Role of the Nephrologist in Non-Kidney Solid Organ Transplant (NKSOT)
dc.centro | Universidad Cardenal Herrera-CEU | |
dc.contributor.author | Viejo Boyano, Iris | |
dc.contributor.author | Checa Ros, Ana | |
dc.contributor.author | López Romero, Luis Carlos | |
dc.contributor.author | D'Marco Gascón, Luis Gerardo | |
dc.contributor.author | Peris Fernández, María | |
dc.contributor.author | Garrigós Almerich, Enrique | |
dc.contributor.author | Ramos Tomás, María Carmen | |
dc.contributor.author | Peris Domingo, Ana | |
dc.contributor.author | Hernández Jaras, Julio | |
dc.contributor.other | Producción Científica UCH 2023 | |
dc.contributor.other | UCH. Departamento de Medicina y Cirugía | |
dc.contributor.other | Grupo de "Investigación de Enfermedades Cardiorenales y Metabólicas" (IDECAM) | |
dc.date.accessioned | 2024-09-16T07:33:05Z | |
dc.date.available | 2024-09-16T07:33:05Z | |
dc.date.issued | 2023-06-15 | |
dc.description | Este artículo pertenece al número especial "Exploring the Link between Cardiorenal and Metabolic Diseases". | es_ES |
dc.description.abstract | Background: 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.citation | Viejo-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/healthcare11121760 | es_ES |
dc.identifier.doi | https://doi.org/10.3390/healthcare11121760 | |
dc.identifier.issn | 2227-9032 (Electrónico) | |
dc.identifier.uri | http://hdl.handle.net/10637/16170 | |
dc.language.iso | en | es_ES |
dc.publisher | MDPI | es_ES |
dc.relation | Este 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.ispartof | Healthcare, vol. 11, i. 12 | |
dc.rights | open access | |
dc.rights.cc | https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es | |
dc.subject | Nefrología | es_ES |
dc.subject | Nephrology | es_ES |
dc.subject | Aparato urinario | es_ES |
dc.subject | Urinary system | es_ES |
dc.subject | Enfermedad | es_ES |
dc.subject | Diseases | es_ES |
dc.subject | Trasplante de órganos | es_ES |
dc.subject | Organ transplantation | es_ES |
dc.title | Role of the Nephrologist in Non-Kidney Solid Organ Transplant (NKSOT) | es_ES |
dc.type | Artículo | es_ES |
dspace.entity.type | Publication | es |
relation.isAuthorOfPublication | c9d1b3ee-ac7c-4294-9e29-c65e3375e348 | |
relation.isAuthorOfPublication.latestForDiscovery | c9d1b3ee-ac7c-4294-9e29-c65e3375e348 |
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