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Highlights of this issue in KRCP (2026.04) New

  • 2026-04-20
  • 조회 98
 
Patients at Qualified Dialysis Centers (QDCs) showed better clinical profiles, including higher dialysis adequacy (Kt/V) and hemoglobin, and lower serum phosphorus than non-QDC patients.
After adjusting for multiple confounders, QDC treatment independently improved survival, reducing all-cause mortality risk by 10% (HR, 0.90; p < 0.001).
This survival benefit was most prominent in younger patients (<65 years) and those with shorter dialysis vintages, though not significant for elderly or Medicaid patients.
 
High-risk husband-to-wife (H2W) recipients experienced a significantly higher 1-year acute antibody-mediated rejection rate compared to wife-to-husband (W2H) recipients (20.4% vs. 3.1%).
Long-term patient and allograft survival, kidney function, and infection rates showed no significant differences regardless of donor direction.
Although long-term outcomes are similar regardless of donor direction, high-risk H2W recipients face a greater risk of early rejection and require careful clinical monitoring and management.
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