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

Yussim 2000.

Methods
  • Study design: parallel RCT

  • Study duration: not reported

  • Study follow‐up: 2 years

Participants
  • Country: Israel

  • Setting: single centre

  • Inclusion criteria: low and high risk 1st or retransplant kidney transplant recipients

  • Number: treatment group (19); control group (19)

  • Mean age ± SD (years): not reported

  • Sex (M/F): not reported

  • Exclusion criteria: not reported

Interventions Treatment group
  • rATG (Fresenius): single dose of 9 mg/kg given as IV infusion in 500 mL saline prior to revascularistion

  • MP: 500 mg


Control group
  • No ATG


Immunosuppression (both groups)
  • PRED: as per protocol, started post‐op; dosage not reported

  • AZA: as per protocol, started post‐op; dosage not reported

  • CSA: as per protocol, started post‐op; dosage not reported

Outcomes
  • Death

  • Graft loss

  • Acute rejection

  • DGF

  • Infection

Notes
  • Graft function reported but timing not specified and no SD or SE given, cannot be meta‐analysis

  • Funding source: not reported

Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Insufficient information to permit judgement
Allocation concealment (selection bias) Unclear risk Insufficient information to permit judgement
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Unlikely to influence outcomes
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Unlikely to influence outcomes
Incomplete outcome data (attrition bias) 
 All outcomes Low risk All patient outcome data reported
Selective reporting (reporting bias) High risk All expected outcomes reported however SD/SE not reported for graft function
Other bias Unclear risk Insufficient information to permit judgement

ALG ‐ antilymphocyte globulin; ANC ‐ absolute neutrophil count; ATG ‐ antithymocyte globulin; ATGAM ‐ horse ATG; ATN ‐ acute tubular necrosis; AZA ‐ azathioprine; BKV ‐ BK virus; CAN ‐ chronic allograft nephropathy; CMV ‐ cytomegalovirus; CNI ‐ calcineurin inhibitor; CSA ‐ cyclosporin A; DD ‐ deceased donor; DGF ‐ delayed graft function; DEX ‐ dexamethasone; EBV ‐ Epstein–Barr virus; eGFR ‐ estimated glomerular filtration rate; ESKD ‐ end‐stage kidney disease; GI ‐ gastrointestinal; hATG ‐ horse ATG; Hep ‐ hepatitis; HIV ‐ human immunodeficiency virus; HLA ‐ human leukocyte antigen; IL‐2RA ‐ interleukin 2 receptor antagonist; IV ‐ intravenous; LD ‐ living donor; mALG ‐ Minnesota ALG; M/F ‐ male/female; MMF ‐ mycophenolate mofetil; MP ‐ methylprednisolone; NODAT ‐ new‐onset diabetes after transplantation; post‐op ‐ post‐operative; PRA ‐ panel reactive antibodies; PRED ‐ prednisone; PTLD ‐ post‐transplant lymphoproliferative disease; rATG ‐ rabbit ATG; RBC ‐ red blood cell; RCT‐ randomised controlled trial; SCr ‐ serum creatinine; SD ‐ standard deviation; SE ‐ standard error; SEM ‐ standard error of the mean; WCC ‐ white cell count