Sökning: L773:0902 0063 OR L773:1399 0012 > Acute rejection in ...
Fältnamn | Indikatorer | Metadata |
---|---|---|
000 | 03387naa a2200445 4500 | |
001 | oai:lup.lub.lu.se:e4cff19f-84ea-436a-b0a1-28bd1df021df | |
003 | SwePub | |
008 | 160401s2010 | |||||||||||000 ||eng| | |
024 | 7 | a https://lup.lub.lu.se/record/16739352 URI |
024 | 7 | a https://doi.org/10.1111/j.1399-0012.2009.01093.x2 DOI |
040 | a (SwePub)lu | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a art2 swepub-publicationtype |
072 | 7 | a ref2 swepub-contenttype |
100 | 1 | a Frei, Ulrich4 aut |
245 | 1 0 | a Acute rejection in low-toxicity regimens: clinical impact and risk factors in the Symphony study |
264 | c 2010-08-12 | |
264 | 1 | b Wiley,c 2010 |
520 | a The Symphony study assessed whether mycophenolate mofetil (MMF)-based regimens containing reduced doses of adjunct immunosuppressants could reduce toxicity while maintaining efficacy. Here, we examined the impact of acute rejection and associated risk factors. The incidence of biopsy-proven acute rejection in the low-dose tacrolimus group was approximately half that of the standard-dose cyclosporine and low-dose cyclosporine groups, and a third of that in the low-dose sirolimus group. The low-dose cyclosporine group had more severe rejection episodes (>= grade II) compared with other groups. Acute rejection was associated with a 10 mL/min glomerular filtration rate (GFR) reduction and a 5.3% absolute increase in graft loss at 12 months. Overall, the highest GFR was found in both rejecters and non-rejecters receiving low-dose tacrolimus, both in an intent-to-treat analysis and in patients successfully treated according to the protocol. In Cox regression models, human leukocyte antigen (HLA) mismatches and expanded criteria donors increased the acute rejection risk, while recipient age, living related donor, and MMF dose were associated with a reduced risk. Acute rejection was associated with worse outcome but did not entirely explain the differences among the treatment groups. The 2 g MMF plus low-dose tacrolimus combination appears to be the most efficient of all regimens examined regardless of acute rejection. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Urologi och njurmedicin0 (SwePub)302142 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Urology and Nephrology0 (SwePub)302142 hsv//eng |
653 | a mycophenolate mofetil | |
653 | a acute rejection | |
653 | a cyclosporine | |
653 | a sirolimus | |
653 | a tacrolimus | |
700 | 1 | a Daloze, Pierre4 aut |
700 | 1 | a Vitko, Stefan4 aut |
700 | 1 | a Klempnauer, Juergen4 aut |
700 | 1 | a Reyes-Acevedo, Rafael4 aut |
700 | 1 | a Titiz, Izzet4 aut |
700 | 1 | a Fricke, Lutz4 aut |
700 | 1 | a Bernasconi, Corrado4 aut |
700 | 1 | a Ekberg, Henriku Lund University,Lunds universitet,Enheten för forskning kring njurfunktion och njursjukdom,Kirurgi,Forskargrupper vid Lunds universitet,Renal Research Unit,Surgery,Lund University Research Groups4 aut0 (Swepub:lu)kir-hek |
710 | 2 | a Enheten för forskning kring njurfunktion och njursjukdomb Kirurgi4 org |
773 | 0 | t Clinical Transplantationd : Wileyg 24:4, s. 500-509q 24:4<500-509x 1399-0012x 0902-0063 |
856 | 4 | u http://dx.doi.org/10.1111/j.1399-0012.2009.01093.xy FULLTEXT |
856 | 4 8 | u https://lup.lub.lu.se/record/1673935 |
856 | 4 8 | u https://doi.org/10.1111/j.1399-0012.2009.01093.x |
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