Predicting creatinine clearance by a simple formula following live-donor kidney transplantation

Transpl Int. 2004 Oct;17(9):490-4. doi: 10.1007/s00147-004-0734-3. Epub 2004 Sep 10.

Abstract

The outcome after live-donor kidney transplantation is influenced by many parameters. The aim of our study was to establish a multivariate prognostic model for calculating the recipient's creatinine clearance after transplantation. Basic immunological, donor-, recipient- and process-related variables were assessed in a series of 18 live-donor kidney transplant patients with an uncomplicated postoperative course. Multivariate analysis was carried out with automated forward and backward selection. The following four parameters were included in the predictive model: recipient age, recipient BMI, graft clearance and degree of relationship. The coefficient of determination (R(2)) was 0.67. It could be shown that a significant prediction of creatinine clearance after living related kidney transplantation can be made, based on simple variables. Therefore, this formula could help to detect early complications in the post-transplantation course if the recipient's creatinine clearance drops below the predicted result.

MeSH terms

  • Adolescent
  • Adult
  • Cohort Studies
  • Creatinine / metabolism*
  • Humans
  • Kidney / metabolism*
  • Kidney Transplantation*
  • Living Donors*
  • Middle Aged
  • Models, Biological*
  • Multivariate Analysis
  • Prognosis

Substances

  • Creatinine