谷歌浏览器插件
订阅小程序
在清言上使用

Trends in Kidney Transplantation and Living Donor Nephrectomy in Germany: a Total Population Analysis from 2006 to 2021.

World journal of urology(2024)

引用 0|浏览5
暂无评分
摘要
Purpose To analyze recent trends of surgical access routes, length of hospital stay (LOS), and mortality in kidney transplantation (KT) and living donor nephrectomy (LDN) in Germany. Materials and methods We studied the nationwide German hospital billing database and the German hospital quality reports from 2006 to 2021. Results There were a total of 35.898 KTs. In total, 9044 (25%) were living donor transplantations, while 26.854 (75%) were transplantations after donation after brain death (DBD). The share of open LDN decreased from 82% in 2006 to 22% in 2020 (− 4%/year; p < 0.001). The share of laparoscopic LDN increased from 18% in 2006 to 70% in 2020 (+ 3%/year; p < 0.001). The share of robotic LDN increased from 0% in 2006 to 8% in 2020 (+ 0.6%/year; p < 0.001). Robotic-assisted KT increased from 5 cases in 2016 to 13 procedures in 2019 ( p = 0.2). LOS was shorter after living donor KT, i.e., 18 ± 12.1 days versus 21 ± 19.6 days for DBD renal transplantation ( p < 0.001). Moreover, LOS differed for open versus laparoscopic versus robotic LDN (9 ± 3.1 vs. 8 ± 2.9 vs. 6 ± 2.6; p = 0.031). The overall in-hospital mortality was 0.16% ( n = 5) after LDN, 0.47% ( n = 42) after living donor KT and 1.8% ( n = 475) after DBD KT. Conclusions There is an increasing trend toward minimal-invasive LDN in recent years. Overall, in-hospital mortality was low after KT. However, 5 deceased healthy donors after LKD caution that the risks of this procedure should also be taken very seriously.
更多
查看译文
关键词
Kidney transplantation,Surgical approach,Health services research,Robotic surgery,Laparoscopy
AI 理解论文
溯源树
样例
生成溯源树,研究论文发展脉络
Chat Paper
正在生成论文摘要