Role of the Nephrologist in Non-Kidney Solid Organ Transplant (NKSOT)

dc.centroUniversidad Cardenal Herrera-CEU
dc.contributor.authorViejo Boyano, Iris
dc.contributor.authorCheca Ros, Ana
dc.contributor.authorLópez Romero, Luis Carlos
dc.contributor.authorD'Marco Gascón, Luis Gerardo
dc.contributor.authorPeris Fernández, María
dc.contributor.authorGarrigós Almerich, Enrique
dc.contributor.authorRamos Tomás, María Carmen
dc.contributor.authorPeris Domingo, Ana
dc.contributor.authorHernández Jaras, Julio
dc.contributor.otherProducción Científica UCH 2023
dc.contributor.otherUCH. Departamento de Medicina y Cirugía
dc.contributor.otherGrupo de "Investigación de Enfermedades Cardiorenales y Metabólicas" (IDECAM)
dc.date.accessioned2024-09-16T07:33:05Z
dc.date.available2024-09-16T07:33:05Z
dc.date.issued2023-06-15
dc.descriptionEste artículo pertenece al número especial "Exploring the Link between Cardiorenal and Metabolic Diseases".es_ES
dc.description.abstractBackground: Chronic kidney disease (CKD) is a common complication of a non-kidney solid organ transplant (NKSOT). Identifying predisposing factors is crucial for an early approach and correct referral to nephrology. Methods: This is a single-center retrospective observational study of a cohort of CKD patients under follow-up in the Nephrology Department between 2010 to 2020. Statistical analysis was performed between all the risk factors and four dependent variables: end-stage renal disease (ESKD); increased serum creatinine ≥50%; renal replacement therapy (RRT); and death in the pre-transplant, peri-transplant, and post-transplant periods. Results: 74 patients were studied (7 heart transplants, 34 liver transplants, and 33 lung transplants). Patients who were not followed-up by a nephrologist in the pre-transplant (p < 0.027) or peri-transplant (p < 0.046) periods and those who had the longest time until an outpatient clinic follow-up (HR 1.032) were associated with a higher risk of creatinine increase ≥50%. Receiving a lung transplant conferred a higher risk than a liver or heart transplant for developing a creatinine increase ≥50% and ESKD. Peri-transplant mechanical ventilation, peri-transplant and post-transplant anticalcineurin overdose, nephrotoxicity, and the number of hospital admissions were significantly associated with a creatinine increase ≥50% and developing ESKD. Conclusions: Early and close follow-up by a nephrologist was associated with a decrease in the worsening of renal function.es_ES
dc.identifier.citationViejo-Boyano, I., López-Romero, L.C., D'Marco, L., Checa-Ros, A., Peris-Fernández, M., Garrigós-Almerich, E., Ramos-Tomás, M.C., Peris-Domingo, A. & Hernández-Jaras, J. (2023). Role of the Nephrologist in Non-Kidney Solid Organ Transplant (NKSOT). Healthcare, vol. 11, i. 12, art. 1760 (15 jun.). DOI: https://doi.org/10.3390/healthcare11121760es_ES
dc.identifier.doihttps://doi.org/10.3390/healthcare11121760
dc.identifier.issn2227-9032 (Electrónico)
dc.identifier.urihttp://hdl.handle.net/10637/16170
dc.language.isoenes_ES
dc.publisherMDPIes_ES
dc.relationEste artículo de investigación ha sido financiado por la Sociedad Valenciana de Nefrología mediante la ayuda “María Isabel Buches” para la investigación en Nefrología.
dc.relation.ispartofHealthcare, vol. 11, i. 12
dc.rightsopen access
dc.rights.cchttps://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subjectNefrologíaes_ES
dc.subjectNephrologyes_ES
dc.subjectAparato urinarioes_ES
dc.subjectUrinary systemes_ES
dc.subjectEnfermedades_ES
dc.subjectDiseaseses_ES
dc.subjectTrasplante de órganoses_ES
dc.subjectOrgan transplantationes_ES
dc.titleRole of the Nephrologist in Non-Kidney Solid Organ Transplant (NKSOT)es_ES
dc.typeArtículoes_ES
dspace.entity.typePublicationes
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relation.isAuthorOfPublication.latestForDiscoveryc9d1b3ee-ac7c-4294-9e29-c65e3375e348

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