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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 1 - 9 (9page)
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초록· 키워드
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Background: The impact of institutional case volume to graft failure rate after adult kidney transplantation is relatively unclear compared to other solid organ transplantations. Methods: A retrospective cohort study of 13,872 adult kidney transplantations in Korea was performed. Institutions were divided into low- (< 24 cases/year), medium- (24–60 cases/ year), and high- (> 60 cases/year) volume centers depending on the annual case volume. One-year graft failure rate was defined as the proportion of patients who required dialysis or re-transplantation at one year after transplantation. Postoperative in-hospital mortality and long-term graft survival were also measured. Results: After adjustment, one year graft failure was higher in low-volume centers significantly (adjusted odds ratio [aOR], 1.50; 95% confidence interval [CI], 1.26–1.78; P < 0.001) and medium-volume centers (aOR, 1.87; 95% CI, 1.57–2.23; P < 0.001) compared to high-volume centers. Low-volume centers had significantly higher mortality (aOR, 1.75; 95% CI, 1.15–2.66; P = 0.01) than that of high-volume centers after adjustment. Long-term graft survival of up to 9 years was superior in high-volume centers compared to low- and medium-volume centers (P < 0.001). Conclusion: Higher-case volume centers were associated with lower one-year graft failure rate, lower in-hospital mortality, and higher long-term graft survival after kidney transplantation.
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참고문헌 (24)
참고문헌 신청
Begg CB / 1998 / Impact of hospital volume on operative mortality for major cancer surgery / JAMA 280(20):1747~1751
Axelrod DA / 2004 / Association of center volume with outcome after liver and kidney transplantation / Am J Transplant 4(6):920~927
Korean Network for Organ Sharing
Glance LG / 2006 / Impact of patient volume on the mortality rate of adult intensive care unit patients / Crit Care Med 34(7):1925~1934
Lin HC / 2008 / Physician's case volume of intensive care unit pneumonia admissions and in-hospital mortality / Am J Respir Crit Care Med 177(9):989~994
Axelrod DA / 2004 / Association of center volume with outcome after liver and kidney transplantation / Am J Transplant 4(6):920~927
Korean Network for Organ Sharing
Glance LG / 2006 / Impact of patient volume on the mortality rate of adult intensive care unit patients / Crit Care Med 34(7):1925~1934
Lin HC / 2008 / Physician's case volume of intensive care unit pneumonia admissions and in-hospital mortality / Am J Respir Crit Care Med 177(9):989~994
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대한외과학회 학술대회 초록집
2021 .11
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Pediatric Kidney Transplantation
Childhood Kidney Diseases
2021 .01
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The first use of hypothermic machine perfusion in Korea to recover a procured kidney graft and prevent prolonged cold ischemic time: a case report
Clinical Transplantation and Research
2023 .06
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Prediction of Kidney Graft Rejection Using Artificial Neural Network
Healthcare Informatics Research
2017 .01
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Clinical Significance and Risk Factors of Developing Slow Graft Function in Immunological Low Risk Deceased Donor Kidney Transplantation: A Single Center Retrospective Study
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Anatomical limits in living donor liver transplantation
Clinical Transplantation and Research
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Clinical outcome of 1,000 consecutive cases of liver transplantation : a single center experience
Annals of Surgical Treatment and Research
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Pediatric liver transplantation with hyperreduced left lateral segment graft
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