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. 2017 Jan 11;2017(1):CD004759. doi: 10.1002/14651858.CD004759.pub2

Sakhrani 1992.

Methods
  • Study design: parallel RCT

  • Study duration: January 1990 to September 1990

  • Study follow‐up: 1 year

Participants
  • Country: USA

  • Setting: single centre

  • Inclusion criteria: adult DD kidney transplant recipients

  • Number: treatment group 1 (46); treatment group 2 (37)

  • Mean age ± SD (years): treatment group (43 ± 13); treatment group 2 (42 ± 12)

  • Sex (M/F): treatment group (31/15); treatment group 2 (21/26)

  • Exclusion criteria: not reported

Interventions Treatment group 1
  • Minnesota ALG: 10 mg/kg; duration not reported


Treatment group 2
  • Minnesota ALG: 20 mg/kg; duration not reported


Immunosuppression (both groups)
  • PRED: dose and dosage not reported

  • AZA: dose and dosage not reported

  • CSA: started when good graft function (good urine output and Cr decrease to < 50% pre transplant); dose and dosage not reported

Outcomes
  • Graft loss

  • Acute rejection

  • Severe infection

  • Leucopenia

Notes
  • Death not reported

  • Funding source: not reported

Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Insufficient information to permit judgment
Allocation concealment (selection bias) Unclear risk Insufficient information to permit judgment
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Unlikely to influence outcomes
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Not stated how acute rejection was determined
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Kidneys did not function in 4 patients (2 in each group) and 1 patient from each group moved out of the country
Selective reporting (reporting bias) High risk Death not reported; results reported as percentages and could not be meta‐analysed
Other bias Unclear risk Funding not reported