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Predictors of kidney volume change and delayed kidney function recovery after donor nephrectomy

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dc.contributor.author김명수-
dc.contributor.author김유선-
dc.contributor.author양승철-
dc.contributor.author오영택-
dc.contributor.author주동진-
dc.contributor.author한웅규-
dc.date.accessioned2015-04-23T16:52:15Z-
dc.date.available2015-04-23T16:52:15Z-
dc.date.issued2010-
dc.identifier.issn0022-5347-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/101384-
dc.description.abstractPURPOSE: To our knowledge the effects of preoperative kidney volume in living donors on the post-donation change in size and function of the remaining kidney have not been investigated. We studied the association between preoperative kidney volume, and volume change and delayed kidney function recovery in donors. MATERIALS AND METHODS: From 2007 to 2008 we investigated 222 living donors. Kidney volume before and 6 months after surgery was estimated using the voxel count method. We analyzed correlations of kidney volume with patient characteristics, kidney function and actual kidney weight. To identify predictors of the volume increase of the remaining kidney and predictors of delayed kidney function recovery we performed regression analysis. RESULTS: Mean +/- SD total kidney volume was 311.9 +/- 50.6 cc and it correlated with weight, body surface area and kidney function (p <0.001). The mean volume increase in the remaining kidney was 27.6% +/- 9.7% (range 4.5% to 66.1%). Younger age (p <0.001) and lower preoperative volume of the remaining kidney (p = 0.019) were significant predictors of a greater increase in kidney volume on multiple linear regression analysis. Older age (OR 1.07, p <0.001), higher body mass index (OR 1.20, p = 0.008), lower preoperative kidney volume of the remaining kidney (OR 0.98, p = 0.003) and a lower preoperative diethylenetetramine pentaacetic acid glomerular filtration rate in the remaining kidney (OR 0.95, p = 0.017) were significant predictors of delayed kidney function recovery on multiple regression analysis. CONCLUSIONS: Kidney volume measured by the voxel count method was accurate and correlated with kidney function. Preoperative kidney volume is an independent predictor of the volume increase and delayed kidney function recovery in donors that could be used clinically-
dc.description.statementOfResponsibilityopen-
dc.format.extent1057~1063-
dc.relation.isPartOfJOURNAL OF UROLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdolescent-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHKidney/anatomy & histology*-
dc.subject.MESHKidney/physiology*-
dc.subject.MESHLiving Donors*-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNephrectomy*-
dc.subject.MESHOrgan Size-
dc.subject.MESHPrognosis-
dc.subject.MESHProspective Studies-
dc.subject.MESHRecovery of Function*-
dc.subject.MESHTime Factors-
dc.subject.MESHYoung Adult-
dc.titlePredictors of kidney volume change and delayed kidney function recovery after donor nephrectomy-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학)-
dc.contributor.googleauthorHwang Gyun Jeon-
dc.contributor.googleauthorSeung Ryeol Lee-
dc.contributor.googleauthorDong Jin Joo-
dc.contributor.googleauthorYoung Taik Oh-
dc.contributor.googleauthorMyoung Soo Kim-
dc.contributor.googleauthorYu Seun Kim-
dc.contributor.googleauthorSeung Choul Yang-
dc.contributor.googleauthorWoong Kyu Han-
dc.identifier.doi10.1016/j.juro.2010.04.079-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00785-
dc.contributor.localIdA02294-
dc.contributor.localIdA02390-
dc.contributor.localIdA03948-
dc.contributor.localIdA04308-
dc.contributor.localIdA00424-
dc.relation.journalcodeJ01921-
dc.identifier.eissn1527-3792-
dc.identifier.pmid20643435-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0022534710035147-
dc.subject.keywordkidney transplantation-
dc.subject.keywordliving donors-
dc.subject.keywordkidney function tests-
dc.subject.keywordtomography, emission-computed-
dc.subject.keywordorgan size-
dc.contributor.alternativeNameKim, Myoung Soo-
dc.contributor.alternativeNameKim, Yu Seun-
dc.contributor.alternativeNameYang, Seung Choul-
dc.contributor.alternativeNameOh, Young Taik-
dc.contributor.alternativeNameJoo, Dong Jin-
dc.contributor.alternativeNameHan, Woong Kyu-
dc.contributor.affiliatedAuthorKim, Yu Seun-
dc.contributor.affiliatedAuthorYang, Seung Choul-
dc.contributor.affiliatedAuthorOh, Young Taik-
dc.contributor.affiliatedAuthorJoo, Dong Jin-
dc.contributor.affiliatedAuthorHan, Woong Kyu-
dc.contributor.affiliatedAuthorKim, Myoung Soo-
dc.citation.volume184-
dc.citation.number3-
dc.citation.startPage1057-
dc.citation.endPage1063-
dc.identifier.bibliographicCitationJOURNAL OF UROLOGY, Vol.184(3) : 1057-1063, 2010-
dc.identifier.rimsid51017-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers

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