Review and analysis of the results of kidney transplantation programs in Mexico.

Cirugia y cirujanos Pub Date : 2024-01-01 DOI:10.24875/CIRU.23000147

Marco A Ayala-García, Gilberto Flores-Vargas, Gerardo A Ornelas-Guerrero

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Abstract

Objective: To know, analyze and compare kidney transplant programs; considering the survival of recipients at 1 and 5 years, from hospitals in Mexico.

Method: A systematic review was carried out whose search focused on the survival of kidney transplant recipients. All publications found in PubMed and Google from 1963 to 2021 were included. The expectation-maximization algorithm was applied, proposing a mixture of normals, and hierarchical grouping to establish if there is any type of pattern and determine if there is a difference between the percentages. of survival at 1 and 5 years between the groups formed.

Results: Eight hospitals that published the survival of kidney transplant recipients were found. Survival rates ranged, at 1 year, from 94.7% to 100%, and at 5 years, from 85% to 96.2%. The methods used for their comparison indicated that there is a difference between survival at 1 and 5 years.

Conclusions: In Mexico there is little information on the results of kidney transplant programs, and the information found shows great heterogeneity in said programs. Some strategies and actions are proposed to improve survival underreporting.

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墨西哥肾移植计划成果回顾与分析。

目的了解、分析和比较墨西哥各医院的肾移植项目，并考虑受者 1 年和 5 年的存活率：方法：对肾移植受者的存活率进行系统性研究。从1963年到2021年在PubMed和Google上找到的所有出版物都被纳入其中。应用期望最大化算法，提出了一种混合常模，并进行了分层分组，以确定是否存在任何类型的模式，并确定所组成的组之间 1 年和 5 年的存活率百分比是否存在差异：结果：发现有八家医院公布了肾移植受者的存活率。1 年存活率从 94.7% 到 100% 不等，5 年存活率从 85% 到 96.2% 不等。用于比较的方法表明，1 年和 5 年的存活率存在差异：在墨西哥，有关肾脏移植项目结果的信息很少，所发现的信息表明这些项目之间存在很大的差异。建议采取一些策略和行动来改善存活率报告不足的问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cirugia y cirujanos

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