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20 August 2021: Original Paper

Color Doppler Ultrasound and Hemodynamics for Evaluating Graft Dysfunction in Recurrent Immunoglobulin A Nephropathy

Jin Zhang 12ABCDEF* , Guo-Dong Chen 2ABCEF* , Jiang Qiu 2AFG* , Yang Tan 3ABCD , Guo-Chang Liu 1AFG , Li-Zhong Chen 2AG , Wei Jia 1ABD , Wen Fu 1ABD , Chang-Xi Wang 2AG

DOI: 10.12659/AOT.931736

Ann Transplant 2021; 26:e931736

Table 1 Baseline characteristics of the recipients and donors.

Variables*
Recipient age (years)34 (28–39)
Recipient sex, F/M (%)17/61 (22/78)
Recipient race, East Asian (%)78 (100)
Diabetes (%)12 (15.4)
SBP (mmHg)121 (108–137)
DBP (mmHg)72 (65–83)
Acute rejection (%)** 7 (9.2)
Delayed graft function (%)4 (5.2)
Anti-HLA antibodies (%)# 13 (17.1)
 Class I (%)5 (6.6)
 Class II (%)13 (17.1)
HLA mismatches (A, B, or DR)2 (1–3)
Therapeutic regimen
 Intravenous methylprednisolone pulses (%)## 21 (27.6)
 Tonsillectomy (%)10 (13.1)
 ACEIs used (%)59 (77.6)
Disease time (years)& 3 (1–5)
Waiting time (months)&& 1 (1–1)
24-h urinary protein (g/24 h)0.5 (0.3–1.4)
Urinary RBC count (u/ml)21.4 (6.7–64.2)
Cholesterol (mmol/L)5.3 (4.3–6.2)
LDL (mmol/L)3.4 (2.9–4.2)
ALB (g/L)41.1 (37.3–44.9)
eGFR$ (mL/min/1.73 m)69.7 (53.7–84.5)
Donor age (years)52 (43–57)
Donor sex F/M (%)55/23 (70/30)
Donor race, East Asian (%)78 (100)
SBP – systolic blood pressure; DBP – diastolic blood pressure; HLA – human leukocyte antigen; ACEIs – angiotensin-converting enzyme inhibitors; RBC – red blood cell; LDL – low-density lipoprotein; ALB – albumin; eGFR – estimated glomerular filtration rate.
* All continuous variables were presented as medians and interquartile ranges;
** patients with a history of acute rejection after transplantation were included if they were cured when diagnosed as IgAN.
# Including donor-specific antibodies and non-donor specific antibodies;
## three intravenous methylprednisolone pulses at the beginning of recurrence, but routine anti-rejection treatments after transplantation were excluded.
& The time from transplantation to the onset of initial symptoms;
&& the time from the onset of the initial symptoms to biopsy.
$ Baseline eGFR after transplantation.

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Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358