The DESCARTES-Nantes survey of kidney transplant recipients displaying clinical operational tolerance identifies 35 new tolerant patients and 34 almost tolerant patients

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Fältnamn	Indikatorer	Metadata
000		12863naa a2201369 4500
001		oai:DiVA.org:uu-305952
003		SwePub
008		161024s2016 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3059522 URI
024	7	a https://doi.org/10.1093/ndt/gfv4372 DOI
040		a (SwePub)uu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Massart, Annicku Univ Libre Bruxelles, Renal Unit, CUB Hop Erasme, Brussels, Belgium.;ULB, Med Genet Dept, Brussels, Belgium.4 aut
245	1 0	a The DESCARTES-Nantes survey of kidney transplant recipients displaying clinical operational tolerance identifies 35 new tolerant patients and 34 almost tolerant patients
264		c 2016-01-12
264	1	b Oxford University Press (OUP),c 2016
338		a print2 rdacarrier
520		a Background. Kidney recipients maintaining a prolonged allograft survival in the absence of immunosuppressive drugs and without evidence of rejection are supposed to be exceptional. The ERA-EDTA-DESCARTES working group together with Nantes University launched a European-wide survey to identify new patients, describe them and estimate their frequency for the first time. Methods. Seventeen coordinators distributed a questionnaire in 256 transplant centres and 28 countries in order to report as many 'operationally tolerant' patients (TOL; defined as having a serum creatinine <1.7 mg/dL and proteinuria <1 g/day or g/g creatinine despite at least 1 year without any immunosuppressive drug) and 'almost tolerant' patients (minimally immunosuppressed patients (MIS) receiving low-dose steroids) as possible. We reported their number and the total number of kidney transplants performed at each centre to calculate their frequency. Results. One hundred and forty-seven questionnaires were returned and we identified 66 TOL (61 with complete data) and 34 MIS patients. Of the 61 TOL patients, 26 were previously described by the Nantes group and 35 new patients are presented here. Most of them were noncompliant patients. At data collection, 31/35 patients were alive and 22/31 still operationally tolerant. For the remaining 9/31, 2 were restarted on immunosuppressive drugs and 7 had rising creatinine of whom 3 resumed dialysis. Considering all patients, 10-year death-censored graft survival post-immunosuppression weaning reached 85% in TOL patients and 100% in MIS patients. With 218 913 kidney recipients surveyed, cumulative incidences of operational tolerance and almost tolerance were estimated at 3 and 1.5 per 10 000 kidney recipients, respectively. Conclusions. In kidney transplantation, operational tolerance and almost tolerance are infrequent findings associated with excellent long-term death-censored graft survival.
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 frequency
653		a graft survival
653		a kidney transplantation
653		a minimally immunosuppressed patients
653		a operational tolerance
700	1	a Pallier, Annaicku French Inst Hlth & Med Res, Joint Res Unit 1064, Nantes, France.4 aut
700	1	a Pascual, Juliou Hosp del Mar, Nephrol, Barcelona, Spain.4 aut
700	1	a Viklicky, Ondreju Inst Clin & Expt Med, Dept Nephrol, Prague, Czech Republic.4 aut
700	1	a Budde, Klemensu Charite Campus Mitte, Nephrol, Berlin, Germany.4 aut
700	1	a Spasovski, Goceu Univ Dept Nephrol, Skopje, Macedonia.4 aut
700	1	a Klinger, Marianu Nephrol & Transplantat Med, Wroclaw, Poland.4 aut
700	1	a Sever, Mehmet Sukruu Istanbul Sch Med, Internal Med, Nephrol, Istanbul, Turkey.4 aut
700	1	a Sorensen, Soren Schwartzu Rigshosp, Nephrol P, Copenhagen, Denmark.4 aut
700	1	a Hadaya, Karineu Univ Hosp Geneva, Nephrol & Transplantat, Geneva, Switzerland.4 aut
700	1	a Oberbauer, Raineru Krankenhaus Elisabethinen Linz, Dept Med Nephrol Hypertens & Renal Transp 3, Linz, Austria.4 aut
700	1	a Dudley, Christopheru North Bristol NHS Trust, Richard Bright Renal Ctr, Southmead Hosp, Bristol, Avon, England.4 aut
700	1	a De Fijter, Johan W.u Leiden Univ, Med Ctr, Dept Med, Div Nephrol, Leiden, Netherlands.4 aut
700	1	a Yussim, Alexanderu Tel Aviv Univ, Sackler Sch Med, Dept Transplantat, Rabin Med Ctr, Tel Aviv, Israel.4 aut
700	1	a Hazzan, Marcu CHU Lille, Nephrol Dept, Lille, France.4 aut
700	1	a Wekerle, Thomasu Med Univ Vienna, Dept Surg, Sect Transplantat Immunol, Vienna, Austria.4 aut
700	1	a Berglund, Davidu Uppsala universitet,Klinisk immunologi4 aut0 (Swepub:uu)davbe892
700	1	a De Biase, Consuelou Az Osped Univ Parma, UOS Trapianti Rene Pancreas, Ctr Trapianti Parma, Parma, Italy.4 aut
700	1	a Jose Perez-Saez, Mariau Hosp del Mar, Nephrol, Barcelona, Spain.4 aut
700	1	a Muehlfeld, Anjau Univ Hosp Aachen, Dept Nephrol, Aachen, Germany.4 aut
700	1	a Orlando, Giuseppeu Wake Forest Sch Med, Dept Surg, Sect Transplantat, Winston Salem, NC USA.4 aut
700	1	a Clemente, Katiau UOC Trapianti Organo, Laquila, Italy.4 aut
700	1	a Lai, Quirinou UOC Trapianti Organo, Laquila, Italy.4 aut
700	1	a Pisani, Francescou UOC Trapianti Organo, Laquila, Italy.4 aut
700	1	a Kandus, Aljosau Univ Med Ctr Ljubljana, Renal Transplantat Ctr Ljubljana, Dept Nephrol, Ljubljana, Slovenia.4 aut
700	1	a Baas, Marijeu Radboudumc Nijmegen, Kidney Dis, Nijmegen, Netherlands.4 aut
700	1	a Bemelman, Frederikeu Acad Med Ctr, Dept Nephrol, Renal Transplant Unit, Amsterdam, Netherlands.4 aut
700	1	a Ponikvar, Jadranka Buturovicu Univ Med Ctr Ljubljana, Renal Transplantat Ctr Ljubljana, Dept Nephrol, Ljubljana, Slovenia.4 aut
700	1	a Mazouz, Hakimu CHU Sud, Serv Nephrol, Unite Transplantat Renale & Pancreat, Amiens, France.4 aut
700	1	a Stratta, Pierou Amedeo Avogadro Univ, Dept Translat Med, AOU Maggiore Carita Novara, Novara, Italy.4 aut
700	1	a Subra, Jean-Francoisu CHU Angers, Serv Nephrol Dialyse Transplantat, Angers, France.4 aut
700	1	a Villemain, Florenceu CHU Angers, Serv Nephrol Dialyse Transplantat, Angers, France.4 aut
700	1	a Hoitsma, Andriesu Radboudumc Nijmegen, Kidney Dis, Nijmegen, Netherlands.4 aut
700	1	a Braun, Laurau CHU Strasbourg, Hop Jour Nephrol, Serv Nephrol & Transplantat Renale, Nouvel Hop Civil, Strasbourg, France.4 aut
700	1	a Carmen Cantarell, Mariau Hosp Univ Val dHebron, Nephrol, Barcelona, Spain.4 aut
700	1	a Colak, Hulyau Tepecik Training & Res Hosp, Nephrol, Izmir, Turkey.4 aut
700	1	a Courtney, Aislingu Belfast City Hosp, Reg Nephrol Unit, Belfast, Antrim, North Ireland.4 aut
700	1	a Frasca, Giovanni Mariau AO Torrette Umberto I, Nefrol Dialisi & Trapianto Rene, Ancona, Italy.4 aut
700	1	a Howse, Matthewu Royal Liverpool Univ Hosp, Nephrol Transplantat, Liverpool, Merseyside, England.4 aut
700	1	a Naesens, Maartenu Univ Hosp Leuven, Dept Nephrol & Renal Transplantat, Leuven, Belgium.4 aut
700	1	a Reischig, Tomasu Univ Hosp Plzen, Dept Internal Med, Nephrol Ward, Plzen, Czech Republic.4 aut
700	1	a Seron, Danielu Hosp Univ Val dHebron, Nephrol, Barcelona, Spain.4 aut
700	1	a Seyahi, Nurhanu Istanbul Univ, Cerrahpasa Med Fac, Nephrol, Istanbul, Turkey.4 aut
700	1	a Tugmen, Cemu Tepecik Training & Res Hosp, Gen Surg, Izmir, Turkey.4 aut
700	1	a Alonso Hernandez, Angelu Univ Hosp, Serv Nefrol, La Coruna, Spain.4 aut
700	1	a Bena, Luboslavu Univ Hosp Louis Pasteur Kosice, Transplant Ctr, Kosice, Slovakia.4 aut
700	1	a Biancone, Luigiu Univ Turin, Dept Med Sci, Turin, Italy.4 aut
700	1	a Cuna, Vaniau Univ Bologna, St Orsola Univ Hosp, Dept Specialized Expt & Diagnost Med, Sect Nephrol,Nephrol Dialysis & Renal Transplant, Bologna, Italy.4 aut
700	1	a Diaz-Corte, Carmenu HUCA, Nephrol, Oviedo, Spain.4 aut
700	1	a Dufay, Alexandreu Hop Victor Provo, Serv Nephrol, Roubaix, France.4 aut
700	1	a Gaasbeek, Andreu LUMC, Nierziekten, Leiden, Netherlands.4 aut
700	1	a Garnier, Arnaudu Hop Enfants, Nephrol Med Interne Hypertens Pediat, Toulouse, France.4 aut
700	1	a Gatault, Philippeu CHRU, Serv Nephrol Immunoclin, Hop Bretonneau, Tours, France.4 aut
700	1	a Gentil Govantes, Miguel Angelu Hosp Univ Virgen del Rocio, Unidad Gest Clin Urol & Nefrol, Seville, Spain.4 aut
700	1	a Glowacki, Francoisu Univ Hosp Lille, Dept Nephrol, Lille, France.4 aut
700	1	a Gross, Oliveru Univ Med Gottingen, Dept Nephrol & Rheumatol, Gottingen, Germany.4 aut
700	1	a de Ligny, Bruno Huraultu CHRU Ave Georges Clemenceau, Serv Nephrol, Caen, France.4 aut
700	1	a Huynh-Do, Uyenu Univ Hosp Bern, Inselspital, Div Nephrol Hypertens & Clin Pharmacol, Bern, Switzerland.4 aut
700	1	a Janbon, Benedicteu CHU Grenoble, Transplantat Renale, Grenoble, France.4 aut
700	1	a Antonio Jimenez del Cerro, Luisu Hosp Gen Univ Alicante, Serv Nefrol, Alicante, Spain.4 aut
700	1	a Keller, Friederu Univ Hosp Ulm, Internal Med 1, Nephrol, Ulm, Germany.4 aut
700	1	a La Manna, Gaetanou Univ Bologna, St Orsola Univ Hosp, Dept Specialized Expt & Diagnost Med, Sect Nephrol,Nephrol Dialysis & Renal Transplant, Bologna, Italy.4 aut
700	1	a Lauzurica, Ricardou Hosp Badalona Germans Trias & Pujol, Nephrol, Badalona, Barcelona, Spain.4 aut
700	1	a De Sagazan, Herve Le Moniesu Hop Victor Provo, Serv Nephrol, Roubaix, France.4 aut
700	1	a Thaiss, Friedrichu Univ Hosp Hamburg Eppendorf UKE, Hamburg, Germany.4 aut
700	1	a Legendre, Christopheu Univ Paris 05, Paris, France.;Hop Necker Enfants Malad, Paris, France.4 aut
700	1	a Martin, Severineu Hop Robert Boulin, Serv Hemodialyse & Nephrol, Libourne, France.4 aut
700	1	a Moal, Marie-Christineu CHRU Brest, Serv Nephrol, Brest, France.4 aut
700	1	a Noel, Christianu Univ Hosp Lille, Dept Nephrol, Lille, France.4 aut
700	1	a Pillebout, Evangelineu Hop St Louis, Nephrol Unit, Paris, France.4 aut
700	1	a Piredda, Gian Benedettou Kidney Transplant Az Osp G Brotzu, Kidney Dis, Cagliari, Italy.4 aut
700	1	a Ramirez Puga, Anau Hosp Univ Insular Gran Canaria, Serv Nefrol, Las Palmas Gran Canaria, Spain.4 aut
700	1	a Sulowicz, Wladyslawu Univ Hosp Krakow, Dept Nephrol, Krakow, Poland.4 aut
700	1	a Tuglular, Serhanu Marmara Sch Med Hastanesi, Nephrol, Istanbul, Turkey.4 aut
700	1	a Prokopova, Michaelau Inst Clin & Expt Med, Dept Nephrol, Prague, Czech Republic.4 aut
700	1	a Chesneau, Melanieu Nantes Univ Hosp, Inst Transplantat Urol & Nephrol, Nantes, France.4 aut
700	1	a Le Moine, Alainu Univ Libre Bruxelles, Renal Unit, CUB Hop Erasme, Brussels, Belgium.4 aut
700	1	a Guerif, Pierricku Nantes Univ Hosp, Inst Transplantat Urol & Nephrol, Nantes, France.4 aut
700	1	a Soulillou, Jean-Paulu French Inst Hlth & Med Res, Joint Res Unit 1064, Nantes, France.;Nantes Univ Hosp, Inst Transplantat Urol & Nephrol, Nantes, France.;Univ Nantes, Fac Med, Nantes, France.4 aut
700	1	a Abramowicz, Marcu ULB, Med Genet Dept, Brussels, Belgium.;ULB, IRIBHM, Brussels, Belgium.4 aut
700	1	a Giral, Magaliu French Inst Hlth & Med Res, Joint Res Unit 1064, Nantes, France.;Nantes Univ Hosp, Inst Transplantat Urol & Nephrol, Nantes, France.;Univ Nantes, Fac Med, Nantes, France.4 aut
700	1	a Racape, Judithu ULB, Res Ctr Epidemiol Biostat & Clin Res, Sch Publ Hlth, Brussels, Belgium.4 aut
700	1	a Maggiore, Umbertou Az Osped Univ Parma, UOS Trapianti Rene Pancreas, Ctr Trapianti Parma, Parma, Italy.4 aut
700	1	a Brouard, Sophieu French Inst Hlth & Med Res, Joint Res Unit 1064, Nantes, France.;Nantes Univ Hosp, Inst Transplantat Urol & Nephrol, Nantes, France.;Univ Nantes, Fac Med, Nantes, France.4 aut
700	1	a Abramowicz, Danielu Univ Ziekenhuis Antwerp, Nephrol Renal Transplantat Dept, Antwerp, Belgium.;Univ Libre Bruxelles, Brussels, Belgium.4 aut
710	2	a Univ Libre Bruxelles, Renal Unit, CUB Hop Erasme, Brussels, Belgium.;ULB, Med Genet Dept, Brussels, Belgium.b French Inst Hlth & Med Res, Joint Res Unit 1064, Nantes, France.4 org
773	0	t Nephrology, Dialysis and Transplantationd : Oxford University Press (OUP)g 31:6, s. 1002-1013q 31:6<1002-1013x 0931-0509x 1460-2385
856	4	u https://academic.oup.com/ndt/article-pdf/31/6/1002/17172992/gfv437.pdf
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-305952
856	4 8	u https://doi.org/10.1093/ndt/gfv437

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