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. Author manuscript; available in PMC: 2016 Jan 31.
Published in final edited form as: Am J Transplant. 2015 Jan 21;15(2):489–498. doi: 10.1111/ajt.12982

Table 2.

Table 2A. Antibody-Mediated Rejection Incidence and Presentationa, by Transplant Type
Transplant Type Incidence of AMR
Overall (n=219) Subclinical Presentationb (n=77) Clinical Presentation (n=142)
Deceased Donor: Compatible 1.7% 0.1% 1.6%
Deceased Donor: HLA-Incompatible 44.7% 16.5% 28.2%
Live Donor: Compatible 0.7% 0.5% 0.2%
Live donor: ABO-Incompatiblec 13.6% 2.5% 11.1%
Live Donor: HLA-Incompatible 47.4% 18.1% 29.3%
Overall 9.5% 3.3% 6.1%
Table 2B. Antibody-Mediated Rejection Risk of Graft Loss, by Transplant Type
Transplant Type Hazard Ratiod P-value
Deceased Donor: Compatible 4.73 (1.57–14.26) 0.006
Deceased Donor: HLA-Incompatible 2.39 (1.10–5.19) 0.028
Live Donor: Compatible NAe --
Live donor: ABO-Incompatiblec 6.13 (0.55–67.70) 0.1
Live Donor: HLA-Incompatible 6.29 (3.81–10.39) 0.001
Overall 4.61 (3.19–6.68) <0.001

AMR=antibody-mediated rejection

a

- Clinical AMR was distinguished from subclinical AMR by the presence of evidence of graft dysfunction, manifested as oliguria/anuria, an increase in serum creatinine by ≥20% from baseline, treatment of cell-mediated rejection and/or thrombotic microangiopathy within the two prior weeks, the need for hemodialysis>7 days post-transplant, or new onset proteinuria at the time of the AMR-defining biopsy.

b

- The test for trend of differences in incidence of AMR presentation (subclinical vs. clinical) across transplant types was statistically significant (P=0.027).

c

- Patients who were ABO-incompatible with their donor and also had anti-HLA donor-specific antibody were studied as members of the HLA-incompatible live donor group (n=43; 14.7% of the HLA-incompatible live donor recipient population.

d

- Refers to hazard ratio comparing AMR patients of a transplant type with patients of the same transplant type who did not develop AMR.

e

- Hazard ratio could not be calculated as no compatible live donor recipients with AMR had a graft loss during the study period.