ArticleWorld journal of urology2024
Trends in kidney transplantation and living donor nephrectomy in Germany: a total population analysis from 2006 to 2021.
Article in World journal of urology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed, 8 citations in OpenAlex.
- Surgical Management of Urachal Cancer in Germany: A Nationwide Analysis From 2006 to 2022.Annals of surgical oncology · 2026Article
- The road to 100: single center experience with the first 100 consecutive robotic kidney transplants.Journal of robotic surgery · 2026Article
- Non-invasive approaches to living donor nephrectomy: Best practices and innovations.Current transplantation reports · 2025Article
- Quality of Life of Donors After Living Kidney Transplantation: A Cross-Sectional Study.Life (Basel, Switzerland) · 2025Article
- Pyeloplasty and Ureteral Reconstruction Surgery Trends: A Total Population Analysis in Germany from 2006 to 2022.European urology open science · 2024Article
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Authors and funding
10 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
purposeTo analyze recent trends of surgical access routes, length of hospital stay (LOS), and mortality in kidney transplantation (KT) and living donor nephrectomy (LDN) in Germany. MATERIALS AND
methodsWe studied the nationwide German hospital billing database and the German hospital quality reports from 2006 to 2021.
resultsThere were a total of 35.898 KTs. In total, 9044 (25%) were living donor transplantations, while 26.854 (75%) were transplantations after donation after brain death (DBD). The share of open LDN decreased from 82% in 2006 to 22% in 2020 (- 4%/year; p < 0.001). The share of laparoscopic LDN increased from 18% in 2006 to 70% in 2020 (+ 3%/year; p < 0.001). The share of robotic LDN increased from 0% in 2006 to 8% in 2020 (+ 0.6%/year; p < 0.001). Robotic-assisted KT increased from 5 cases in 2016 to 13 procedures in 2019 (p = 0.2). LOS was shorter after living donor KT, i.e., 18 ± 12.1 days versus 21 ± 19.6 days for DBD renal transplantation (p < 0.001). Moreover, LOS differed for open versus laparoscopic versus robotic LDN (9 ± 3.1 vs. 8 ± 2.9 vs. 6 ± 2.6; p = 0.031). The overall in-hospital mortality was 0.16% (n = 5) after LDN, 0.47% (n = 42) after living donor KT and 1.8% (n = 475) after DBD KT.
conclusionsThere is an increasing trend toward minimal-invasive LDN in recent years. Overall, in-hospital mortality was low after KT. However, 5 deceased healthy donors after LKD caution that the risks of this procedure should also be taken very seriously.
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