{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T20:18:05Z","timestamp":1785442685446,"version":"3.56.0"},"reference-count":24,"publisher":"Akademiai Kiado Zrt.","issue":"26","license":[{"start":{"date-parts":[[2021,6,27]],"date-time":"2021-06-27T00:00:00Z","timestamp":1624752000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2021,6,27]]},"abstract":"\u00d6sszefoglal\u00f3.<\/jats:bold>\n Bevezet\u00e9s:<\/jats:italic> A magyarorsz\u00e1gi vesetranszplant\u00e1ci\u00f3 2013 \u00f3ta az\n Eurotransplant (ET) keretein bel\u00fcl zajlik. A debreceni vesetranszplant\u00e1ci\u00f3s\n centrumhoz \u00e9vente kb. 200 kad\u00e1verdonorvese-felaj\u00e1nl\u00e1s \u00e9rkezik, melyek 37%-a\n ker\u00fcl a megismert adatok alapj\u00e1n elfogad\u00e1sra. Nem minden elfogadott vese ker\u00fcl\n be\u00fcltet\u00e9sre, aminek sz\u00e1mos oka lehet. C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> A debreceni\n szakmai gyakorlat elemz\u00e9se \u00e9s bemutat\u00e1sa reprezentat\u00edv mint\u00e1n.\n M\u00f3dszer:<\/jats:italic> A debreceni centrumhoz 2016. november \u00e9s 2020.\n m\u00e1rcius k\u00f6z\u00f6tt 624 vesefelaj\u00e1nl\u00e1s \u00e9rkezett. A felaj\u00e1nlott ves\u00e9k 37%-a (n = 229)\n ker\u00fclt el\u0151zetesen elfogad\u00e1sra, k\u00e9s\u0151bb az elfogadott ves\u00e9k 63%-a (n = 144) ker\u00fclt\n be\u00fcltet\u00e9sre. Centrumunkban az \u00fan. \u2019standard criteria\u2019,<\/jats:italic> azaz\n t\u00f6k\u00e9letes min\u0151s\u00e9g\u0171 donorves\u00e9k szignifik\u00e1nsan magasabb ar\u00e1nyban ker\u00fcltek\n elfogad\u00e1sra, majd be\u00fcltet\u00e9sre, mint az \u2019extended criteria\u2019,<\/jats:italic>\n azaz kompromisszummal v\u00e1llalhat\u00f3k. Az elfogadott \u00e9s nem elfogadott ves\u00e9ket\n vizsg\u00e1lva a KDPI (kidney donor profile index) \u00e9s a KDRI (kidney donor risk\n index) \u00e9rt\u00e9ke szignifik\u00e1nsan magasabb volt az elutas\u00edtott donorok eset\u00e9ben\n (p<0,001). Eredm\u00e9nyek:<\/jats:italic> Elemezt\u00fck, hogy a felaj\u00e1nlott, de a\n centrum \u00e1ltal nem be\u00fcltetett donorves\u00e9ket m\u00e1s ET-centrumban elfogadt\u00e1k-e.\n L\u00e1that\u00f3, hogy a felaj\u00e1nlott 624 donorvese k\u00f6z\u00fcl 144 Debrecenben, 313 pedig m\u00e1s\n ET-centrumban ker\u00fclt be\u00fcltet\u00e9sre, viszont 167 vese be\u00fcltet\u00e9se egyik\n ET-centrumban sem t\u00f6rt\u00e9nt meg (discarded organ). A 36\u201385 KDPI-\u00e9rt\u00e9kkel\n rendelkez\u0151 csoportb\u00f3l ker\u00fclt be\u00fcltet\u00e9sre a legt\u00f6bb donorvese (180 vese) m\u00e1s\n ET-centrumban. A Debrecenben be\u00fcltetett kad\u00e1verdonor-ves\u00e9k KDPI- \u00e9s KDRI-\u00e9rt\u00e9ke\n szignifik\u00e1nsan alacsonyabb volt a nek\u00fcnk felaj\u00e1nlott, majd m\u00e1shol be\u00fcltetett\n ves\u00e9khez k\u00e9pest. K\u00f6vetkeztet\u00e9s:<\/jats:italic> \u00d6sszess\u00e9g\u00e9ben elmondhat\u00f3, hogy\n a debreceni centrumban a magas rizik\u00f3csoportba tartoz\u00f3 donorszervek elutas\u00edt\u00e1sra\n ker\u00fcltek, mik\u00f6zben m\u00e1s centrumban a nagy r\u00e9sz\u00fcket be\u00fcltett\u00e9k. Ez alapj\u00e1n a 36\u201385\n KDPI-\u00e9rt\u00e9k\u0171 csoport a transzplant\u00e1ci\u00f3s esetsz\u00e1m b\u0151v\u00edt\u00e9s\u00e9nek lehets\u00e9ges forr\u00e1sa a\n recipiens ismeret\u00e9ben. Orv Hetil. 2021; 162(26): 1022\u20131028.<\/jats:p>\n Summary.<\/jats:bold>\n Introduction:<\/jats:italic> Kidney transplantation in Hungary is carried out\n via<\/jats:italic> Eurotransplant (ET). Our centre in Debrecen receives\n around 200 kidney offers a year, of which 37% are accepted. Not all accepted\n kidneys are transplanted, which can be a result of a number of causes.\n Obejctive:<\/jats:italic> A debreceni szakmai gyakorlat elemz\u00e9se \u00e9s\n bemutat\u00e1sa reprezentat\u00edv mint\u00e1n. Method:<\/jats:italic> Between November 2016\n and March 2020, the centre of Debrecen received 624 kidney offers. 37% (n\u00a0=\u00a0229)\n of the offered kidneys got preliminarily accepted, of which 63% (n = 144) were\n transplanted later. In our centre, standard criteria<\/jats:italic> donor\n kidneys were accepted and transplanted in significantly higher rate, than\n extended criteria<\/jats:italic> donor kidneys. Looking at accepted and\n rejected kidneys, KDPI and KDRI values were significantly higher in the case of\n the refused ones (p<0.001). Results:<\/jats:italic> Part of our assessment\n is to analyze whether kidneys offered to and refused by us got accepted in other\n transplant centres. In the examined period, of the 624 kidneys offered to our\n centre 144 were transplanted in Debrecen, 313 were transplanted in other ET\n centres, while 167 were not transplanted at all (discarded organ). The majority\n of transplanted kidneys in other ET centres had KDPI values between 36 and 85\n (180 kidneys.) KDPI and KDRI values of kidneys transplanted in our centre were\n significantly lower than those that were offered to us, but got transplanted\n elsewhere. Conclusion:<\/jats:italic> To summarize, we can say that high-risk\n donor organs are refused in the transplant centre of Debrecen, while the\n majority of them are being transplanted in other centres. Based on this, kidneys\n of KDPI value between 36 and 85 are a possible source of expanding the number of\n transplantations, with regards to the recipient. Orv Hetil. 2021; 162(26):\n 1022\u20131028.<\/jats:p>","DOI":"10.1556\/650.2021.32253","type":"journal-article","created":{"date-parts":[[2021,8,31]],"date-time":"2021-08-31T10:03:55Z","timestamp":1630404235000},"page":"1022-1028","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.1","source":"Crossref","is-referenced-by-count":2,"title":["A kad\u00e1verdonor-ves\u00e9k elfogad\u00e1si gyakorlat\u00e1nak vizsg\u00e1lata a debreceni transzplant\u00e1ci\u00f3s centrumban"],"prefix":"10.1556","volume":"162","author":[{"given":"Ildik\u00f3","family":"Nagy","sequence":"first","affiliation":[{"name":"1 Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Int\u00e9zet, Szervtranszplant\u00e1ci\u00f3s Nem \u00d6n\u00e1ll\u00f3 Tansz\u00e9k, Debrecen, M\u00f3ricz Zs. krt. 22., 4032"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita Katalin","family":"Varga","sequence":"additional","affiliation":[{"name":"1 Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Int\u00e9zet, Szervtranszplant\u00e1ci\u00f3s Nem \u00d6n\u00e1ll\u00f3 Tansz\u00e9k, Debrecen, M\u00f3ricz Zs. krt. 22., 4032"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norbert","family":"Bal\u00e1zsfalvi","sequence":"additional","affiliation":[{"name":"1 Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Int\u00e9zet, Szervtranszplant\u00e1ci\u00f3s Nem \u00d6n\u00e1ll\u00f3 Tansz\u00e9k, Debrecen, M\u00f3ricz Zs. krt. 22., 4032"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bal\u00e1zs","family":"Nemes","sequence":"additional","affiliation":[{"name":"1 Debreceni Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Seb\u00e9szeti Int\u00e9zet, Szervtranszplant\u00e1ci\u00f3s Nem \u00d6n\u00e1ll\u00f3 Tansz\u00e9k, Debrecen, M\u00f3ricz Zs. krt. 22., 4032"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"1 Wettstein D, Hamar M, Cseprek\u00e1l O, et al. 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