Diabetic Renal Transplantation

Abstract

Fifty-three juvenile onset diabetics received 58 renal allografts: 31 from living related donors and 27 from cadaveric donors. The average patient age was 34 yr and the duration of diabetes was 27 yr at the time of transplantation. Patient survival rates for living related recipients at 1 and 2 yr were 97 and 94%, respectively. Patient survival rates for cadaveric recipients at 1 and 2 yr were 85 and 66%, respectively. Renal allograft survival rates for living related recipients were 81% at 1 yr and 71% at 2 yr. Cadaveric renal allograft survival rates were 22% at 1 yr and 20% at 2 yr. The role of pre-transplant coronary angiography relative to patient selection and a recent decrease in perioperative mortality are discussed.