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Patient cohort for the MS discovery studya
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Patient cohort for validation study
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|---|
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Recipient
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RIC (n = 6)
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Non-RIC (n = 6)
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Recipient
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RIC, n = 72
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Non-RIC, n = 74
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|---|
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Gender
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Gender
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Male
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5
|
5
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Male
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46 (64%)
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44 (59%)
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Female
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1
|
1
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Female
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26 (36%)
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30 (51%)
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|
Age, median (range)
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52.2 (43.6–60.5)
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48.0 (30.1–70.3)
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Age, median (range)
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57.3 (49.7–64.8)
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60.8 (49.4–65.9)
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Dialysis mode
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Dialysis mode
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Pre-emptive
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3
|
4
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Preemptive
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13 (18%)
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15 (20%)
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HD
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2
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1
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HD
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40 (56%)
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42 (57%)
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PD
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1
|
1
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PD
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18 (25%)
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16 (22%)
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| | | |
HD + PD
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1 (1%)
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1 (1%)
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Number of transplant
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Number of transplant
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First
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6
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6
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First
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63 (88%)
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65 (88%)
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Retransplant
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0
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0
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Retransplant
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9 (13%)
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9 (12%)
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Original renal disease
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Original renal disease
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Glomerulopathy
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2
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1
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Glomerulopathy
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20 (28%)
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15 (20%)
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ADPKD
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2
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2
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ADPKD
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15 (21%)
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15 (20%)
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Diabetes mellitus
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1
|
1
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Diabetes mellitus
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8 (11%)
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8 (11%)
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Vascular/hypertension
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0
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1
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Vascular/hypertension
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7 (10%)
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9 (12%)
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Reflux/obstructive
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0
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0
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Reflux/obstructive
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3 (4%)
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2 (3%)
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Other
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0
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1
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Other
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6 (8%)
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7 (9%)
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Unknown
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1
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0
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Unknown
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13 (18%)
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18 (24%)
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Comorbidity
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Comorbidity
|
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Diabetes mellitus
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1
|
1
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Diabetes mellitus
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12 (17%)
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14 (19%)
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Hypertension
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5
|
5
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Hypertension
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62 (86%)
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69 (93%)
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Total HLA-A, D, DR mismatches
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Total HLA-A, B, DR mismatches
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0
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0
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0
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0
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3 (4%)
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6 (8%)
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1–2
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0
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0
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1–2
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15 (21%)
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18 (24%)
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3–4
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5
|
6
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3–4
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47 (65%)
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35 (47%)
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5–6
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1
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0
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5–6
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7 (10%)
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15 (20%)
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Immunosuppression at discharge
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Immunosuppression at discharge
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|
Tacrolimus
|
6
|
6
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Tacrolimus
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63 (88%)
|
72 (97%)
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|
Mycophenolate mofetil
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6
|
6
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Mycophenolate mofetil
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70 (97%)
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74 (100%)
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|
Corticosteroids
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6
|
6
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Corticosteroids
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66 (92%)
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72 (97%)
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| | | |
Cyclosporine
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7 (10%)
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2 (3%)
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| | | |
None (graft loss)
|
2
| |
|
Patient cohort for the MS discovery studya
|
Patient cohort for validation study
|
|---|
|
Donor
|
RIC (n = 6)
|
Non-RIC (n = 6)
|
Donor
|
RIC, n = 72
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Non-RIC, n = 74
|
|---|
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Gender
|
Gender
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Male
|
4
|
4
|
Male n (%)
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39 (54%)
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41 (55%)
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|
Female
|
2
|
2
|
Female n (%)
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33 (46%)
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33 (45%)
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Age, median (range)
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61.5 (55–72)
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61.5 (55–72)
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Age, median (range)
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58.5 (50.5–65.5)
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56.5 (49–63)
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Paired kidneys
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6
|
6
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Paired kidneys
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28 (39%)
|
28 (38%)
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| | | |
Single kidneys
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44 (61%)
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46 (62%)
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DBD
|
6
|
6
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DBD
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67 (93%)
|
69 (93%)
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| | | |
DCD
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5 (7%)
|
5 (7%)
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Cause of death
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Cause of death, DBD (n = 67 and 69)
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Cerebrovascular insult
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5
|
5
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Cerebrovascular insult
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42 (63%)
|
43 (62%)
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| | | |
Cerebral anoxia
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15 (22%)
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17 (25%)
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Trauma
|
1
|
1
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Trauma
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9 (13%)
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9 (13%)
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| | | |
Benign cerebral neoplasm
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1 (1%)
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0
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| | | |
Cause of death, DCD (n = 5 and 5)
| | |
| | | |
Cerebrovascular insult
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2
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2
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| | | |
Cardiac disease
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1
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2
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| | | |
Trauma
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0
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1
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| | | |
Other
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2
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0
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Preservation solution
|
Preservation solutions
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|
Custodiol
|
5
|
5
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Custodiol
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56 (78%)
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52 (70%)
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UW
|
1
|
1
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UW
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15 /21%)
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20 (27%)
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| | | |
Other
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1 (1%)
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2 (3%)
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| | |
Warm ischemia time DCD, min
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20 (15–25)
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18 (14–25)
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Cold ischemia time (h) Median (range)
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12.3 (5.5–26.2)
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13.5 (8.4–21.0)
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Cold ischemia time (h) DBD + DCD
| |
| | |
n > 24 h
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13.4 (3.8)
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13.9 (4.9)
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| | | |
Missing data
|
1
|
4
|
| | | | |
1
|
1
|
|
Total surgery time (h) Median (range)
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2.1 (1.7–2.3)
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2.3 (1.3–2.6)
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Total surgery time (h) Median (range)
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2.4 (2.0–2.8)
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2.5 (2.0–3.0)
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| | | |
Missing data
|
1
|
0
|
|
Remuzzi score, median (range)
|
Remuzzi score, median (range)
|
|
All biopsies
|
2.5 (1–7) n = 6
|
3.5 (2–6) n = 6
|
All biopsies (n = 61 and 63)
|
2 (1–3)
|
2 (1–4)
|
|
6 glom
|
2.5 (1–7) n = 6
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3.5 (2–6) n = 6
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6 glom (n = 56 and 55)b
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2 (1–3)
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2 (1–4)
|
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10 glom
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3 (2–4) n = 3
|
3.5 (2–4) n = 4
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10 glom (n = 41 and 42)b
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2 (1–3)
|
2 (1–4)
|
| | |
Missing datac
|
11 (15%)
|
11 (15%)
|
- Data are mean (standard deviation), n (%), or median (interquartile range). Remuzzi scores on biopsies taken 30 min after reperfusion of the graft (baseline-biopsy)
- Patient demographics and intraoperative data in RIC and non-RIC groups: left side two columns are the exploratory groups and right side two columns are the validation groups. Data are mean (standard deviation), n (%), or median (interquartile range). Remuzzi scores on biopsies taken 30 min after reperfusion of the graft (baseline-biopsy)
- HD haemodialysis; PD peritoneal dialysis, ADPKD autosomal dominant polycystic kidney disease, DBD donation after brain death, DCD donation after circulatory death, glom glomeruli, RIC remote ischaemic conditioning, UW University of Wisconsin solution
- aSamples used for the discovery cohort are included in the validation cohort
- bScore if including only biopsies with minimum 6 or 10 glomeruli in the analysis
- cBiopsies were either not performed or insufficient