Date of Award

2007

Degree Type

Thesis

Degree Name

Master of Science

Program

Epidemiology and Biostatistics

Supervisor

Dr. Jeffrey Mahon

Abstract

Introduction Delayed graft function (DGF) in a kidney recipient is associated with allograft dysfunction over time. Whether being a mate to a DGF recipient is associated with allograft dysfunction at one-year following transplantation is less well described, and the focus of this thesis. Methods Using a retrospective cohort design we studied the mean change in glomerular filtration rate (GFR) at one-year in twenty-six mates to DGF recipients (exposure group) and twenty-nine mates to non-DGF recipients (control group). Results The exposure group had a mean change in GFR of-11.2 ml/min compared to -0.4 ml/min in the control group. In a multivariable analysis, this difference was statistically significant (p-value=0.025). Conclusion In this study, being a mate to a DGF recipient was associated with allograft dysfunction at one-year following transplantation. The development of strategies aimed at preserving allograft function in this high-risk group is warranted.

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