ATC Abstracts

American Transplant Congress abstracts

  • Home
  • Meetings Archive
    • 2020 American Transplant Congress
    • 2019 American Transplant Congress
    • 2018 American Transplant Congress
    • 2017 American Transplant Congress
    • 2016 American Transplant Congress
    • 2015 American Transplant Congress
    • 2013 American Transplant Congress
  • Keyword Index
  • Resources
    • 2016 Resources
      • 2016 Welcome Letter
      • ATC 2016 Program Planning Committees
      • ASTS Council 2015-2016
      • AST Board of Directors 2015-2016
    • 2015 Resources
      • 2015 Welcome Letter
      • ATC 2015 Program Planning Committees
      • ASTS Council 2014-2015
      • AST Board of Directors 2014-2015
      • 2015 Conference Schedule
  • Advanced Search

Outcomes Following Hysterectomy in Kidney Transplant Recipients.

S. DiBrito, I. Olorundare, C. Haugen, C. Holscher, L. Kucirka, D. Segev, J. Garonzik-Wang.

Surgery, JHU, Baltimore

Meeting: 2017 American Transplant Congress

Abstract number: 127

Keywords: Kidney, Outcome, Surgical complications

Session Information

Date: Sunday, April 30, 2017

Session Name: Concurrent Session: Kidney Clinical Complications 1

Session Time: 4:30pm-6:00pm

 Presentation Time: 5:06pm-5:18pm

Location: E354a

Related Abstracts
  • Outcomes After Hysterectomy in Patients with End Stage Renal Disease.
  • Outcomes Following Colectomy in Kidney Transplant Recipients.

Nearly 1/3 of American women, including kidney transplant recipients (KTR), undergo hysterectomy in their lifetime, making it one of the most common female-specific surgeries performed. Given the need for immunosuppression and the physiologic impact of years of renal replacement, we hypothesized that hysterectomy might have higher risks for KTR. We investigated the differences in morbidity, LOS, and cost between KTR and non-KTR undergoing hysterectomy at both transplant and non-transplant centers nationwide.

METHODS: The National Inpatient Sample was used to study 2160 adult KTR and 4.5 million non-KTR who underwent hysterectomy between 2000-11. Morbidity, defined as postoperative complications, was identified by ICD9 code. Complication rates, LOS, and cost were compared using hierarchical logistic regression, negative binomial regression and mixed effects log-linear models respectively.

RESULTS: The mortality (0.4 vs 0.2%, aOR 2.61, p=0.1) and morbidity (aOR 1.17 95%CI 0.87-1.57) for KTR and non-KTR were not statistically significantly different (Table 1,2). KTR had significantly more gastrointestinal complications (8.6 vs 4.2% p <0.001, aOR 1.63 95%CI 1.10-2.42). LOS was longer (adjusted ratio 1.07, 95%CI 1.03-1.11) and hospital costs were higher ($7864 vs $5849 p<0.001, adjusted ratio 1.15 95%CI 1.09-1.21) for KTR compared to non-KTR. These findings were similar at both transplant center and non-transplant centers.

CONCLUSION: KTR have similar rates of mortality and overall morbidity, but have longer LOS and higher costs than non-KTR undergoing hysterectomy, as well as a higher rate of gastrointestinal complications. Undergoing surgery at a transplant center does not impact these findings. Physicians should anticipate these issues and streamline perioperative care to minimize unnecessary resource use in these cases.

CITATION INFORMATION: DiBrito S, Olorundare I, Haugen C, Holscher C, Kucirka L, Segev D, Garonzik-Wang J. Outcomes Following Hysterectomy in Kidney Transplant Recipients. Am J Transplant. 2017;17 (suppl 3).

  • Tweet
  • Email
  • Print

To cite this abstract in AMA style:

DiBrito S, Olorundare I, Haugen C, Holscher C, Kucirka L, Segev D, Garonzik-Wang J. Outcomes Following Hysterectomy in Kidney Transplant Recipients. [abstract]. Am J Transplant. 2017; 17 (suppl 3). https://atcmeetingabstracts.com/abstract/outcomes-following-hysterectomy-in-kidney-transplant-recipients/. Accessed April 18, 2021.

« Back to 2017 American Transplant Congress

Most Viewed Abstracts

  • This Week
  • This Month
  • All Time
  • Subtherapeutic Low Tacrolimus Trough Levels (≤3.5 Ng /ml) Are A Risk Factor For Acute Rejection And Creatinine Doubling.
  • Low GFR after Kidney Donation Is Not Chronic Kidney Disease
  • Is There a Difference Between DCD and DBD Kidney Transplantation with Similar KDPI?
  • Penis Transplantation: First U.S. Experience.
  • Kidney Dialysis after Heart Transplantation: The Short and Long Term Outcomes
  • Subtherapeutic Low Tacrolimus Trough Levels (≤3.5 Ng /ml) Are A Risk Factor For Acute Rejection And Creatinine Doubling.
  • Low GFR after Kidney Donation Is Not Chronic Kidney Disease
  • Is There a Difference Between DCD and DBD Kidney Transplantation with Similar KDPI?
  • Penis Transplantation: First U.S. Experience.
  • Live Related Kidney Transplant Experience in Abuja, Nigeria – First Eight Cases Ever.
  • Penis Transplantation: First U.S. Experience.
  • Is There a Difference Between DCD and DBD Kidney Transplantation with Similar KDPI?
  • Low GFR after Kidney Donation Is Not Chronic Kidney Disease
  • Evidence of a Clinically Significant Drug-Drug Interaction between Cannabidiol and Tacrolimus: A Case Report
  • Kidney Dialysis after Heart Transplantation: The Short and Long Term Outcomes

Visit Our Partner Sites

American Transplant Congress (ATC)

Visit the official site for the American Transplant Congress »

American Journal of Transplantation

The official publication for the American Society of Transplantation (AST) and the American Society of Transplant Surgeons (ASTS) »

American Society of Transplantation (AST)

An organization of more than 3000 professionals dedicated to advancing the field of transplantation. »

American Society of Transplant Surgeons (ASTS)

The society represents approximately 1,800 professionals dedicated to excellence in transplantation surgery. »

Copyright © 2013-2021 by American Society of Transplantation and the American Society of Transplant Surgeons. All rights reserved.

Privacy Policy | Terms of Use

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.
This site uses cookies: Find out more.