Comparison of postoperative estimated glomerular filtration rate between kidney donors and radical nephrectomy @entity1 , and risk factors for XXXX .

@entity1 @entity8 @entity1009 @entity740 @entity177 @entity1358
OBJECTIVES: To compare post-nephrectomy renal function between kidney donors and @entity1358 @entity1 , to evaluate trends in recovery, and to identify factors relevant to @entity177 . METHODS: @entity1 who had radical or donor nephrectomy from four different institutions between 2003 and 2012 were reviewed. Propensity score matching was carried out and 79 @entity1 were selected for each group. The estimated glomerular filtration rate was calculated using the Modification of Diet in @entity8 formula preoperatively and postoperatively at 1, 3, 6, 12, 24 and 36   months. Mean estimated glomerular filtration rate was compared, and the difference between preoperative values and each preceding date was calculated. A multivariate logistic regression was used to determine independent factors for a decrease in estimated glomerular filtration rate to <60   mL/ @entity1009 .73   m(2) . RESULTS: The donor nephrectomy group showed a trend of improved estimated glomerular filtration rate recovery at 24   months and 36   months compared with the radical nephrectomy group, which was statistically significant (P   =   0.028, P   =   0.012). Multivariate logistic regression showed that @entity1358 (odds ratio 4.605, 95% confidence interval 1.626-13.040, P   =   0.004), a baseline estimated glomerular filtration rate lower than 110 (odds ratio 4.477, 95% confidence interval 1.360-14.742, P   =   0.014) and age older than 40   years (odds ratio 21.616, 95% confidence interval 2.761-169.222, P   =   0.003) were predictive factors for a decrease in renal function. CONCLUSIONS: @entity1358 is an independent risk factor for @entity740 after nephrectomy. In addition, age older than 40   years and a baseline estimated glomerular filtration rate of 110   mL/ @entity1009 .73   m(2) or less seem to represent risk factors associated with @entity740 after nephrectomy.
