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| RENAL DATA FROM THE ARAB WORLD |
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| Year : 2015 |
Volume
: 26 | Issue : 1 | Page
: 153-160 |
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Eligibility for renal transplantation: A Moroccan interregional survey
Nadia Kabbali1, Souad Mikou1, Ghita El Bardai1, Adil Najdi2, Meriem Ezziani1, Fatima Zahra Batta1, Nada Tazi El Pardiya1, Chadia El Fadil1, Aniss El Hassani1, Mohamed Arrayhani1, Tarik Sqalli Houssaini1
1 Department of Nephrology, Hassan II University Hospital, Fez, Morocco
2 Department of Epidemiology, Medical Faculty, Fez, Morocco
Correspondence Address:
Nadia Kabbali
Department of Nephrology, Hassan II University Hospital, Fez
Morocco
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DOI: 10.4103/1319-2442.148769 PMID: 25579741 
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In the treatment of end-stage renal disease, kidney transplantation (KT) is the best and most cost-effective alternative with regard to both prognosis and quality of life. To identify the proportion and the characteristics of kidney transplant candidates who can be considered eligible, a total of 2066 hemodialysis patients were investigated as part of the ARTEMIS (Attitude toward Renal Transplantation and Eligibility among dialysis patients in a Moroccan Interregional Survey) study. We investigated all patients receiving hemodialysis in the 39 centers of four Moroccan departments. The mean age was 52.9 years and the mean duration of hemodialysis was 55.3 months. Fifty-eight percent of our patients were considered eligible for KT; 18.2% had an absolute contraindication and 23.8% had one or more relative contraindications. When compared with eligible patients (n = 1200) in the univariate analysis, those ineligible were significantly older (61 years vs. 51, P < 0.0001), had no residual diuresis (59.8% vs. 49.1%, P < 0.0001), were more often diabetic (25.1% vs. 11.9%, P < 0.0001) and hypertensive (54.5% vs. 45.8%, P < 0.0001), and their median dialysis duration was longer (61 months vs. 51, P < 0.0001). In the multivariate models, eligibility remained associated with young age, less term of dialysis and residual diuresis. Adequate control of cardiovascular risk factors before dialysis and early referral for transplantation might help to improve eligibility of the renal transplant candidates. |
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