Q:

Survival rates for patients on dialysis are better than those for patients receiving renal allografts in the following circumstances:

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Survival rates for patients on dialysis are better than those for patients receiving renal allografts in the following circumstances:


  1. A living related donor is available.
  2. A cadaver donor must be used.
  3. The recipient\'s renal failure is secondary to diabetes.
  4. None of the above.

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D. None of the above.

DISCUSSION: Patients receiving chronic dialysis have a mortality rate of 6% to 20% per year, every year. The mortality rate is as high as 11% to 25% per year in diabetic dialysis patients. Patients undergoing renal transplantation have an operative mortality rate of less than 2%, and the 1-year survival for recipients of living related kidneys is better than 95%. Survival is greater than 90% for recipients of cadaver kidneys. The 5-year patient survivals are approximately 80% for nondiabetic recipients of living related and cadaver kidneys, and 60% to 70% for diabetic recipients. Thus, a well-functioning renal allograft provides a greater chance for a longer life than does chronic dialysis.

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