Immunosuppression status of liver transplant recipients with hepatitis C affects biopsy-proven acute rejection
Clinical and Molecular Hepatology
; : 366-371, 2016.
Article
em En
| WPRIM
| ID: wpr-188163
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND/AIMS: The relationship between patient survival and biopsy-proven acute rejection (BPAR) in liver transplant recipients with hepatitis C remains unclear. The aims of this study were to compare the characteristics of patients with and without BPAR and to identify risk factors for BPAR. METHODS: We retrospectively reviewed the records of 169 HCV-RNA-positive patients who underwent LT at three centers. RESULTS: BPAR occurred in 39 (23.1%) of the HCV-RNA-positive recipients after LT. The 1-, 3-, and 5-year survival rates were 92.1%, 90.3%, and 88.5%, respectively, in patients without BPAR, and 75.7%, 63.4%, and 58.9% in patients with BPAR (P<0.001). Multivariate analyses showed that BPAR was associated with the non-use of basiliximab and tacrolimus and the use of cyclosporin in LT recipients with HCV RNA-positive. CONCLUSION: The results of the present study suggest that the immunosuppression status of HCV-RNA-positive LT recipients should be carefully determined in order to prevent BPAR and to improve patient survival.
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Texto completo:
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Índice:
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Assunto principal:
Recidiva
/
Biópsia
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Proteínas Recombinantes de Fusão
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RNA Viral
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Reação em Cadeia da Polimerase
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Taxa de Sobrevida
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Estudos Retrospectivos
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Transplante de Fígado
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Tacrolimo
/
Ciclosporina
Tipo de estudo:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
Clinical and Molecular Hepatology
Ano de publicação:
2016
Tipo de documento:
Article