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Correlation Between the Transplant Evaluation Rating Scale (TERS) and Medical Outcomes in Living-Donor Kidney Transplant Recipients: A Retrospective Analysis.
Dieplinger, G; Mokhaberi, N; Wahba, R; Peltzer, S; Buchner, D; Schlösser, H A; Ditt, V; von Borstel, A; Bauerfeind, U; Lange, U; Arns, W; Kurschat, C; Stippel, D L; Vitinius, F.
Afiliación
  • Dieplinger G; Department of General, Visceral, and Cancer Surgery, Transplant Center Cologne, University of Cologne, Cologne, Germany. Electronic address: georg.dieplinger@uk-koeln.de.
  • Mokhaberi N; Department of Psychosomatic Medicine and Psychotherapy, University of Cologne, Cologne, Germany.
  • Wahba R; Department of General, Visceral, and Cancer Surgery, Transplant Center Cologne, University of Cologne, Cologne, Germany.
  • Peltzer S; Department of Psychosomatic Medicine and Psychotherapy, University of Cologne, Cologne, Germany.
  • Buchner D; Department of General, Visceral, and Cancer Surgery, Transplant Center Cologne, University of Cologne, Cologne, Germany.
  • Schlösser HA; Department of General, Visceral, and Cancer Surgery, Transplant Center Cologne, University of Cologne, Cologne, Germany.
  • Ditt V; Institute for Clinical Transfusion Medicine, Transplant Center Cologne, Merheim Medical Center, Cologne General Hospital, Cologne, Germany.
  • von Borstel A; Institute for Clinical Transfusion Medicine, Transplant Center Cologne, Merheim Medical Center, Cologne General Hospital, Cologne, Germany.
  • Bauerfeind U; Institute for Clinical Transfusion Medicine, Transplant Center Cologne, Merheim Medical Center, Cologne General Hospital, Cologne, Germany.
  • Lange U; Renal Division, Department of Medicine, Transplant Center Cologne, Merheim Medical Center, Cologne General Hospital, Cologne, Germany.
  • Arns W; Renal Division, Department of Medicine, Transplant Center Cologne, Merheim Medical Center, Cologne General Hospital, Cologne, Germany.
  • Kurschat C; Renal Division, Department II of Internal Medicine, Transplant Center Cologne, University of Cologne, Cologne, Germany.
  • Stippel DL; Department of General, Visceral, and Cancer Surgery, Transplant Center Cologne, University of Cologne, Cologne, Germany.
  • Vitinius F; Department of Psychosomatic Medicine and Psychotherapy, University of Cologne, Cologne, Germany.
Transplant Proc ; 50(5): 1276-1280, 2018 06.
Article en En | MEDLINE | ID: mdl-29880346
BACKGROUND: Pretransplant psychosocial evaluation of living-donor kidney transplantation (LDKT) candidates identifies recipients with potentially inferior posttransplant outcomes. Rating instruments, based on semi-standardized interviews, help to improve and standardize psychosocial evaluation. The goal of this study was to retrospectively investigate the correlation between the Transplant Evaluation Rating Scale (TERS) and transplant outcome in LDKT recipients. METHODS: TERS scores were retrospectively generated by 2 raters based on comprehensive interviews of 146 LDKT recipients conducted by mental health professionals (interrater reliability, 0.8-0.9). All patients were eligible for transplantation according to pretransplant psychosocial evaluation. Patients were classified into 2 groups according to their TERS scores, in either two thirds excellent risk (TERS <29) and one third at least moderate risk (TERS ≥29) candidates. Analyzed medical parameters were change in estimated glomerular filtration rate and acute rejection (AR) episodes within the first year posttransplant. In addition, a subgroup of 65 patients was tested for de novo donor-specific HLA antibodies (DSA) posttransplant. RESULTS: There was no significant difference between the excellent (n = 97) and at least moderate (n = 49) risk candidates according to TERS in terms of organ function (estimated glomerular filtration rate decline >25%: 17 of 97 vs 11 of 49; P = .51) and episodes of AR (19 of 97 vs 15 of 49; P = .15). Patients developing de novo DSA (n = 18 [28%]) did not have higher pretransplant TERS scores (DSA positive, 11 of 42 vs 7 of 23; P = .78). CONCLUSIONS: Classifying LDKT recipients according to TERS score did not predict medical outcome at 1 year posttransplant or the occurrence of de novo DSA.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Escalas de Valoración Psiquiátrica / Trasplante de Riñón / Donadores Vivos / Rechazo de Injerto Tipo de estudio: Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Transplant Proc Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Escalas de Valoración Psiquiátrica / Trasplante de Riñón / Donadores Vivos / Rechazo de Injerto Tipo de estudio: Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Transplant Proc Año: 2018 Tipo del documento: Article Pais de publicación: Estados Unidos