Source:http://linkedlifedata.com/resource/pubmed/id/20121731
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2010-4-26
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pubmed:abstractText |
Our aim was to study the impact of subclinical inflammation on the development of interstitial fibrosis and tubular atrophy (IF/TA) on a 1-year protocol biopsy in patients on rapid steroid withdrawal (RSW). A total of 256 patients were classified based on protocol biopsy findings at months 1 or 4. Group 1 is 172 patients with no inflammation, group 2 is 50 patients with subclinical inflammation (SCI), group 3 is 19 patients with subclinical acute rejection (SAR) and group 4 is 15 patients with clinical acute rejection (CAR). On the 1-year biopsy, more patients in group 2 (SCI) (34%, p = 0.004) and group 3 (SAR) (53%, p = 0.0002), had an IF/TA score > 2 compared to group 1 (control) (15%). IF/TA was not increased in group 4 (CAR) (20%). The percent with IF/TA score > 2 and interstitial inflammation (Banff i score > 0) was higher in group 2 (16%, p = 0.004) and group 3 (37%, p < 0.0001) compared to group 1 (3%). In a multivariate analysis, patients in groups 2 or 3 had a higher risk of IF/TA score > 2 on the 1-year biopsy (OR 6.62, 95% CI 2.68-16.3). We conclude that SCI and SAR increase the risk of developing IF/TA in patient on RSW.
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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 |
Mar
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pubmed:issn |
1600-6143
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pubmed:author | |
pubmed:issnType |
Electronic
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pubmed:volume |
10
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
563-70
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pubmed:meshHeading |
pubmed-meshheading:20121731-Adult,
pubmed-meshheading:20121731-Aged,
pubmed-meshheading:20121731-Atrophy,
pubmed-meshheading:20121731-Biopsy,
pubmed-meshheading:20121731-Female,
pubmed-meshheading:20121731-Fibrosis,
pubmed-meshheading:20121731-Graft Rejection,
pubmed-meshheading:20121731-Humans,
pubmed-meshheading:20121731-Inflammation,
pubmed-meshheading:20121731-Kidney Transplantation,
pubmed-meshheading:20121731-Kidney Tubules,
pubmed-meshheading:20121731-Male,
pubmed-meshheading:20121731-Middle Aged,
pubmed-meshheading:20121731-Multivariate Analysis,
pubmed-meshheading:20121731-Treatment Outcome
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pubmed:year |
2010
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pubmed:articleTitle |
Impact of subclinical inflammation on the development of interstitial fibrosis and tubular atrophy in kidney transplant recipients.
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pubmed:affiliation |
Department of Medicine, Mayo Clinic Arizona, Phoenix, AZ. Heilman.raymond@mayo.edu
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pubmed:publicationType |
Journal Article
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