論文

査読有り 国際誌
2020年8月11日

Association of age with risk of first and subsequent allograft failure and mortality among young kidney transplant recipients in the USA - a retrospective cohort study.

Transplant international : official journal of the European Society for Organ Transplantation
  • Yusuke Okuda
  • Elani Streja
  • Connie M Rhee
  • Ekamol Tantisattamo
  • Uttam Reddy
  • Marciana Laster
  • Ying Tang
  • Deepak Rajpoot
  • Miklos Z Molnar
  • Hirohito Ichii
  • Yoshitsugu Obi
  • Kamyar Kalantar-Zadeh
  • 全て表示

記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1111/tri.13717

Adolescent age may be a high-risk period for kidney allograft failure. However, the knowledge on this topic is limited mostly to the first transplant. Among 20 960 patients aged ≤21 years at the first kidney transplantation from the US Renal Data System, we evaluated the association of age at the first kidney transplant with risk for the first and subsequent graft failures (1st, 2nd, and 3rd) using the conditional risk set model for recurrent time-to-event data. The median age was 15 (interquartile range: 9-18) years, and 18% received transplants twice or more during a median follow-up of 9.7 years. The risk for graft failures was highest in 16 to <18 years old with an adjusted hazard ratio (aHR) of 1.93 (95% CI, 1.73-2.15; reference: <3 years). When separately analyzed, the highest risk was observed in 17, 19, and 21 years old for the first, second, and third transplant, respectively. Those 16 to <18 years were also strongly associated with the highest risk for death after returning to dialysis (aHR, 4.01; 95% CI, 2.82-5.71). Adolescent recipients remain at high risk for allograft failure for a long time, which may result in high mortality risk, even though they surpass this high-risk period soon after the first transplant.

リンク情報
DOI
https://doi.org/10.1111/tri.13717
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32779214
ID情報
  • DOI : 10.1111/tri.13717
  • PubMed ID : 32779214

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