Source:http://linkedlifedata.com/resource/pubmed/id/16827868
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
7
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pubmed:dateCreated |
2006-7-10
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pubmed:abstractText |
Increasing numbers of patients receive kidney transplants before initiation of dialysis or shortly thereafter. Some of these patients have significant proteinuria pre-transplant making the interpretation of post-transplant proteinuria problematic. In this study, we evaluated post-transplant proteinuria in 115 patients who had urine protein measured within 3 months of transplant and assessed the association of proteinuria with allograft pathology. Proteinuria declined rapidly from 3650 +/- 3702 mg/day pre-transplant to 550 + 918 at 3 weeks (p < 0.0001) and continued to decline until 1 year post-transplant (472 +/- 1116, p < 0.0001 vs. 3 weeks). Proteinuria greater than 3000 mg/day was present in 48 patients (42%) pre-transplant, in 1 patient (1%) at 3 weeks and in 4 patients (4%) at 1 year. Surveillance graft biopsies were done at 1 year in 93% of patients. Proteinuria > or = 1500 mg/day and/or an absolute increase in proteinuria > 500 mg/day after 3 weeks post-transplant was associated with allograft glomerular pathology. In conclusion, pre-transplant proteinuria, even when high grade, declines rapidly after transplantation. Failure to decline or persistence of proteinuria greater than 1500 mg/day is indicative of allograft pathology.
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pubmed:commentsCorrections | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
1600-6135
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
6
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1660-5
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pubmed:dateRevised |
2007-2-14
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pubmed:meshHeading |
pubmed-meshheading:16827868-Adolescent,
pubmed-meshheading:16827868-Adult,
pubmed-meshheading:16827868-Aged,
pubmed-meshheading:16827868-Aged, 80 and over,
pubmed-meshheading:16827868-Biopsy,
pubmed-meshheading:16827868-Blood Pressure,
pubmed-meshheading:16827868-Female,
pubmed-meshheading:16827868-Follow-Up Studies,
pubmed-meshheading:16827868-Humans,
pubmed-meshheading:16827868-Kidney Transplantation,
pubmed-meshheading:16827868-Male,
pubmed-meshheading:16827868-Middle Aged,
pubmed-meshheading:16827868-Proteinuria,
pubmed-meshheading:16827868-Transplantation, Homologous
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pubmed:year |
2006
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pubmed:articleTitle |
Interpreting post-transplant proteinuria in patients with proteinuria pre-transplant.
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pubmed:affiliation |
Mayo Clinic visiting clinicians, Mayo Clinic, Rochester, Minnesota, USA.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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