Long-term outcomes in rapamycin on renal allograft function: a 30-year follow-up from a single-center experience

Autor: Yisheng Ji, Li Sun, Shuang Fei, Xiang Gao, Hao Chen, Zhijian Han, Jun Tao, Xiaobing Ju, Zijie Wang, Ruoyun Tan, Min Gu
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: BMC Nephrology, Vol 25, Iss 1, Pp 1-10 (2024)
Druh dokumentu: article
ISSN: 1471-2369
DOI: 10.1186/s12882-024-03730-8
Popis: Abstract Objectives To evaluate long-term renal graft prognosis and the role of rapamycin from a single-center in China over a 30-year follow-up. Methods This study enrolled a total of 654 patients who underwent kidney transplantation between 1989 and 2020. The basic characteristics of the included patients were collected. Graft survival was described and compared using Kaplan-Meier curves (K-M curves). Both continuous and categorical variables were included in a multivariate Cox proportional-hazards model. Patients were divided into rapamycin-based quadruple immunosuppression regimen group (rapa group, n = 41) and conventional tacrolimus-based triple immunosuppression regimen group (control group, n = 218). The indication biopsy results of the two groups were further reviewed to compare the incidence of rejection, acute rejection, and banff score. Results The overall 5, 10, 15, 20-year graft survival rate of our center is 87.5%, 62.4%, 46.4% and 20.9%, respectively. The median survival time after surgery is 14 years. Multiple Cox regression analysis identified BMI (p = 0.035), dialysis type (p
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