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PROSPECTIVE EVALUATION OF PRETRANSPLANT BLOOD TRANSFUSIONS IN CADAVER KIDNEY RECIPIENTS
Abstract
BACKGROUND: A beneficial effect of pretransplant transfusions on graft survival was demonstrated in the early 1970s. In the mid-1980s, however, retrospective studies showed that transfusions had lost their graft-protective effect in the cyclosporine era. During the last 10 years, deliberate transfusion pretreatment of transplant patients has been discontinued. METHODS: Within a collaborative project of 14 transplant centers, prospective recipients of cadaver kidney grafts were randomized to receive either three pretransplant transfusions or transplants without transfusions. RESULTS; The graft survival rate was significantly higher in the 205 transfusion recipients than in the 218 patients who did not receive transfusions (at 1 year: 90+/-2% vs. 82+/-3%, P=0.020; at 5 years: 79+/-3% vs. 70+/-4%, P=0.025). Cox regression analysis showed that this effect was independent of age, gender, underlying disease, prophylaxis with antilymphocyte antibodies, and preformed lymphocytotoxins. CONCLUSIONS; Transfusion pretreatment improves the outcome of cadaver kidney transplants even with the use of modern immunosuppressive regimens.
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Citations
Cited by
Riess, J. G. (2001) · Chemical Reviews · doi:10.1021/cr970143c · Cited by 773
Deleterious clinical effects of transfusion-associated immunomodulation: fact or fiction?
Vamvakas, E. C., & Blajchman, M. A. (2001) · Blood · doi:10.1182/blood.v97.5.1180 · Cited by 423
Increased Rate of Infection Associated With Transfusion of Old Blood After Severe Injury
Offner, P. J. (2002) · Archives of Surgery · doi:10.1001/archsurg.137.6.711 · Cited by 332
Ventilator-Associated Pneumonia in Pediatric Intensive Care Unit Patients: Risk Factors and Outcomes
Elward, A. M., Warren, D. K., & Fraser, V. J. (2002) · Pediatrics · doi:10.1542/peds.109.5.758 · Cited by 291
Eliminating Blood Transfusions: New Aspects and Perspectives
Spahn, D. R., & Casutt, M. (2000) · Anesthesiology · doi:10.1097/00000542-200007000-00035 · Cited by 267
Metadata
- Authors
- Opelz, G., Vanrenterghem, Y., Kirste, G., Gray, D. W. R., Horsburgh, T., Lachance, J.-G., Largiader, F., Lange, H., Vujaklija-Stipanovic, K., Alvarez-Grande, J., Schott, W., Hoyer, J., Schnuelle, P., Descoeudres, C., Ruder, H., Wujciak, T., & Schwarz, V.
- Venue
- Transplantation
- Published
- 1997-04
- Volume
- 63
- Issue
- 7
- Pages
- 964-967
- ISSN
- 0041-1337 (ISSN-L)
- OpenAlex
- W1964650799
- Cited by
- 248
- References
- 0
- FWCI
- 10.43
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: PROSPECTIVE EVALUATION OF PRETRANSPLANT BLOOD TRANSFUSIONS IN CADAVER KIDNEY RECIPIENTS. https://app.cochat.ai/papers/10.1097/00007890-199704150-00010
- The paper
- Opelz, G., Vanrenterghem, Y., Kirste, G., Gray, D. W. R., Horsburgh, T., Lachance, J.-G., Largiader, F., Lange, H., Vujaklija-Stipanovic, K., Alvarez-Grande, J., Schott, W., Hoyer, J., Schnuelle, P., Descoeudres, C., Ruder, H., Wujciak, T., & Schwarz, V. (1997). PROSPECTIVE EVALUATION OF PRETRANSPLANT BLOOD TRANSFUSIONS IN CADAVER KIDNEY RECIPIENTS. Transplantation. https://doi.org/10.1097/00007890-199704150-00010
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
