1. Steroid withdrawal versus steroid maintenance ‐ stratified subgroup and sensitivity analysis for death, graft loss and acute rejection up to one year after transplantation.
Death | Graft loss | Acute rejection | Biopsy‐proven acute rejection | |||||||||
Studies | RR | 95% CI | Studies | RR | 95% CI | Studies | RR | 95% CI | Studies | RR | 95% CI | |
Publication status | ||||||||||||
Peer reviewed journal | 8 | 0.60 | 0.31 to 1.17 | 7 | 1.25 | 0.73 to 2.13 | 8 | 2.02 | 1.23 to 3.23 | 4 | 1.32 | 0.66 to 2.66 |
Abstract only | 2 | 3.04 | 0.33 to 28.29 | 1 | 0.82 | 0.23 to 2.94 | 2 | 1.25 | 0.67 to 2.32 | 1 | 1.37 | 0.70 to 2.69 |
ITT analysis | ||||||||||||
ITT analysis used | 6 | 0.69 | 0.30 to 1.61 | 6 | 1.31 | 0.69 to 2.46 | 6 | 2.07 | 1.10 to 3.91 | 3 | 1.37 | 0.64 to 2.94 |
ITT analysis not used/unclear | 4 | 0.67 | 0.25 to 1.81 | 2 | 1.00 | 0.46 to 2.17 | 4 | 1.65 | 0.81 to 3.36 | 2 | 1.04 | 0.24 to 4.59 |
Calcineurin inhibitor | ||||||||||||
CsA | 9 | 0.75 | 0.36 to 1.54 | 7 | 0.90 | 0.50 to 5.14 | 9 | 2.08 | 1.29 to 3.35 | 4 | 1.60 | 0.87 to 2.92 |
TAC | 1 | 0.50 | 0.13 to 1.97 | 1 | 2.13 | 0.88 to 5.14 | 1 | 1.11 | 0.82 to 1.51 | 1 | 0.89 | 0.61 to 1.30 |
Antimetabolite | ||||||||||||
MMF or EC‐MPS | 6 | 0.67 | 0.31 to 1.47 | 5 | 1.25 | 0.75 to 2.08 | 6 | 1.41 | 1.02 to 1.94 | 3 | 1.27 | 0.81 to 2.00 |
AZA | 2 | 0.93 | 0.26 to 3.40 | 2 | 0.25 | 0.03 to 2.18 | 2 | 2.61 | 0.62 to 10.91 | 1 | 0.33 | 0.04 to 2.56 |
MMF or EC‐MPS or AZA | 8 | 0.73 | 0.38 to 1.43 | 7 | 1.15 | 0.70 to 1.89 | 8 | 1.46 | 1.07 to 1.98 | 4 | 1.19 | 0.75 to 1.90 |
none | 2 | 0.31 | 0.03 to 2.95 | 1 | 3.00 | 0.13 to 71.61 | 2 | 5.80 | 2.16 to 15.57 | 1 | 9.00 | 1.19 to 67.93 |
Induction treatment | ||||||||||||
Induction (yes) | 2 | 3.00 | 0.32 to 27.87 | 1 | 0.33 | 0.01 to 8.02 | 2 | 0.80 | 0.22 to 2.91 | NA | ‐‐ | ‐‐ |
Induction (no) | 8 | 0.60 | 0.31 to 1.17 | 7 | 1.21 | 0.74 to 1.99 | 8 | 1.93 | 1.26 to 2.94 | NA | ‐‐ | ‐‐ |
AZA ‐ azathioprine; CI ‐ confidence interval; CsA ‐ cyclosporin A; EC‐MPS ‐ enteric‐coated mycophenolate sodium; ITT ‐ intention to treat; MMF ‐ mycophenolate mofetil; NA ‐ not available; RR ‐ risk ratio; TAC ‐ tacrolimus