15 results on '"böbrek nakli"'
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2. COVID-19 Ricochets on Kidney Transplant and Hemodialysis Patients
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Ali Kürşat Tuna, Hilal Akay Çizmecioglu, Mevlüt Hakan Göktepe, and Ahmet Cizmecioglu
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covid-19 ,disease severity ,hemodialysis ,kidney transplantation ,böbrek nakli ,hemodiyaliz ,hastalık şiddeti ,Medicine (General) ,R5-920 - Abstract
Background/Aims: An impaired immune response affects Coronavirus 2019 (COVID-19) disease progression. Immunities of both hemodialysis (HD) and Kidney Transplant (KTx) patients have already been suppressed. This study evaluated the prognostic laboratory results in HD and KTx patients with COVID-19. Methods: This retrospective, case-control study was conducted with PCR (+) COVID-19 HD and KTx patients and a control group. All patients were divided into two subgroups according to disease severity. Patients' demographic records and laboratory results were obtained from the follow-up files. Results: A total of 30 HD, 20 KTx patients, and 40 control groups were involved in the study. Gender and hospitalization duration did not differ between the groups. There was a 10% mortality rate in the KTx group and 27% in the HD group. Lung involvement in Computed Tomography (CT) was higher in HD patients (47%) than in KTx (25%). In subgroup evaluations, the most prominent laboratory values were fibrinogen in HD patients and LDH and Ferritin in KTx patients in determining disease severity. Conclusions: Early hospitalization and treatment implementations will be associated with a good prognosis in HD and KTx patients since CT and laboratory results are not predictive in these groups of patients during the COVID-19 pandemic.
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- 2023
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3. COVİD-19 Geçiren Böbrek Nakli Alıcılarında Telesağlık İzlemi: Retrospektif Çalışma.
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YÜKEN, Güler and ÖZŞAKER, Esma
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PNEUMONIA ,COVID-19 ,PAIN ,RESEARCH methodology ,TELEPHONES ,KIDNEY transplantation ,PATIENTS ,RETROSPECTIVE studies ,DYSPNEA ,SYMPTOMS ,HOSPITAL care ,DESCRIPTIVE statistics ,QUESTIONNAIRES ,COUGH ,NEEDS assessment ,FATIGUE (Physiology) ,HEMODIALYSIS ,TELEMEDICINE ,TRANSPLANTATION of organs, tissues, etc. ,DISEASE management ,COMORBIDITY - Abstract
Copyright of Journal of Ege University Nursing Faculty (JEUNF) is the property of Journal of Ege University Nursing Faculty (JEUNF) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2023
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4. Retrospective Analysis of Pre-and Post-Operative Laboratory Findings of Patients Undergoing Kidney Transplantation.
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KARGIN, Maral, GÜLER, Sevim, BAYIR, Berna, TUTAK, Ayşe ŞAHİN, ARSLAN, Mehmet Şükrü, and BEKFİLAVİOĞLU, Garip
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CLINICAL pathology ,SURVIVAL ,ALBUMINS ,STATISTICAL significance ,HUMAN research subjects ,HEMOGLOBINS ,HEMATOCRIT ,CONFIDENCE intervals ,PREOPERATIVE period ,CROSS-sectional method ,LEUCOCYTES ,BLOOD platelets ,KIDNEY transplantation ,PATIENTS ,RETROSPECTIVE studies ,TREATMENT duration ,INFORMED consent (Medical law) ,T-test (Statistics) ,POSTOPERATIVE period ,QUESTIONNAIRES ,DESCRIPTIVE statistics ,SOCIODEMOGRAPHIC factors ,HEMODIALYSIS ,CALCIUM ,INTERNATIONAL normalized ratio ,TRANSPLANTATION of organs, tissues, etc. ,ORGAN donors - Abstract
Copyright of Turkiye Klinikleri Journal of Nursing Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
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5. Hastalıkta Belirsizlik Kuramı'na Göre Kronik Böbrek Yetersizliği Tanılı Bir Hastanın Tedavi Seçimindeki Hemşirelik Bakımı.
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ÇAMLICA, Tuğçe and COŞKUN ERÇELİK, Hamide
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TREATMENT of chronic kidney failure ,NURSING ,NURSING models ,PATIENT decision making ,UNCERTAINTY ,KIDNEY transplantation ,PATIENTS' attitudes ,HEMODIALYSIS ,PSYCHOLOGICAL adaptation ,DISEASE management - Abstract
Copyright of Turkiye Klinikleri Journal of Nursing Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2022
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6. Diyaliz Tedavisi Alan ve Böbrek Nakli Olan Hastaların ve Yakınlarının Süreç Deneyimleri: Kalitatif Bir Çalışma.
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BURUCU, Rukiye, ALANYALI, Zehra, and AYAR, Yavuz
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FOCUS groups ,SOCIAL support ,NURSING ,KIDNEY transplantation ,PATIENTS' attitudes ,FAMILY attitudes ,QUALITATIVE research ,PHENOMENOLOGY ,HEMODIALYSIS - Abstract
Copyright of Turkiye Klinikleri Journal of Nursing Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
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7. Viral seroprevalence in pediatric kidney transplant recipients.
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Aksoy, Gülşah Kaya, Sağlık, İmran, Velipaşaoğlu, Sevtap, Öngüt, Gözde, Çomak, Elif, Koyun, Mustafa, and Akman, Sema
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CHICKENPOX , *CHRONIC kidney failure , *CONFIDENCE intervals , *CYTOMEGALOVIRUS diseases , *CYTOMEGALOVIRUSES , *EPSTEIN-Barr virus , *EPSTEIN-Barr virus diseases , *HEMODIALYSIS , *HEPATITIS A , *HEPATITIS B , *HEPATITIS viruses , *KIDNEY transplantation , *MEASLES , *MEDICAL screening , *MUMPS , *PERITONEAL dialysis , *RESEARCH , *RUBELLA , *SERODIAGNOSIS , *TRANSPLANTATION of organs, tissues, etc. , *VIRAL antibodies , *VIRAL vaccines , *VIRUS diseases , *RETROSPECTIVE studies , *SEROPREVALENCE , *DESCRIPTIVE statistics , *ODDS ratio - Abstract
Aim: Viral infections commonly affect kidney transplant recipients and may lead to graft failure and death. The aim of this study was to evaluate the antibody seroprevalence against viral agents in kidney transplant recipients. Material and Methods: The records of children who underwent kidney transplantation between 2008 and 2018 in Akdeniz University Faculty of Medicine were retrospectively reviewed. Epstein-Barr virus, cytomegalovirus, hepatitis A virus, hepatitis B virus, varicella, measles, rubella and mumps serologies evaluated before transplantation, were recorded. The clinical characteristics of seronegative and seropositive patients were compared, and factors that affected seropositivity were investigated. Results: The study included 253 children with a mean age of 16.7±6.23 years. The mean age at transplantation was 11.4±5.01 years. The seropositivity rates for vaccine-preventable viral infections varied: hepatitis B 89.7%, hepatitis A 60.5%, measles 78.7%, rubella 88.1%, mumps 61.2%, and varicella 71.9%. Cytomegalovirus seropositivity was 92.1% and Epstein- Barr virus seropositivity was 82.2%. Hepatitis B antibody positivity was 91.8% in patients undergoing hemodialysis, 94.5% in patients electrocheundergoing peritoneal dialysis, and 84.9% in pre-emptive transplantation patients (p=0.037). The mean age at transplantation was higher in patients with seropositivity for both cytomegalovirus and Epstein-Barr virus compared with seronegative patients (p<0.001 for both). The mean age at transplantation and diagnosis of glomerular disease was found to be effective for varicella seropositivity in multivariate regression analysis (OR 0.860, 95% CI: 0.808--0.915, p<0.001 and OR 2.502, 95% CI: 1.321--4.739, p=0.005, respectively). Conclusion: It is important to screen patients with chronic kidney disease in terms of vaccine-preventable diseases to identify risky groups of patients and to immunize these patients before end-stage kidney disease develops. [ABSTRACT FROM AUTHOR]
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- 2020
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8. Is peritoneal dialysis prior to kidney transplantation a risk factor for ureteral stenosis after adult to adult live kidney transplantation.
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Kutlutürk, Koray, Şahin, Tevfik Tolga, Çimen, Serhan, Dalda, Yasin, Gönültaş, Fatih, Doğan, Sait Murat, Toplu, Sibel Altunışık, Ünal, Bülent, and Pişkin, Turgut
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KIDNEY transplantation , *PERITONEAL dialysis , *HEMODIALYSIS , *BACTERIURIA , *STENOSIS , *PATIENTS' attitudes , *KIDNEY transplant complications - Published
- 2020
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9. Böbrek nakli ve hemodiyaliz hastalarında yaşam kalitesini etkileyen faktörler farklılık göstermektedir
- Author
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GÜLTEKİN, Arif Cengiz, TÜRKMEN, Ercan, TARAN, Ferah, DİLEK, Melda, SAYARLİOGLU, Hayriye, and ARIK, Nurol
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Hemodialysis ,quality of life ,renal transplantation ,Health Care Sciences and Services ,Sağlık Bilimleri ve Hizmetleri ,Böbrek nakli ,hemodiyaliz ,yaşam kalitesi - Abstract
Amaç: Diyaliz modalitelerini ve böbrek naklini (BN) içeren renal replasman tedavileri (RRT), hastaların yaşam kalitesini (QoL) farklı şekilde etkiler. Bu çalışmada hemodiyaliz (HD) ve BN hastalarında yaşam kalitesini etkileyen faktörlerin belirlenmesi amaçlanmıştır.Gereç ve Yöntem: Çalışmaya RT ve HD gruplarının her birinde 100 hasta dahil edildi. Sosyo-demografik veriler anket yolu ile toplandı. Hastaların laboratuvar ve diğer tıbbi bilgileri tıbbi kayıtlarından elde edildi. Yaşam kalitesini değerlendirmek için Kısa Form-36 (SF-36) ve Nottingham Sağlık Profili (NHP) ölçekleri kullanıldı.Bulgular: HD ve BN hastalarında ortalama yaşlar sırasıyla 58,28±15,21 ve 47,92±12,01 idi. Hastaların çoğu erkekti (%53 HD, %68 BN). Böbrek nakli hastaları, tüm bileşenlerde HD hastalarından daha yüksek bir yaşam kalitesine sahipti. NHP ölçeğinde, BN hastalarının sosyal izolasyon ve duygusal tepkiler dışında tüm alanlarda yaşam kalitesi daha yüksekti. HD grubunda erkek cinsiyet, sigara içmeme, yüksek eğitim düzeyi, çalışıyor ve şehirde yaşıyor olmak ile bazı laboratuvar parametreleri (hemoglobin, ferritin, sodyum, kalsiyum, magnezyum ve albümin düzeyleri) yaşam kalitesini olumlu yönde etkilerken; diyabet ve kardiyovasküler hastalık (KVH) yaşam kalitesi üzerinde olumsuz bir etkiye sahipti. BN grubunda erkek cinsiyet, yüksek eğitim düzeyi, çalışıyor olmak; normal potasyum, fosfor ve parathormon seviyeleri QoL’yi olumlu etkilerken, KVH ve hipertansiyon QoL’yi olumsuz etkilemekteydi.Sonuç: Farklı RRT alan hastalarda yaşam kalitesini etkileyen faktörler farklıdır. HD hastalarında laboratuvar parametrelerini düzeltmek için çaba göstermek yaşam kalitesi üzerinde etkili olabilir. Çalışma hayatına dönüş, BN hastalarında yaşam kalitesini artırabilir., Aim: Renal replacement therapies (RRT), including dialysis modalities and renal transplantation (RT), affect patients’ quality of life (QoL) differently. This study aimed to determine the factors affecting the QoL in hemodialysis (HD) and RT patients.Material and Method: One hundred patients in each RT and HD group were included in the study. Socio-demographic data was determined with a questionnaire. Laboratory information and other medical information of the patients were obtained from the medical records. Short Form-36 (SF-36) and Nottingham Health Profile (NHP) scales were used to assess the QoL.Results: The mean ages in HD and RT patients were 58.28±15.21 and 47.92±12.01 years. Most patients were male (53% HD, 68% RT). RT patients had a higher QoL than HD patients in all components. On the NHP scale, RT patients had higher QoL in all parts except social isolation and emotional reactions. Male gender, non-smoker status, high education level, being employed and living in the city, and some laboratory parameters (hemoglobin, ferritin, sodium, calcium, magnesium, and albumin) positively affected the QoL in the HD group; diabetes and CVD had a negative impact on the QoL. In the RT group, male gender, high education level, being employed; normal potassium, phosphorus, and parathormone levels affect QoL positively while hypertension and CVD negatively affect the QoL.Conclusion: Factors affecting QoL in patients receiving RRT are different. Efforts to correct laboratory parameters may impact the quality of life in HD patients. Returning to working life could increase the QoL in RT patients.
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- 2022
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10. The relationship between vitamin D levels and 24-hour ambulatory blood pressure in renal transplantation patients.
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Karaahmet, Fatih and Arıcı, Mustafa
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VITAMIN D deficiency , *KIDNEY transplantation , *HEMODIALYSIS , *BLOOD pressure , *KIDNEY failure - Abstract
Aim: GRenal transplantation is the most prominent treatment of renal insufficiency. Vitamin D deficiency found to be common in renal transplant patients. Through renin-angiotensin-aldosterone system inhibition, it protects from hypertension and cardiovascular diseases. In this study, we investigated the relation between vitamin D levels and 24-hour ambulatory blood pressure monitoring and parameters (body mass index, fasting plasma glucose, lipid profile) that may affect graft function. Material and Method: Association of clinical parameters with vitamin D levels and blood pressure were prospectively compared in renal transplant patients. All patients blood pressure levels were evaluated by 24-hour ambulatory blood pressure monitoring. Results: A total of 115 renal transplant recipients were enrolled in the study. Mean level of vitamin D was 16.28±5.2ng/ml, 10.4 % of the patients had severe vitamin D insufficiency (<10ng/ml), 70.4 % with a level between 10-20ng/ml. The vitamin D deficiency (10-20ng/ml) was seen more frequently in women than man. Patients has been divided into two groups, the first with levels of less than 20 ng/ml, the second one with levels of equal or higher than 20 ng/ml. There were no statistically significant difference in age, body mass index and donor features between two groups. Systolic, diastolic, and mean artery 24-hour ambulatory blood pressures in two groups were similar. Conclusion: Vitamin D deficiency was found to be common in renal transplant patients. Vitamin D status was not found to be associated with blood pressure in renal transplant patient. [ABSTRACT FROM AUTHOR]
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- 2018
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11. Hemodiyaliz Hastalarının Böbrek Nakline Bakış Açısı.
- Author
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GÖRGEL, Ahmet Fazıl, YILMAZ, Tuğba, KESLER, Ferhat, AYDIN, Gülşah, YAVUZ COŞKUN, Yasemin, DEMİRCİOĞLU, Didem, İNANÇ, Elif, ALTUNÖREN, Orçun, GÜNGÖR, Özkan, and YILMAZ, Mahmut İlker
- Abstract
OBJECTIVE: Renal transplantation is the best treatment method of end-stage renal disease. Unfortunately, renal transplantation rates have not reached the desired level yet in our country. In this study, we aimed to evaluate the willingness, knowledge levels and expectation of hemodialysis patients about renal transplantation. MATERIAL and METHODS: Patients older than 18 years of age and treated with hemodialysis for at least 3 months were enrolled in the study. Twenty-three questions were asked and the answers evaluated. RESULTS: We determined that most patients have insufficient information about transplantation but are willing to undergo kidney transplantation and have expectations from physicians and the society about transplantation. CONCLUSION: Hemodialysis patients should be informed and encouraged regarding renal transplantation. [ABSTRACT FROM AUTHOR]
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- 2016
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12. Türkiye'de Renal Replasman Tedavilerinin Güncel Durumu: Türk Nefroloji Derneği Kayıt Sistemi 2014 Yılı Özet Raporu.
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SEYAHI, Nurhan, ATEŞ, Kenan, and SÜLEYMANLAR, Gültekin
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OBJECTIVE: The Turkish Society of Nephrology registry collects data on hemodialysis, peritoneal dialysis and transplantation on an annual basis. Registry reports are printed every year as a booklet and this is the 25th year of registry reports. The registry is in close collaboration with international registries. MATERIAL and METHODS: In this paper, data from the 2014 registry report are summarized and additionally yearly trends in the management of end-stage renal disease are also provided. RESULTS: The number of patients on renal replacement therapy is increasing. At the end of 2014, 71.318 patients were on renal replacement therapy. The prevalence and incidence of end-stage renal disease was 918 and 147 per million population respectively. Diabetes was the most important cause of end-stage renal disease. Hemodialysis (78.4%) was the most common type of treatment modality, followed by transplantation (15.6%) and peritoneal dialysis (6.0%). CONCLUSION: End-stage kidney disease is a very important and growing health problem for our country. The renal registry is a leading tool for providing current and sound data on this public health problem. [ABSTRACT FROM AUTHOR]
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- 2016
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13. Evaluation of Knowledge About and Attitudes Towards Kidney Transplantation in Patients Undergoing Hemodialysis Treatment.
- Author
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KALENDER, Nurten, TOSUN, Nuran, BAGCIVAN, Gulcan, CINAR, Fatma Ilknur, YILMAZ, Mahmut İlker, EYILETEN, Tayfun, YENICESU, Mujdat, KAYA, Dilek, and DIKICI, Dilek
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KIDNEY transplantation , *HEMODIALYSIS , *KIDNEY diseases , *CHRONIC kidney failure , *PATHOLOGICAL psychology - Abstract
OBJECTIVE: The aim of the present study was to evaluate hemodialysis (HD) patients' knowledge about and attitudes towards Kidney Transplantation (KT). MATERIAL and METHODS: A total of 104 HD patients from two HD centers in a large city in central Turkey were included in this descriptive study. The questionnaire that was developed by researchers included questions on sociodemographic data and dialysis vintage, level of satisfaction resulting from HD treatment, willingness to undergo KT, knowledge about KT and choice of donor, etc. RESULTS: The mean age of the 104 patients was 60.03±17.01 years and the mean of dialysis vintage was 4.53±3.04 years. Of these patients, 62.5% declared their willingness to undergo KT, and among these, 76.9% declared that they had knowledge about KT. In regard to choice of donor, 79.7% stated that it was not important, while 56.7% were not informed about the existence of a waiting list for cadaveric donors. CONCLUSION: In order to increase in our country the number of cadaveric donors, which represent the most appropriate source of organ donation, several strategies should be considered, such as awareness-raising activities for patients and the community through campaigns by both the public and private sectors, and mass media. [ABSTRACT FROM AUTHOR]
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- 2015
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14. Türkiye'de Renal Replasman Tedavilerinin Güncel Durumu: Türk Nefroloji Derneği Kayıt Sistemi 2014 Yılı Özet Raporu.
- Author
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SEYAHİ, Nurhan, ALTIPARMAK, Mehmet Rıza, ATEŞ, Kenan, TRABULUS, Sinan, and SÜLEYMANLAR, Gültekin
- Abstract
OBJECTIVE: Turkish Society of Nephrology registry collects data on hemodialysis, peritoneal dialysis and transplantation on annual basis. Registry reports are printed every year as a booklet and this is the 24th year of registry reports. The registry is in close collaboration with international registries. MATERIAL and METHODS: In this paper data from the 2013 registry report are summarized, additionally yearly trends in the management of end stage renal disease are also provided. RESULTS: The number of patients on renal replacement therapy is rapidly increasing, at the end of 2013, 66711 patients were on renal replacement therapy. The prevalence and incidence of end stage renal disease was 870 and 138 per million population respectively. Diabetes was the most important cause of end stage renal disease. Hemodialysis (79%) was the most common type of treatment modality, followed by transplantation (14%) and peritoneal dialysis (7%). CONCLUSION: End stage renal disease is a very important and growing health problem for our country. Renal registry is a leading tool for providing current and sound data on this public health problem. [ABSTRACT FROM AUTHOR]
- Published
- 2015
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15. Renal transplant results of the organ transplant center of meram medical school between 2003-2011
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Türkmen, Kültigin, Erdur, Fatih Mehmet, Gaipov, Abduzhappar, Yeksan, Mehdi, Selçuk, Nedim Yılmaz, Türk, Süleyman, Erikoğlu, Mehmet, Çolak, Bayram, Tekin, Ahmet, Tonbul, Halil Zeki, Tavlı, Şakir, NEÜ, Meram Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, İç Hastalıkları Anabilim Dalı, and NEÜ, Meram Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Anabilim Dalı
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Hemodiyaliz ,Hemodialysis ,Böbrek Nakli ,Renal Transplantation ,End Stage Renal Disease ,Peritoneal Dialysis ,Periton Diyalizi ,Cerrahi ,Son Dönem Böbrek Yetmezliği - Abstract
AMAÇ: Son dönem böbrek yetmezliği (SDBY) hastalarında en iyi tedavi şekli böbrek naklidir. Çalışmamızda, son 8 yılda merkezimizde kadavra ve canlıdan yapılan böbrek nakillerinin(BN) demografik verileri ile birlikte böbrek fonksiyonları ve posttransplant medikal komplikasyonları, hasta- graft sağkalımını araştırmayı hedefledik. GEREÇ ve YÖNTEMLER: Çalışmaya 40ı kadavradan, 26sı canlıdan BN yapılan 66 hasta (kadın/ erkek: 36/30) dahil edildi. Nakil sonrası nefroloji polikliniğine başvurularda yaş, cinsiyet, böbrek yetmezliği nedeni, diyaliz türü-süresi, nakil türü, aldıkları indüksiyon tedavileri, kullandığı idame immünsupresif tedaviler, akut rejeksiyon sayısı ve verilen tedaviler, nakil sonrası 1., 6., 12., 24. ve 60. aylardaki biyokimya-hemogram parametreleri ve medikal komplikasyonlar hasta dosyalarından retrospektif olarak elde edildi. BULGULAR: Alıcıların ortalama yaşı 4111,6 yıldı. Ortalama nakil sonrası süre 32,231,4 ay, kreatinin değerleri 1,40,9 mg/dl tespit edildi. En sık uygulanan immünsüpresif tedavi protokolü ko rtikosteroidtakrolimusmikofenolat mofetil/sodyumdu. Gecikmiş graft fonksiyonu, kronik allograft disfonksiyonu ve akut rejeksiyon oranları sırasıyla %27,3, %25,7 ve %13,6 idi. 1 ve 5 yıllık hasta sağkalımı canlıdan yapılan BNlerinde sırasıyla %100 ve %100, kadavradan yapılan BNlerinde ise %85 ve %85 olarak bulundu. 1 ve 5 yıllık graft sağkalımı canlıdan BN yapılanlarda sırasıyla %100 ve %100, kadavradan BN yapılanlarda ise %80 ve %80 olarak saptandı. En sık görülen medikal komplikasyonlar yeni gelişen diyabet ve dislipidemiydi. Erken ve geç dönemde en sık karşılaşılan enfeksiyon idrar yolu enfeksiyonuydu. SONUÇ: BN, hasta-graft sağkalımının yüksek olduğu bir renal replasman tedavi seçeneğidir. Bununla birlikte metabolik komplikasyonlar açısından yakın takip gereklidir., OBJECTIVE: Renal transplantation (RTx) is the best therapeutic modality for end-stage renal disease patients. We report 8 years single-centre experience on cadaveric and living donor RTx in terms of demographic features along with graft functions, posttransplant medical complications, patients-graft survivals. MATERIAL and METHODS: We enrolled 66 RTx (female/male: 36/30) patients including 40 cadaveric and 26 living donors. At admission age, gender, causes of renal failure, dialysis type- duration, type of RTx, induction and maintenance immunosuppressive modalities, rejection episodes, biochemistry-hemogram parameters at 1, 6, 12, 24 and 60 months after transplantation and medical complications were obtained from the medical records. RESULTS: Mean recipient age was 41±11.6 years. Mean transplant duration was 32.2±31.4 months, and the mean creatinine values was 1.4±0.9 mg/dl. The most commonly used immunosuppressive protocol was corticosteroidtacrolimusmycophenolate mofetil. Delayed graft function, chronic allograft nephropathy and acute rejection were observed in 27.3%, 25.7% and 13.6% of patients, respectively. 1- and 5-year patient survival rates were 100% and 100% for living donor patients and 85% and 85% for cadaveric patients, respectively. 1- and 5-year graft survival rates were 100% and 100% for living donor RTx patients, and 80% and 80% for cadaveric RTx patients, respectively. The most common medical complications were new onset diabetes mellitus and dyslipidemiaThe most common early and late infection was urinary tract infection. CONCLUSION: RTx is the best renal replacement therapy in terms of patient-graft survival. However, patients should be closely moniterized for metabolic complications.
- Published
- 2013
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