Validating Consensus-Defined Severity Grading of Lymphatic Complications after Kidney Transplant

Lymphatic complications after kidney transplantation (KTx) are associated with morbidities such as impaired wound healing, thrombosis, and organ failure. Recently, a consensus regarding the definition and severity grading of lymphoceles has been suggested. The aim of the present study was to validat...

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Autores principales: Mohammadsadegh Sabagh, Sara Mohammadi, Ali Ramouz, Elias Khajeh, Omid Ghamarnejad, Christian Morath, Markus Mieth, Yakup Kulu, Martin Zeier, Arianeb Mehrabi, Mohammad Golriz
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:9bc305f8fdac42ef8927af310c50ba3c2021-11-11T17:31:15ZValidating Consensus-Defined Severity Grading of Lymphatic Complications after Kidney Transplant10.3390/jcm102148582077-0383https://doaj.org/article/9bc305f8fdac42ef8927af310c50ba3c2021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/4858https://doaj.org/toc/2077-0383Lymphatic complications after kidney transplantation (KTx) are associated with morbidities such as impaired wound healing, thrombosis, and organ failure. Recently, a consensus regarding the definition and severity grading of lymphoceles has been suggested. The aim of the present study was to validate this classification method. All adult patients who underwent KTx between December 2011 and September 2016 in our department were evaluated regarding lymphoceles that were diagnosed within 6 months after KTx based on the recent definition. Patients with lymphoceles were categorized according to the classification criteria, and clinical outcomes were compared between the groups. In our department, a total of 587 patients underwent KTx between 2011 and 2016. Lymphoceles were detected after KTx in 90 patients (15.3%). Among these patients, 24 (26.6%) had grade A lymphoceles, 14 (15.6%) had grade B, and 52 (57.8%) had grade C. The median duration times of intermediate care (IMC) and hospital stay were significantly higher among patients with grade C lymphoceles than they were among patients with grade A and B lymphoceles. Significantly more patients with grade C lymphoceles were readmitted to the hospital for treatment. The recently published definition and severity grading of lymphoceles after KTx is an easy-to-use and valid classification system, which may facilitate the comparison of results from different studies on lymphoceles after KTx.Mohammadsadegh SabaghSara MohammadiAli RamouzElias KhajehOmid GhamarnejadChristian MorathMarkus MiethYakup KuluMartin ZeierArianeb MehrabiMohammad GolrizMDPI AGarticlekidney transplantationlymphatic complicationslymphoceleseverity gradingvalidationMedicineRENJournal of Clinical Medicine, Vol 10, Iss 4858, p 4858 (2021)
institution DOAJ
collection DOAJ
language EN
topic kidney transplantation
lymphatic complications
lymphocele
severity grading
validation
Medicine
R
spellingShingle kidney transplantation
lymphatic complications
lymphocele
severity grading
validation
Medicine
R
Mohammadsadegh Sabagh
Sara Mohammadi
Ali Ramouz
Elias Khajeh
Omid Ghamarnejad
Christian Morath
Markus Mieth
Yakup Kulu
Martin Zeier
Arianeb Mehrabi
Mohammad Golriz
Validating Consensus-Defined Severity Grading of Lymphatic Complications after Kidney Transplant
description Lymphatic complications after kidney transplantation (KTx) are associated with morbidities such as impaired wound healing, thrombosis, and organ failure. Recently, a consensus regarding the definition and severity grading of lymphoceles has been suggested. The aim of the present study was to validate this classification method. All adult patients who underwent KTx between December 2011 and September 2016 in our department were evaluated regarding lymphoceles that were diagnosed within 6 months after KTx based on the recent definition. Patients with lymphoceles were categorized according to the classification criteria, and clinical outcomes were compared between the groups. In our department, a total of 587 patients underwent KTx between 2011 and 2016. Lymphoceles were detected after KTx in 90 patients (15.3%). Among these patients, 24 (26.6%) had grade A lymphoceles, 14 (15.6%) had grade B, and 52 (57.8%) had grade C. The median duration times of intermediate care (IMC) and hospital stay were significantly higher among patients with grade C lymphoceles than they were among patients with grade A and B lymphoceles. Significantly more patients with grade C lymphoceles were readmitted to the hospital for treatment. The recently published definition and severity grading of lymphoceles after KTx is an easy-to-use and valid classification system, which may facilitate the comparison of results from different studies on lymphoceles after KTx.
format article
author Mohammadsadegh Sabagh
Sara Mohammadi
Ali Ramouz
Elias Khajeh
Omid Ghamarnejad
Christian Morath
Markus Mieth
Yakup Kulu
Martin Zeier
Arianeb Mehrabi
Mohammad Golriz
author_facet Mohammadsadegh Sabagh
Sara Mohammadi
Ali Ramouz
Elias Khajeh
Omid Ghamarnejad
Christian Morath
Markus Mieth
Yakup Kulu
Martin Zeier
Arianeb Mehrabi
Mohammad Golriz
author_sort Mohammadsadegh Sabagh
title Validating Consensus-Defined Severity Grading of Lymphatic Complications after Kidney Transplant
title_short Validating Consensus-Defined Severity Grading of Lymphatic Complications after Kidney Transplant
title_full Validating Consensus-Defined Severity Grading of Lymphatic Complications after Kidney Transplant
title_fullStr Validating Consensus-Defined Severity Grading of Lymphatic Complications after Kidney Transplant
title_full_unstemmed Validating Consensus-Defined Severity Grading of Lymphatic Complications after Kidney Transplant
title_sort validating consensus-defined severity grading of lymphatic complications after kidney transplant
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/9bc305f8fdac42ef8927af310c50ba3c
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