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Kidney transplantation is the treatment of choice for end-stage renal disease, but rejection remains a concern. Factors like patient sex may influence outcomes, but effects are controversial.
A retrospective-observational cohort study was performed in which 142 biopsies of transplant recipients participated. Biopsy data from transplanted patients in the Dominican Republic were analyzed through the National Registry of Renal Biopsies, particularly concerning gender differences in rejection rates. These findings were compared with international studies to obtain a deeper understanding.
Unlike some international studies that show a higher survival rate in women, this study revealed that women in the Dominican Republic are more likely to develop chronic renal transplant rejection. Men had approximately 722.74 more days than women before presenting with a biopsy showing evidence of rejection. While international studies show a higher survival rate in women, this study revealed that women in the Dominican Republic are more likely to develop chronic renal transplant rejection.
In the Dominican Republic, female sex associates with higher risk and shorter graft survival, contrasting with most studies. Further research on socioeconomic factors is needed to explain this discrepancy.