Cited 35 times in
Impact of parathyroidectomy on allograft outcomes in kidney transplantation
DC Field | Value | Language |
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dc.contributor.author | 김명수 | - |
dc.contributor.author | 김유선 | - |
dc.contributor.author | 허규하 | - |
dc.date.accessioned | 2014-12-19T17:43:50Z | - |
dc.date.available | 2014-12-19T17:43:50Z | - |
dc.date.issued | 2012 | - |
dc.identifier.issn | 0934-0874 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/91947 | - |
dc.description.abstract | We performed retrospective, multi-center study of the impacts of parathyroidectomy (PTX) after or before kidney transplantation on allograft outcomes. A total of 63 patients who underwent PTX after kidney transplantation were identified. Deterioration in eGFR by more than 25% at 1 month after PTX occurred in 20% of the patients. The baseline eGFR was significantly lower in impairment group than nonimpairment group [adjusted odds ratio (OR) 0.87, 95% confidence interval (CI) 0.77-0.99, P = 0.033]. Low iPTH concentration after PTX was also a significant risk factor for the renal impairment (OR 0.96, CI 0.94-0.99, P = 0.009). A total of 37 patients who underwent PTX before transplantation were identified. Thirty-six percent of the patients had persistent hyperparathyroidism by 1 year after transplantation. A high iPTH level before PTX was a significant risk factor for persistent post-transplant hyperparathyroidism (adjusted OR 1.002, CI 1.000-1.005, P = 0.039). Finally, eGFR values during the first 5 years after transplantation were significantly lower in the patients who underwent PTX at less than 1 year after transplantation, than the pretransplant PTX patients (P = 0.032). As PTX after kidney transplantation has a risk of deterioration of allograft function, pretransplant PTX should be considered for patients with severe hyperparathyroidism, who could undergo post-transplant PTX. | - |
dc.description.statementOfResponsibility | open | - |
dc.relation.isPartOf | TRANSPLANT INTERNATIONAL | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Glomerular Filtration Rate | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Hyperparathyroidism/etiology | - |
dc.subject.MESH | Hyperparathyroidism/physiopathology | - |
dc.subject.MESH | Hyperparathyroidism/surgery | - |
dc.subject.MESH | Kidney Transplantation*/physiology | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Parathyroid Hormone | - |
dc.subject.MESH | Parathyroidectomy* | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Time Factors | - |
dc.subject.MESH | Transplantation, Homologous | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Impact of parathyroidectomy on allograft outcomes in kidney transplantation | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Surgery (외과학) | - |
dc.contributor.googleauthor | Hee Jung Jeon | - |
dc.contributor.googleauthor | Yoon Jung Kim | - |
dc.contributor.googleauthor | Hyuk Yong Kwon | - |
dc.contributor.googleauthor | Tai Yeon Koo | - |
dc.contributor.googleauthor | Seon Ha Baek | - |
dc.contributor.googleauthor | Hyo-Jin Kim | - |
dc.contributor.googleauthor | Woo Seong Huh | - |
dc.contributor.googleauthor | Kyu Ha Huh | - |
dc.contributor.googleauthor | Myoung Soo Kim | - |
dc.contributor.googleauthor | Yu Seun Kim | - |
dc.contributor.googleauthor | Su-Kil Park | - |
dc.contributor.googleauthor | Curie Ahn | - |
dc.contributor.googleauthor | Jaeseok Yang | - |
dc.identifier.doi | 10.1111/j.1432-2277.2012.01564.x | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00424 | - |
dc.contributor.localId | A00785 | - |
dc.contributor.localId | A04344 | - |
dc.relation.journalcode | J02753 | - |
dc.identifier.eissn | 1432-2277 | - |
dc.identifier.pmid | 23020185 | - |
dc.identifier.url | http://onlinelibrary.wiley.com/doi/10.1111/j.1432-2277.2012.01564.x/abstract | - |
dc.subject.keyword | hyperparathyroidism | - |
dc.subject.keyword | kidney transplantation | - |
dc.subject.keyword | parathyroidectomy | - |
dc.contributor.alternativeName | Kim, Myoung Soo | - |
dc.contributor.alternativeName | Kim, Yu Seun | - |
dc.contributor.alternativeName | Huh, Kyu Ha | - |
dc.contributor.affiliatedAuthor | Kim, Myoung Soo | - |
dc.contributor.affiliatedAuthor | Kim, Yu Seun | - |
dc.contributor.affiliatedAuthor | Huh, Kyu Ha | - |
dc.citation.volume | 25 | - |
dc.citation.number | 12 | - |
dc.citation.startPage | 1248 | - |
dc.citation.endPage | 1256 | - |
dc.identifier.bibliographicCitation | TRANSPLANT INTERNATIONAL, Vol.25(12) : 1248-1256, 2012 | - |
dc.identifier.rimsid | 30022 | - |
dc.type.rims | ART | - |
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