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How long can you live without a kidney transplant? 

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Open accessJournal ArticleDOI
Bryce A. Kiberd, Karthik K. Tennankore 
01 Aug 2017-BMJ Open
14 Citations
Live kidney donation may reduce life expectancy by 0.5–1 year in most donors.
Compared with maintenance dialysis, kidney transplantation reduces long-term mortality by 60% to 70% in nonrenal transplant recipients with end-stage renal disease.
Thus, in the situation where the waiting time for a SPK is relatively long, uremic diabetics fortunate enough to have a LD for a kidney transplant can avoid dialysis and also receive a deceased donor PAK transplant three or more months later.
Although these patients have a shorter life expectancy, they benefit from renal transplantation similarly to younger kidney transplant recipients.
Our studies suggest that in the long term, renal transplant from live donors older than 60 years it is an acceptable alternative.
In conclusion, long-term survivors of a kidney transplant received during childhood reached a high degree of rehabilitation despite a long period of immunosuppression.
This very low incidence of chronic rejection in recipients without previous AR suggests that immunologic factors are the main determinants of long-term kidney transplant outcome; nonimmunologic factors in isolation may have only a minimal impact on long-term graft survival.
Avoiding major kidney/recipient inadequacy should have a significant influence on long-term transplant function.
The most effective kidney transplant survival factors were detected in this study; therefore, duration of transplant survival (year) can be determined considering the regulations set for a new sample with specific characteristics.

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