Treatment of Uremic Diabetic Patients: Hemodialysis or Transplantation?

Authors

Godofredo Santiago
Cosme Cruz
Francis Dumler
Pedro Cortes
Stanley Dienst
Sandra Parnell
Maxine Uniewski
Nathan W. Levin

Abstract

Eighty-one patients with chronic renal failure associated with or secondary to diabetic nephropathy were treated with dialysis and/or transplant. Twenty-five had juvenile diabetes and 56 had adult onset diabetes. Juvenile diabetics did poorly on hemodialysis with 13 patients having a 19% four-year survival rate, whereas those who had cadaveric transplantation did well with a four-year patient and graft survival rate of 56% in nine patients. The three juvenile diabetics who received related kidney grafts are presently alive with good function. Patients with adult onset diabetes did well on hemodialysis with a four-year survival rate of 63% in 45 patients. In this last group 11 patients received cadaveric transplants, but none survived 18 months.

Recommended Citation

Santiago, Godofredo; Cruz, Cosme; Dumler, Francis; Cortes, Pedro; Dienst, Stanley; Parnell, Sandra; Uniewski, Maxine; and Levin, Nathan W. (1978) "Treatment of Uremic Diabetic Patients: Hemodialysis or Transplantation?," Henry Ford Hospital Medical Journal : Vol. 26 : No. 3 , 27-30.
Available at: https://scholarlycommons.henryford.com/hfhmedjournal/vol26/iss3/6