Navigation Links
Guidelines Suggested for Heart-Kidney Transplants
Date:3/18/2009

Study identifies factors that reduce survival rate for combo surgery,,,,

WEDNESDAY, March 18 (HealthDay News) -- A set of criteria to help identify people who would benefit from a combined heart and kidney transplant has been developed by U.S. researchers.

"In the past, patients with end-stage heart failure having concurrent renal (kidney) disease were not considered candidates for heart transplantation," Dr. Mark J. Russo, of Columbia University Medical Center/New York Presbyterian Hospital, and colleagues noted in the study. "With advances in operative techniques and perioperative (around the time of surgery) management, combined heart and kidney transplantation is offered to select patients in this population."

However, there are no standardized guidelines for heart and kidney transplants.

The researchers analyzed data from 274 people who had combined heart and kidney transplants between 1995 and 2005. Pre-transplant factors that reduced survival were: peripheral vascular disease (disease of blood vessels outside the heart and brain); being older than 65; heart failure that was non-ischemic, meaning it was not caused by blocked or narrowed arteries; and dependence on dialysis or a pumping device that assists the heart as a bridge to transplantation.

When people were grouped according to these risk factors, the one-year survival rate was about 93 percent for those in the lowest-risk group and 62 percent for those with the greatest risk.

About a fourth of the highest-risk patients died from infection. The study found that people older than 65, those with peripheral artery disease and those bridged to transplantation with a pumping-assist device appeared more vulnerable to infection, which explained their increased risk of death. But it was not clear why people with non-ischemic heart failure also had a high risk of death, the researchers said.

"Among patients with combined kidney failure (estimated glomerular filtration rate less than 33 milliliters per minute) and heart failure, those classified by this risk stratification scheme as low-risk should undergo combined heart and kidney transplantation, while there is no demonstrable benefit for combined heart and kidney transplantation over heart transplantation alone in patients classified as high risk," they concluded.

The study is in the March issue of Archives of Surgery.

More information

The National Kidney Foundation has more about kidney transplantation.



-- Robert Preidt



SOURCE: JAMA/Archives journals, news release, March 16, 2009


'/>"/>
Copyright©2009 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. EAU launches new clinical guidelines for 2009 -- kidney cancer
2. Emprise 7000 Storage System, with ICON Manager and Virtual View Integration, Helps Milliman Care Guidelines Simplify Storage Management
3. CIMRO of Nebraska Uses Milliman Care Guidelines(R) for Nebraska Medicare Reviews
4. Experts Revise Guidelines on Daily Aspirin for Heart
5. NCCN Presents Updates to NCCN Guidelines for Thyroid Carcinoma
6. Early Detection Remains Key in Updated NCCN Guidelines for Ovarian Cancer
7. New NCCN Guidelines for Primary Cutaneous B-Cell Lymphoma and Updates to NCCN Guidelines for Non-Hodgkins Lymphomas
8. NCCN Announces Updates to Pancreatic Adenocarcinoma Guidelines
9. The REACH Institute: Best Practice Guidelines Address Mental Health Needs of Youth in Care
10. New Book Exposes Junk Science, Conflicts of Interest, Disease Guidelines Affecting Millions
11. IPRO QIO Uses Milliman Care Guidelines(R) for Medicare Reviews in New York State
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Guidelines Suggested for Heart-Kidney Transplants
(Date:2/9/2016)... ... February 09, 2016 , ... ... production of its newest mobility device, the StandUp Walker. Made entirely in the ... in the last 50 years. , StandUp Walker’s novel patent-pending design offers 2-in-1 ...
(Date:2/9/2016)... ... February 09, 2016 , ... ... LLC to help enterprises move workloads to the cloud. Cirracore provides a ... their cloud without traversing the Internet. Transformation Solutions (TSL Partners) provides a ...
(Date:2/9/2016)... ... February 09, 2016 , ... BioPlus Specialty Pharmacy (BioPlus), one ... ‘Pay It Forward’ program into 2016. BioPlus partners with several non-profit patient foundations ... , “Since our Pay It Forward program began, we are proud to have ...
(Date:2/9/2016)... ... ... On January 12, 2016 Paul McElwee, a CroppMetcalfe HVAC technician, visited a home ... any heat. Shortly after entering the home, Paul was able to identify the problem ... carbon monoxide into the home, at 2,000 parts per million in the flue. Anything ...
(Date:2/9/2016)... ... February 09, 2016 , ... The Bon-Ton Stores, Inc. ... department stores, announced it has raised $176,000 to benefit the Breast Cancer Research ... Center at the University of Iowa, The Lynn Sage Cancer Research Foundation, and ...
Breaking Medicine News(10 mins):
(Date:2/9/2016)... "Company") (NASDAQ: UNIS ; ASX: UNS), a developer and ... for the second quarter of fiscal 2016 (three months ended December ... Financial Results for the Second Quarter of Fiscal 2016 ... the second quarter of fiscal 2016 was $4.5 million, compared to ... customers for the second quarter of fiscal 2016 were $17.8 million, ...
(Date:2/9/2016)... 2016  Axovant Sciences Ltd. (NYSE:  AXON), a ... of dementia, today announced further details of three ... functional aspects of Lewy body dementia, a disease ... Two out of the three studies were recently ... later this quarter. In addition, the Company reported ...
(Date:2/9/2016)... Hearing protection devices refer to the barriers that reduce ... ear. Hearing protection devices include earplugs, uniform attenuation earplug, ... users exposed to noise levels of over 80 dB ... inserted in the ear canal to protect the ear. ... sound perception with the help of acoustic filters. Earmuffs ...
Breaking Medicine Technology: