Table 1:

Baseline characteristics at study inclusion.

Total cohortGraft loss (death-censored)No graft lossP
Total number, n70949 (6.9%)660 (93.1%)
Demographics
Age, years, mean (SD)54.04 (±14.35)60.63 (±13.12)53.55 (±14.3).001
Caucasian, n (%)701 (98.9)48 (98)653 (98.9).531
Female, n (%)285 (40.2)17 (34.7)268 (40.6).415
Transplantation data
Time since transplantation, years, median (IQR)5.4 (2.23–10.13)6.1 (2.53–8.59)5.4 (2.1–10.28).676
Living donor, n (%)224 (31.6)11 (22.4)213 (32.7).139
Expanded criteria donor, n (%)228 (32.2)30 (61.2)198 (30)<.001
DGF, n (%)226 (31.9)23 (47.9)203 (32).024
DSA positive at inclusion, n (%)51 (7.2)10 (21.3)41 (6.4)<.001
History of ABMR, n (%)25 (3.5)10 (21.3)15 (2.3)<.001
History of CMR, n (%)209 (29.5)22 (44.9)187 (28.3).015
Immunosuppressive therapy, n (%)
Cyclosporine A274 (38.6)14 (28.6)260 (39.4).133
Tacrolimus329 (46.4)20 (40.8)309 (46.8).416
MMF/MPA659 (92.9)44 (89.9)615 (93.2).372
Azathioprine12 (1.7)3 (6.1)9 (1.4).013
Everolimus or rapamycin65 (9.2)6 (12.2)59 (8.9).439
Belatacept16 (2.3)4 (8.2)12 (1.8).004
Steroids309 (43.6)33 (67.3)276 (41.8)<.001
History of underlying kidney disease, n (%)
Polycystic kidney disease109 (15.4)10 (20.4)99 (15.0).311
Glomerulonephritis88 (12.4)8 (16.3)80 (12.1).389
Hypertensive nephropathy55 (7.8)4 (8.2)51 (7.7).921
Diabetic nephropathy20 (2.8)6 (12.2)14 (2.1)<.001
Others437 (61.6)21 (42.9)416 (63.0).005
Comorbidities, n (%)
Diabetes mellitus160 (22.6)19 (38.8)141 (21.4).005
Hypertension691 (97.5)49 (100)642 (97.3).242
Coronary heart disease134 (18.9)16 (32.7)118 (17.9).011
Peripheral arterial occlusive disease63 (8.9)6 (12.2)57 (8.6).392
Heart failure297 (41.9)34 (69.4)263 (39.8)<.001
Cerebrovascular disease63 (8.9)5 (10.2)58 (8.8).737
Total cohortGraft loss (death-censored)No graft lossP
Total number, n70949 (6.9%)660 (93.1%)
Demographics
Age, years, mean (SD)54.04 (±14.35)60.63 (±13.12)53.55 (±14.3).001
Caucasian, n (%)701 (98.9)48 (98)653 (98.9).531
Female, n (%)285 (40.2)17 (34.7)268 (40.6).415
Transplantation data
Time since transplantation, years, median (IQR)5.4 (2.23–10.13)6.1 (2.53–8.59)5.4 (2.1–10.28).676
Living donor, n (%)224 (31.6)11 (22.4)213 (32.7).139
Expanded criteria donor, n (%)228 (32.2)30 (61.2)198 (30)<.001
DGF, n (%)226 (31.9)23 (47.9)203 (32).024
DSA positive at inclusion, n (%)51 (7.2)10 (21.3)41 (6.4)<.001
History of ABMR, n (%)25 (3.5)10 (21.3)15 (2.3)<.001
History of CMR, n (%)209 (29.5)22 (44.9)187 (28.3).015
Immunosuppressive therapy, n (%)
Cyclosporine A274 (38.6)14 (28.6)260 (39.4).133
Tacrolimus329 (46.4)20 (40.8)309 (46.8).416
MMF/MPA659 (92.9)44 (89.9)615 (93.2).372
Azathioprine12 (1.7)3 (6.1)9 (1.4).013
Everolimus or rapamycin65 (9.2)6 (12.2)59 (8.9).439
Belatacept16 (2.3)4 (8.2)12 (1.8).004
Steroids309 (43.6)33 (67.3)276 (41.8)<.001
History of underlying kidney disease, n (%)
Polycystic kidney disease109 (15.4)10 (20.4)99 (15.0).311
Glomerulonephritis88 (12.4)8 (16.3)80 (12.1).389
Hypertensive nephropathy55 (7.8)4 (8.2)51 (7.7).921
Diabetic nephropathy20 (2.8)6 (12.2)14 (2.1)<.001
Others437 (61.6)21 (42.9)416 (63.0).005
Comorbidities, n (%)
Diabetes mellitus160 (22.6)19 (38.8)141 (21.4).005
Hypertension691 (97.5)49 (100)642 (97.3).242
Coronary heart disease134 (18.9)16 (32.7)118 (17.9).011
Peripheral arterial occlusive disease63 (8.9)6 (12.2)57 (8.6).392
Heart failure297 (41.9)34 (69.4)263 (39.8)<.001
Cerebrovascular disease63 (8.9)5 (10.2)58 (8.8).737

P-values are indicated for comparison of the differences between patients with graft loss and without graft loss regarding baseline characteristics (Mann–Whitney U test, Student's t-test or χ2 test as appropriate). Bold values denote statistical significance at the P < 0.05 level.

Expanded criteria donors = brain-dead donors ≥60 years old or between 50 and 59 years old with at least two of the following criteria: history of arterial hypertension, last serum creatinine >1.5 mg/dL or cerebrovascular death.

DGF = need for at least one postoperative dialysis in the first 7 days post-transplantation.

Coronary heart disease = history of myocardial infarction, coronary bypass surgery and/or coronary angioplasty.

Heart failure = any degree of insufficiency.

ABMR, antibody-mediated rejection; CMR, cell-mediated rejection; MMF, mycophenolate mofetil; MPA, mycophenolic acid.

Table 1:

Baseline characteristics at study inclusion.

Total cohortGraft loss (death-censored)No graft lossP
Total number, n70949 (6.9%)660 (93.1%)
Demographics
Age, years, mean (SD)54.04 (±14.35)60.63 (±13.12)53.55 (±14.3).001
Caucasian, n (%)701 (98.9)48 (98)653 (98.9).531
Female, n (%)285 (40.2)17 (34.7)268 (40.6).415
Transplantation data
Time since transplantation, years, median (IQR)5.4 (2.23–10.13)6.1 (2.53–8.59)5.4 (2.1–10.28).676
Living donor, n (%)224 (31.6)11 (22.4)213 (32.7).139
Expanded criteria donor, n (%)228 (32.2)30 (61.2)198 (30)<.001
DGF, n (%)226 (31.9)23 (47.9)203 (32).024
DSA positive at inclusion, n (%)51 (7.2)10 (21.3)41 (6.4)<.001
History of ABMR, n (%)25 (3.5)10 (21.3)15 (2.3)<.001
History of CMR, n (%)209 (29.5)22 (44.9)187 (28.3).015
Immunosuppressive therapy, n (%)
Cyclosporine A274 (38.6)14 (28.6)260 (39.4).133
Tacrolimus329 (46.4)20 (40.8)309 (46.8).416
MMF/MPA659 (92.9)44 (89.9)615 (93.2).372
Azathioprine12 (1.7)3 (6.1)9 (1.4).013
Everolimus or rapamycin65 (9.2)6 (12.2)59 (8.9).439
Belatacept16 (2.3)4 (8.2)12 (1.8).004
Steroids309 (43.6)33 (67.3)276 (41.8)<.001
History of underlying kidney disease, n (%)
Polycystic kidney disease109 (15.4)10 (20.4)99 (15.0).311
Glomerulonephritis88 (12.4)8 (16.3)80 (12.1).389
Hypertensive nephropathy55 (7.8)4 (8.2)51 (7.7).921
Diabetic nephropathy20 (2.8)6 (12.2)14 (2.1)<.001
Others437 (61.6)21 (42.9)416 (63.0).005
Comorbidities, n (%)
Diabetes mellitus160 (22.6)19 (38.8)141 (21.4).005
Hypertension691 (97.5)49 (100)642 (97.3).242
Coronary heart disease134 (18.9)16 (32.7)118 (17.9).011
Peripheral arterial occlusive disease63 (8.9)6 (12.2)57 (8.6).392
Heart failure297 (41.9)34 (69.4)263 (39.8)<.001
Cerebrovascular disease63 (8.9)5 (10.2)58 (8.8).737
Total cohortGraft loss (death-censored)No graft lossP
Total number, n70949 (6.9%)660 (93.1%)
Demographics
Age, years, mean (SD)54.04 (±14.35)60.63 (±13.12)53.55 (±14.3).001
Caucasian, n (%)701 (98.9)48 (98)653 (98.9).531
Female, n (%)285 (40.2)17 (34.7)268 (40.6).415
Transplantation data
Time since transplantation, years, median (IQR)5.4 (2.23–10.13)6.1 (2.53–8.59)5.4 (2.1–10.28).676
Living donor, n (%)224 (31.6)11 (22.4)213 (32.7).139
Expanded criteria donor, n (%)228 (32.2)30 (61.2)198 (30)<.001
DGF, n (%)226 (31.9)23 (47.9)203 (32).024
DSA positive at inclusion, n (%)51 (7.2)10 (21.3)41 (6.4)<.001
History of ABMR, n (%)25 (3.5)10 (21.3)15 (2.3)<.001
History of CMR, n (%)209 (29.5)22 (44.9)187 (28.3).015
Immunosuppressive therapy, n (%)
Cyclosporine A274 (38.6)14 (28.6)260 (39.4).133
Tacrolimus329 (46.4)20 (40.8)309 (46.8).416
MMF/MPA659 (92.9)44 (89.9)615 (93.2).372
Azathioprine12 (1.7)3 (6.1)9 (1.4).013
Everolimus or rapamycin65 (9.2)6 (12.2)59 (8.9).439
Belatacept16 (2.3)4 (8.2)12 (1.8).004
Steroids309 (43.6)33 (67.3)276 (41.8)<.001
History of underlying kidney disease, n (%)
Polycystic kidney disease109 (15.4)10 (20.4)99 (15.0).311
Glomerulonephritis88 (12.4)8 (16.3)80 (12.1).389
Hypertensive nephropathy55 (7.8)4 (8.2)51 (7.7).921
Diabetic nephropathy20 (2.8)6 (12.2)14 (2.1)<.001
Others437 (61.6)21 (42.9)416 (63.0).005
Comorbidities, n (%)
Diabetes mellitus160 (22.6)19 (38.8)141 (21.4).005
Hypertension691 (97.5)49 (100)642 (97.3).242
Coronary heart disease134 (18.9)16 (32.7)118 (17.9).011
Peripheral arterial occlusive disease63 (8.9)6 (12.2)57 (8.6).392
Heart failure297 (41.9)34 (69.4)263 (39.8)<.001
Cerebrovascular disease63 (8.9)5 (10.2)58 (8.8).737

P-values are indicated for comparison of the differences between patients with graft loss and without graft loss regarding baseline characteristics (Mann–Whitney U test, Student's t-test or χ2 test as appropriate). Bold values denote statistical significance at the P < 0.05 level.

Expanded criteria donors = brain-dead donors ≥60 years old or between 50 and 59 years old with at least two of the following criteria: history of arterial hypertension, last serum creatinine >1.5 mg/dL or cerebrovascular death.

DGF = need for at least one postoperative dialysis in the first 7 days post-transplantation.

Coronary heart disease = history of myocardial infarction, coronary bypass surgery and/or coronary angioplasty.

Heart failure = any degree of insufficiency.

ABMR, antibody-mediated rejection; CMR, cell-mediated rejection; MMF, mycophenolate mofetil; MPA, mycophenolic acid.

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