Title: Outcomes of overseas kidney transplantation in chronic haemodialysis patients in Taiwan
    Authors: Hsu, CC;Lee, CH;Hwang, SJ;Huang, SW;Yang, WC;Chang, YK;Tsai, DF;Kuo, KN
    Contributors: Division of Health Policy Research and Development
    Abstract: Aim: Overseas kidney transplantation has often been reported to have unsatisfactory outcomes. This study aims to compare post-transplantation outcomes between overseas and domestic kidney transplant (KT) recipients in Taiwan. Methods: We used the Taiwanese National Health Insurance Research Database to identify 310 domestic and 643 overseas KT recipients, who survived for longer than 1 month after the transplantation, in a cohort of 45453 chronic hemodialysis patients in 1997-2002. Cox proportional hazards models were used to assess risks of mortality and graft failure. Results: The 1-, 3-, and 5-year survival rates for domestic KT recipients were 96.5%, 93.3%, and 91.6%, respectively, while those for overseas KT recipients were 94.9%, 87.9%, and 77.1%, respectively (P = 0.015). For the overseas group, those who received a KT before 2001 had significantly higher hazard ratios of mortality and graft failure (2.85 and 1.71, respectively). However, for those receiving a KT in 2001-2002, no significant outcome difference could be found between overseas and domestic recipients. Conclusion: The risk disparity between overseas and domestic KT recipients is mainly attributable to when the transplantation was performed. In attempting to dissuade potential recipients from organ trafficking, merely emphasizing the previously acknowledged poor outcomes no longer suffices as a valid reason.
    Date: 2011-03
    Relation: Nephrology. 2011 Mar;16(3):341-348.
    Link to: http://dx.doi.org/10.1111/j.1440-1797.2010.01426.x
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=1320-5358&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000287664200014
    Cited Times(Scopus): http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=79951988763
    Appears in Collections:[Chih-Cheng Hsu] Periodical Articles
    [Ken-Nan Kuo] Periodical Articles

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