Transplant nephrectomy

Table 4 Effect of transplant nephrectomy on subsequent transplant function

Study	TN	No	PRA (%) > 30%	HLA (mm)	Delayed graft function (%)	Acute rejection (%)	Graft survival (%)		Comments
							1 yr	5 yr
Sumrani et al[14], 1992	Yes	35	57		63				AR rates similar between groups
	No	52	33		30
Yagmurdur et al[16], 2005	Yes	21		1.9 ± 1.1		43	83	45	Retrospective
	No	32		1.0 ± 0.6		38	69	68	TN has no advantage
Johnston et al[10], 2007	Yes	6213	14.7	64.8%1	33.6				USRDS 1995-2003
	No	12 894	12.6	53.4%1	24.4				Early TN associated with lower risk of transplant failure
Ahmad et al[15], 2009	Yes	68	372			49.1	83.8	66.2	PRA level significantly influences graft survival independent of TN
	No	21	292			31.2	94.7	69.5
Schleicher et al[19], 2011	Yes	121	16	2.2 ± 1.5	29.3	29.7			Retrospective study
	No	45	2	2.0 ± 1.7	20	13.3			Graft survival worse in TN group

¹4-6 mismatches;

²Proportion of positive patients.