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.
Santiago, Godofredo; Cruz, Cosme; Dumler, Francis; Cortes, Pedro; Dienst, Stanley; Parnell, Sandra; Uniewski, Maxine; and Levin, Nathan W.
"Treatment of Uremic Diabetic Patients: Hemodialysis or Transplantation?,"
Henry Ford Hospital Medical Journal
: Vol. 26
Available at: https://scholarlycommons.henryford.com/hfhmedjournal/vol26/iss3/6