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Sökning: WFRF:(Stegmayr B) > Sex-specific time t...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004261naa a2200457 4500
001oai:gup.ub.gu.se/330734
003SwePub
008240910s2023 | |||||||||||000 ||eng|
024a https://gup.ub.gu.se/publication/3307342 URI
024a https://doi.org/10.1080/0886022x.2023.22700782 DOI
040 a (SwePub)gu
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Nasic, Salmiru Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine4 aut0 (Swepub:gu)xnasal
2451 0a Sex-specific time trends of long-term graft survival after kidney transplantation - a registry-based study
264 1c 2023
520 a Background Sex-specific trends over time with respect to kidney graft survival have scarcely been described in earlier studies. The present study aimed to examine whether kidney graft survival differs between women and men over time.Methods This study was based on prospectively collected data extracted from a quality registry including all kidney transplant patients between January 1965 and September 2017 at the transplantation center of a university hospital in Sweden. The transplantation center serves a population of approximately 3.5 million inhabitants. Only the first graft for each patient was included in the study resulting in 4698 transplantations from unique patients (37% women, 63% men). Patients were followed-up until graft failure, death, or the end of the study. Death-censored graft survival analysis after kidney transplantation (KT) was performed using Kaplan-Meier analysis with log-rank test, and analysis adjusted for confounders was performed using multivariable Cox regression analysis.Results Median age at transplantation was 48 years (quartiles 36-57 years) and was similar for women and men. Graft survival was analyzed separately in four transplantation periods that represented various immunosuppressive regimes (1965-1985, 1986-1995, 1996-2005, and 2006-2017). Sex differences in graft survival varied over time (sex-by-period interaction, p = 0.026). During the three first periods, there were no significant sex differences in graft survival. However, during the last period, women had shorter graft survival (p = 0.022, hazard ratio (HR) 1.71, 95% confidence interval (CI) 1.1-2.7, adjusted for covariates). Biopsy-proven rejections were more common in women.Conclusions In this registry-based study, women had shorter graft survival than men during the last observation period (years 2006-2017).
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Urologi och njurmedicin0 (SwePub)302142 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Urology and Nephrology0 (SwePub)302142 hsv//eng
653 a Kidney graft survival
653 a kidney transplants
653 a sex-specific trends
653 a disease
653 a gender
653 a impact
653 a noncompliance
653 a medication
653 a patient
653 a risk
653 a Urology & Nephrology
700a Peters, Björnu Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine4 aut0 (Swepub:gu)xpebjo
700a Stegmayr, B.4 aut
700a Kenne Sarenmalm, Elisabeth,d 1956u Gothenburg University,Göteborgs universitet,Institutionen för vårdvetenskap och hälsa,Institute of Health and Care Sciences4 aut0 (Swepub:gu)xkenel
700a Afghahi, Henri,d 1966u Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine4 aut0 (Swepub:gu)xafghe
700a Eriksson, M.4 aut
710a Göteborgs universitetb Institutionen för medicin, avdelningen för molekylär och klinisk medicin4 org
773t Renal Failureg 45:2q 45:2x 0886-022X
8564 8u https://gup.ub.gu.se/publication/330734
8564 8u https://doi.org/10.1080/0886022x.2023.2270078

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