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TITLE:

AN ASSESSMENT OF PATIENT’S SURVIVAL RATE: KIDNEY TRANSPLANTATION GRAFT OUTCOMES ALONG WITH CONCOMITANT CIRRHOSIS

AUTHORS:

Dr. Muhammad Ali Raza Khan, Dr. Chaudhry Adeem Asim, Dr. Mumshad Hussain

ABSTRACT:

Objective: Tragically, there is rare information on the join survival in patients who get a kidney transplant alone with accompanying cirrhosis. The impact of cirrhosis on kidney unite survival post-transplantation has not been very much characterized. In cirrhotic patients who got a kidney transplant alone, lower rates of the patient in general survival (31%) were related to lower rates of 5-year join survival (31%). Methodology: This research was carried out at Jinnah Hospital, Lahore (March 2018 to February 2019). All outpatients enlisted for the investigation were 131 with kidney transplantations. All patients were with hepatitis B or C or cryptogenic cirrhosis. Rates of survival at 3-years were contrasted with the national normal and generally speaking for Methodist Specialty Hospital. Among 131 patients, 12 patients were found to have attending cirrhosis at the time of transplantation. Results: The middle unit survival was 8.1 years and join survival at 3-and 5-years were 75% and 58%, separately. Every one of the etiologies was affirmed by histology at or inside a half year before kidney transplantation. In the 12 patients, cirrhosis etiologies included hepatitis B (n = 2), hepatitis C (n = 7) and cryptogenic (n = 3). Conclusion: Study shows the advantage of a liver biopsy with or without entrance weight estimation preceding transplantation in patients with viral hepatitis as well as another hepatic ailment to precisely organize fibrosis. Transplant survival at 3 years is far underneath the national normal (82%) and Methodist Hospital in general (89%). Primer information recommends that cirrhotic patients may be considered for consolidated liver and kidney transplantation. Keywords: Hepatitis B, Cirrhosis, Kidney graft, Hepatitis C, Kidney transplantation, ESRD.

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