Publications by authors named "Clementine Millet"

Objective: In France, kidney transplantations (KT) are mainly performed by urologist. Young urologists and residents are involved in this activity mostly performed in emergency. How do they feel about KT training? Is KT an attractive part of the urologist activity?

Methods: This survey has been designed in the form of a questionnaire by the French Committee of Kidney Transplantation (CTAFU) and the French Association of Urologists in training (AFUF).

View Article and Find Full Text PDF

Systematic screening for prostate cancer is widely recommended in candidates for renal transplant at the time of listing. There are concerns that overdiagnosis of low-risk prostate cancer may result in reducing access to transplant without demonstrated oncological benefits. The objective of the study was to assess the outcome of newly diagnosed prostate cancer in candidates for transplant at the time of listing, and its impact on transplant access and transplant outcomes according to treatment options.

View Article and Find Full Text PDF

Early (<14 days) renal transplant vein thrombosis posttransplant (eRVTPT) is a rare but threatening complication. We aimed to assess eRVTPT management and the rate of functional renal transplantation. Of 11,172 adult patients who had undergone transplantation between 01/1997 and 12/2020 at 6 French centres, we identified 176 patients with eRVTPT (1.

View Article and Find Full Text PDF
Article Synopsis
  • - The study aimed to analyze the 30-day mortality rate after renal trauma and determine factors that contribute to mortality, using data from 1,799 patients across 17 hospitals in France from 2005 to 2015.
  • - The findings revealed a 30-day mortality rate of 3.27%, with only a small percentage of deaths directly attributable to renal trauma; significant risk factors included age over 40, hemodynamic instability, anemia, bilateral renal trauma, arterial contrast extravasation, and concurrent visceral and bone injuries.
  • - The study highlights that mortality rates after renal trauma are primarily linked to multiple associated injuries rather than solely from the trauma itself, providing insights that could assist healthcare professionals in identifying patients at higher risk
View Article and Find Full Text PDF

Background: Some health care systems have set up referral trauma centers to centralize expertise to improve trauma management. There is scant and controversial evidence regarding the impact of provider's volume on the outcomes of trauma management.

Objective: To evaluate the impact of hospital volume on the outcomes of renal trauma management in a European health care system.

View Article and Find Full Text PDF

Background: The access of obese patients to kidney transplantation is limited despite several studies showing that obese transplant recipients had a better survival rate than those undergoing dialysis. The aim of this study was to compare patient and graft survival rates and post-renal transplant complications in obese patients and non-obese patients and to assess the effect of pre-transplant weight loss in obese patients on transplant outcomes.

Methods: We carried out a prospective cohort study using two French registries, the Renal Epidemiology and Information Network and CRISTAL, on 7270 kidney transplant patients between 2008 and 2014 in France.

View Article and Find Full Text PDF

Background: Angiography with selective angioembolization (SAE) is safe and effective in addressing bleeding in patients with renal trauma. However, there are no validated criteria to predict SAE efficacy.

Objective: To evaluate factors predictive of SAE failure after moderate- to high-grade renal trauma.

View Article and Find Full Text PDF

Introduction: The aim of this study was to compare observation and early drainage by ureteral stenting in patients with blunt renal trauma and urinary extravasation.

Materials And Methods: A retrospective national multicenter study was performed including all patients admitted for renal trauma at 17 hospitals between 2005 and 2015. Patients presenting with a urinary extravasation on initial imaging were considered for inclusion.

View Article and Find Full Text PDF

Introduction: The aim of this study was to assess whether early discharge could be non-inferior to inpatient management in selected patients with low-grade renal trauma (AAST grades 1-3).

Materials And Methods: A retrospective national multicenter study was conducted including all patients who presented with renal trauma at 17 hospitals between 2005 and 2015. Exclusion criteria were iatrogenic and AAST grades 4 and 5 trauma, non-conservative initial management, Hb < 10 g/dl or transfusion within the first 24 h, and patients with concomitant injuries.

View Article and Find Full Text PDF