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
- 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.
- The test for trend of differences in incidence of AMR presentation (subclinical vs. clinical) across transplant types was statistically significant (P=0.027).
- 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.
- Refers to hazard ratio comparing AMR patients of a transplant type with patients of the same transplant type who did not develop AMR.
- Hazard ratio could not be calculated as no compatible live donor recipients with AMR had a graft loss during the study period.