Table 3. Outcomes and immunosuppressive treatments after kidney transplantation, according to new onset AVN diagnosis (patients with pre-transplant AVN were excluded).
Patients without AVN n = 773 |
NOAVN group n = 18 |
p | |
---|---|---|---|
Follow-up duration, months [range] | 64.7 [3–149.9] | 55.2 [28.1–143.9] | 0.85 |
Delayed graft function (%) | 217 (28.1) | 8 (44.4) | 0.128 |
Acute rejection (TCMR and/or ABMR) | |||
• At M3 (%) | 55 (7.1) | 5 (27.8) | 0.008 |
• At M12 (%) | 118 (15.7) | 7 (38.9) | 0.016 |
• At M24 (%) | 138 (19.4) | 7 (38.9) | 0.065 |
Body mass index at M3 (kg/m2) (IQR1–IQR3) | 24.6 (21.8–27.9) | 26.9 (26.2–30.9) | 0.003 |
Diabetes after transplantation (%) | 311/702 (44.3) | 10 (55.6) | 0.35 |
Dyslipidemia after transplantation (%) | 460/667 (69.0) | 12 (66.7) | 0.801 |
Immunosuppressive regimen at induction | |||
• Anti-IL2 receptor antibody (%) | 282 (36.6) | 10 (55.6) | 0.099 |
• Thymoglobulin (%) | 451 (58.5) | 8 (44.4) | 0.23 |
• Cyclosporin (%)-Tacrolimus (%) | 470 (61.3)-297 (38.7) | 14 (77.8)-4 (22.2) | 0.15 |
Corticosteroid dose (IQR1–IQR3) | |||
• Oral cumulative dose at M3, mg | 1758 (1348–2078) | 2094 (2028–2105) | <0.001 |
• Bolus dose at M3, mg | 500 (500–500) | 500 (500–500) | 0.73 |
• Total (oral + Bolus) dose at M3, mg | 2035 (1675–2578) | 2594 (2527–2605) | <0.001 |
• Oral cumulative dose at M12, mg | 2280 (1680–3165) | 3453 (3267–4314) | <0.001 |
• Bolus dose at M12, mg | 500 (500–500) | 500 (500–2000) | 0.008 |
• Total (oral + Bolus) dose at M12, mg | 2780 (2270–3928) | 3970 (3767–6314) | <0.001 |
• Total (oral + Bolus) dose at M12, mg/kg | 39.8 (32.3–56.4) | 49.7 (44.5–67.9) | 0.034 |
• Use of bolus after discharge in the first year (%) | 116 (17.7) | 7 (38.9) | 0.011 |
Data are given as percentages or medians [minimum–maximum] or (interquartile IQR1–IQR3), as appropriate. AVN: avascular osteonecrosis; NOAVN: new Onset AVN; M3, M12, M24: 3, 12 and 24 post-transplant months; TCMR: T cell-mediated rejection; ABMR: antibody-mediated rejection