Date: Sunday, June 12, 2016
Session Time: 2:30pm-4:00pm
Presentation Time: 3:30pm-3:42pm
Location: Room 304
Cardiovascular events (CVE) are one of leading causes of mortality in kidney transplant (KT) recipients and ATG use is reported as a risk factor. We compared the impact of induction therapy on CVE post-KT: no induction, alemtuzumab, anti-thymocyte globulin (ATG) and IL-2 receptor antagonist (IL-2RA).
Methods: Medicare-primary KT recipients from 1999 -2010 were studied using USRDS data. The outcome of interest was time to first post-KT CVE hospitalization, ascertained using validated ICD-9 codes for myocardial infarction, congestive heart failure, stroke and transient ischemic attack. We used Cox regression to model the association between induction therapy and CVE, adjusting for recipient, donor and transplant characteristics.
Results: A total of 86,541 first-time KT recipients were eligible for analysis. Compared with the no induction group, ATG and IL2 were at a similar risk for CVE
Adjusted hazard of CVD-related readmission (Ref: No induction)
. However, KT recipients who received alemtuzumab as induction therapy had 18% higher CVE. When stratified by donor type, this association was only found among recipients of kidneys from deceased donors (22% higher CVE).
Conclusion: Deceased donor recipients receiving alemtuzumab, particularly those with high baseline cardiovascular risk profile, should be closely monitored for CVE and/or should receive other induction agents.
CITATION INFORMATION: Sandal S, Bae S, Massie A, Cantarovich M, Segev D. Impact of Induction Therapy on Cardiovascular Events in Kidney Transplant Recipients. Am J Transplant. 2016;16 (suppl 3).
To cite this abstract in AMA style:Sandal S, Bae S, Massie A, Cantarovich M, Segev D. Impact of Induction Therapy on Cardiovascular Events in Kidney Transplant Recipients. [abstract]. Am J Transplant. 2016; 16 (suppl 3). https://atcmeetingabstracts.com/abstract/impact-of-induction-therapy-on-cardiovascular-events-in-kidney-transplant-recipients/. Accessed August 19, 2018.
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