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. 2019 Dec 16;2019(12):CD004290. doi: 10.1002/14651858.CD004290.pub3

5. Variable target of rapamycin inhibitors (TOR‐I) and calcineurin inhibitors (CNI): comparison in outcomes between 2006 review and 2019 update.

Outcome 2006 review (8 studies) 2019 update (9 studies)
Death No difference No difference
All graft loss No difference No difference
Graft loss censored for death No difference No difference
All acute rejection Reduced in low TOR‐I No difference
Biopsy‐proven acute rejection Reduced in low TOR‐I No difference
CMV infection No difference No difference
Wound complications No difference No difference
Malignancies No difference No difference
Need to change treatment No difference No difference
New‐onset diabetes mellitus No difference No difference
Lymphoma/PTLD No difference No difference
BK virus infection Not reported No difference
Tremor No difference (1 study) No difference
Acne/rash Not reported No difference
GFR Increased in low TOR‐I Increased in low TOR‐I
SCr No difference No difference
Hypercholesterolaemia No difference No difference
Hypertriglyceridaemia No difference No difference
Leucopenia No difference No difference
Thrombocytopenia No difference No difference

Change in results have been highlighted

CMV ‐ cytomegalovirus; GFR ‐ glomerular filtration rate; PTLD ‐ post‐transplant lymphoproliferative disease; SCr ‐ serum creatinine