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7 Years Experience of Living Donor Kidney Transplantation in Indonesia: A Retrospective Cohort Study

ACTA MEDICA INDONESIANA · Vol. 50 No. 2 (2018)

ISSN
2338-2732, 0125-9326
Terbit
2018-06-26
Penerbit
The Indonesian Society of Internal Medicine
Bahasa
eng

Abstrak

Background: kidney transplantation has been developing rapidly in Indonesia in recent years, yet data on transplants’ characteristics and survival is still unavailable. In Indonesia, only living donors are permitted. Living donor are advantageous, but challenging to recruit. This study aimed to establish the graft and patient survival rates and to describe the characteristics of recipient and donor as well as the process of donor recruitment and evaluation of kidney transplantation in Indonesia. Methods: the study was a retrospective cohort on all donors and kidney transplant recipients at Cipto Mangunkusumo General Hospital (CMGH) from January 2011 to May 2017. Only recipients from January 2011 to May 2014 were included to establish the 1-year and 3-year graft and patient survival; which were described using Kaplan-Meier method. Results: data from 492 kidney transplant procedures were obtained (donor median age, 30 (17 – 66) years; 25.1% were family-related. Recipients mean age, 47 (SD 13.18 years). Data from total of 138 kidney transplant recipients were further analyzed. The 1-year death- censored graft survival, all-cause graft survival and patient survival were 92 %, 82.6 % and 87%. The 3-year death-censored graft survival, all-cause graft survival and patient survival were 90.6%, 76.1% and 79.7%. Kaplan-Meier’s curve showed the highest mortality rates occured in the early months. Conclusion: the 1-year graft and patient survival rate were 92% and 87%. The 3-year graft and patient survival rate were 90.6% and 79.7%. Only small percentage of donor were family-related. Living donor recruitment and evaluation are still a big challenge in Indonesia.

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  • University of Indonesia
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Hamzah ShatriAfiliasi tidak diketahui2
Pringgodigdo NugrohoAfiliasi tidak diketahui2
Bambang PurwantoAfiliasi tidak diketahui2
Saptawati BardosonoAfiliasi tidak diketahui2
Jacub PandelakiAfiliasi tidak diketahui2
Diana AuliaAfiliasi tidak diketahui2
Maruhum Bonar MarbunAfiliasi tidak diketahui1
Irsan HasanAfiliasi tidak diketahui1
Ikhwan RinaldiAfiliasi tidak diketahui1
Purwita Wijaya LaksmiAfiliasi tidak diketahui1
Suhardjono SuhardjonoAfiliasi tidak diketahui1
Ria JauwerissaAfiliasi tidak diketahui1
Em YunirUniversity of Indonesia1
Rudi PutrantoAfiliasi tidak diketahui1
Cleopas Martin RumendeAfiliasi tidak diketahui1
Yenny KandariniAfiliasi tidak diketahui1
Petrin Redayani LukmanAfiliasi tidak diketahui1
Dian Pritasari JegerAfiliasi tidak diketahui1

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Sumber metadata: OAI-PMH (metadata jurnal) http://www.actamedindones.org/index.php/ijim/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
<oai_dc:dc xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/  http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
	<dc:title xml:lang="en-US">7 Years Experience of Living Donor Kidney Transplantation in Indonesia: A Retrospective Cohort Study</dc:title>
	<dc:creator>Marbun, Maruhum Bonar H</dc:creator>
	<dc:creator>Susalit, Endang</dc:creator>
	<dc:creator>Umami, Vidhia</dc:creator>
	<dc:subject xml:lang="en-US">Chronic kidney diseases</dc:subject>
	<dc:subject xml:lang="en-US">donor evaluation</dc:subject>
	<dc:subject xml:lang="en-US">graft survival</dc:subject>
	<dc:subject xml:lang="en-US">organ transplantation</dc:subject>
	<dc:subject xml:lang="en-US">patient survival</dc:subject>
	<dc:description xml:lang="en-US">Background: kidney transplantation has been developing rapidly in Indonesia in recent years, yet data on transplants’ characteristics and survival is still unavailable. In Indonesia, only living donors are permitted. Living donor are advantageous, but challenging to recruit. This study aimed to establish the graft and patient survival rates and to describe the characteristics of recipient and donor as well as the process of donor recruitment and evaluation of kidney transplantation in Indonesia. Methods: the study was a retrospective cohort on all donors and kidney transplant recipients at Cipto Mangunkusumo General Hospital (CMGH) from January 2011 to May 2017. Only recipients from January 2011 to May 2014 were included to establish the 1-year and 3-year graft and patient survival; which were described using Kaplan-Meier method. Results: data from 492 kidney transplant procedures were obtained (donor median age, 30 (17 – 66) years; 25.1% were family-related. Recipients mean age, 47 (SD 13.18 years). Data from total of 138 kidney transplant recipients were further analyzed. The 1-year death- censored graft survival, all-cause graft survival and patient survival were 92 %, 82.6 % and 87%. The 3-year death-censored graft survival, all-cause graft survival and patient survival were 90.6%, 76.1% and 79.7%. Kaplan-Meier’s curve showed the highest mortality rates occured in the early months. Conclusion: the 1-year graft and patient survival rate were 92% and 87%. The 3-year graft and patient survival rate were 90.6% and 79.7%. Only small percentage of donor were family-related. Living donor recruitment and evaluation are still a big challenge in Indonesia.</dc:description>
	<dc:publisher xml:lang="en-US">The Indonesian Society of Internal Medicine</dc:publisher>
	<dc:date>2018-06-26</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:type xml:lang="en-US">retrospective cohort</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>http://www.actamedindones.org/index.php/ijim/article/view/650</dc:identifier>
	<dc:source xml:lang="en-US">Acta Medica Indonesiana; Vol. 50 No. 2 (2018): Acta Medica Indonesiana; 119</dc:source>
	<dc:source>2338-2732</dc:source>
	<dc:source>0125-9326</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>http://www.actamedindones.org/index.php/ijim/article/view/650/pdf</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2018 Acta Medica Indonesiana</dc:rights>
</oai_dc:dc>