Incidence, Risk Factors, and Outcomes of Posttransplant Erythrocytosis Among Simultaneous Pancreas-Kidney Transplant Recipients

Autor: Mina L. Gibes, BA, Brad C. Astor, PhD, MPH, Jon Odorico, MD, Didier Mandelbrot, MD, Sandesh Parajuli, MD
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Transplantation Direct, Vol 10, Iss 4, p e1607 (2024)
Druh dokumentu: article
ISSN: 2373-8731
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DOI: 10.1097/TXD.0000000000001607
Popis: Background. Posttransplant erythrocytosis (PTE) is a well-known complication of kidney transplantation. However, the risk and outcomes of PTE among simultaneous pancreas-kidney transplant (SPKT) recipients are poorly described. Methods. We analyzed all SPKT recipients at our center between 1998 and 2021. PTE was defined as at least 2 consecutive hematocrit levels of >51% within the first 2 y of transplant. Controls were selected at a ratio of 3:1 at the time of PTE occurrence using event density sampling. Risk factors for PTE and post-PTE graft survival were identified. Results. Of 887 SPKT recipients, 108 (12%) developed PTE at a median of 273 d (interquartile range, 160–393) after transplantation. The incidence rate of PTE was 7.5 per 100 person-years. Multivariate analysis found pretransplant dialysis (hazard ratio [HR]: 3.15; 95% confidence interval [CI], 1.67-5.92; P
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