TABLE 5.
Results according to eras of LT recipients converted from CNI to MMF-MT.
| First Era (1999–2011) (n = 161) | Second Era (2012–2023) (n = 163) | P | |
|---|---|---|---|
| Age (yr) | 54 (22–70) | 56 (19–70) | |
| Sex (M/F) | 111(68.9%)/50 (31.1%) | 131 (80.4%)/32 (19.6%) | 0.018 |
| Hypertension | 33 (20.5%) | 17 (10.4%) | 0.019 |
| Diabetes mellitus | 32 (19.9%) | 47 (28.8%) | 0.023 |
| MELD Score | 15 (7–23) | 15 (6–35) | |
| LT indications | |||
| Alcoholic cirrhosis | 67 (41.6%) | 83 (50.9%) | 0.093 |
| Hepatitis C virus cirrhosis | 63 (39.1%) | 70 (42.9%) | 0.485 |
| Hepatocellular carcinoma | 24 (14.9%) | 57 (35.4%) | <0.001 |
| Hepatitis virus B cirrhosis | 24 (15%) | 19 (11.7%) | 0.388 |
| Steatosis No Microsteatosis Macrosteatosis N/A |
24 (14.9%) 42 (26.1%) 71 (44.1%) 24 (14.9%) |
37 (22.7%) 33 (20.2%) 67 (41.1%) 26 (15.9%) |
0.062 |
| Indications of conversion from CNI to MMF-MT CKD alone CKD + Hypertension CKD + Hypertension + Diabetes mellitus CKD + Diabetes mellitus Diabetes mellitus Hypertension Recurrent biliary infection |
42 (26.1%) 18 (11.2%) 30 (18.6%) 10 (6.2%) 26 (16.1%) 31 (19.2%) 4 (2.5%) |
46 (28.2%) 37 (22.7%) 16 (9.8%) 16 (9.8%) 35 (21.5%) 11 (6.7%) 2 (1.2%) |
<0.001 |
| Post-MMF-MT acute rejection Diagnosis by liver biopsy Grade I Grade II Grade III Diagnosis by liver dysfunction |
11 (6.8%) 6 (3.7%) 3 (1.8%) 2 (1.2%) 1 (0.6%) 5 (3.1%) |
13 (7.9%) 8 (4.9%) 5 (3.1%) 3 (1.8%) 0 (0%) 5 (3.1%) |
0.694 |
| Adverse effects Diarrhea Vomiting Leukopenia Anemia Asthenia |
26 (16.1%) 7 (4.3%) 4 (2.5%) 13 (8.1%) 1 (0.6%) 1 (0.6%) |
22 (13.5%) 11 (6.7%) 2 (1.2%) 6 (3.7%) 2 (1.2%) 1 (0.6%) |
0.667 |
| Causes of MMF-MT withdrawal De novo tumors Rejection Liver dysfunction (no liver biopsy) Liver retransplantation Kidney transplantation Adverse effects • Diarrhea • Leukopenia |
26 (16.1%) 11 (6.7%) 4 (2.5%) 3 (1.9%) 2 (1.2%) 2 (1.2%) 4 (2.5%) 3 (1.9%) 1 (0.6%) |
16 (9.8%) 2 (1.2%) 4 (2.4%) 3 (1.8%) 2 (1.2%) 1 (0.6%) 4 (2.4%) 1 (0.6%) 3 (1.8%) |
0.460 |
| Actuarial patient survival after MMF-MT 1-y 3-y 5-y 10-y |
93.8% 82.3% 70.1% 51.9% |
97.9% 91.8% 80.9% 64.3% |
0.089 |