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. 2016 Aug 22;2016(8):CD005632. doi: 10.1002/14651858.CD005632.pub3

Sola 2002.

Methods
  • Study design: parallel RCT

  • Time frame: not reported, but before 2002

  • Follow‐up period: 2 years

  • Primary endpoint: acute rejection and kidney function 2 years after steroid withdrawal

Participants
  • Country: Spain

  • Setting: single centre

  • Cadaver kidney transplant; stable kidney function 3 months after transplantation

  • number (randomised): withdrawal group (46); maintenance group (46)

  • Mean age (± SD): not reported

  • Sex (% female): not reported

  • Exclusion criteria: PRA > 50%; previous acute rejection

Interventions Treatment group
  • Steroid withdrawal after 3 months


Control group
  • Steroid maintenance


Baseline Immunosuppression
  • TAC: day 0 to 15: 10 to 15 ng/mL; from day 16: 5 to 10 ng/mL

  • MMF: 1 g/d

  • Steroids

    • IV methylprednisone day 0: 500 mg; day 1: 125 mg

    • Oral prednisone: day 2 to month 2: 20 to 25 mg/d; month 2 to month 3: tapered to 5 mg/d

Outcomes
  • Mortality

  • Graft loss

  • Acute rejection

  • NODAT

  • SCr (mg/dL)

  • CrCl (mL/min)

Notes
  • Did not report number screened for eligibility or analysed

  • 28/120 were not randomised

Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Stated 'randomised' but no further information provided
Allocation concealment (selection bias) Unclear risk Not reported
Blinding (performance bias and detection bias) 
 All outcomes High risk Open‐label
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Open‐label
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Outcomes are objective hard endpoints
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Number of events and number of patients analysed not reported; unclear if ITT analysis performed
Selective reporting (reporting bias) Low risk Primary outcomes for this review reported
Other bias Unclear risk Funding source not reported