Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/57446
Type: Artigo de Periódico
Title: Ten-year kidney transplant survival of cyclosporine- or tacrolimus-treated patients in Brazil
Authors: Rosângela Maria Gomes
Brian Godman
Francisco de Assis Acurcio
Augusto Afonso Guerra Júnior
Lívia Lovato Pires de Lemos
Juliana de Oliveira Costa
Alessandra Almeida Maciel
Juliana Alvares
Charles Simão Filho
Mariângela Leal Cherchiglia
Eli Iola Gurgel Andrade
Abstract: Background: Cyclosporine and tacrolimus are well established immunosuppressants; however little know about long term survival rates. Aim: Compare 10-year graft survival and associated factors among kidney transplant patients within the Brazilian Public Health system (SUS) prescribed either medicine. Methods: Analyze a national cohort of kidney transplant recipients within SUS. Graft loss defined by death or dialysis for more than three months. Kaplan-Meier method used to estimate cumulative probabilities of survival. Cox proportional hazards modelused to evaluate factors associated with progression to graft loss. Results: 13,811 patients were included, 5,887 used cyclosporine and 7,924 tacrolimus. A higher risk of graft loss was associated with tacrolimus, a deceased donor, additional years of age, median period of dialysis greater than 47 months, diagnosis of diabetes as the primary cause of chronic kidney disease and transplantation between 2005 and 2009. Conclusions: Among other factors, tacrolimus based regimens were associated with worse graft survival.
Subject: Transplante de Rim
Análise de Sobrevida
Ciclosporina
Estimativa de Kaplan-Meier
language: eng
metadata.dc.publisher.country: Brasil
Publisher: Universidade Federal de Minas Gerais
Publisher Initials: UFMG
metadata.dc.publisher.department: FAR - DEPARTAMENTO DE FARMÁCIA SOCIAL
MED - DEPARTAMENTO DE CIRURGIA
MED - DEPARTAMENTO DE MEDICINA PREVENTIVA SOCIAL
Rights: Acesso Restrito
metadata.dc.identifier.doi: https://doi.org/10.1080/17512433.2016.1190270
URI: http://hdl.handle.net/1843/57446
Issue Date: 2016
metadata.dc.url.externa: https://www.tandfonline.com/doi/abs/10.1080/17512433.2016.1190270
metadata.dc.relation.ispartof: Expert Review of Clinical Pharmacology
Appears in Collections:Artigo de Periódico

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