Mortality Prediction after the First Year of Kidney Transplantation: An Observational Study on Two European Cohorts.

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Etat: Public
Version: de l'auteur
ID Serval
serval:BIB_2C99E94E0A64
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Mortality Prediction after the First Year of Kidney Transplantation: An Observational Study on Two European Cohorts.
Périodique
Plos One
Auteur(s)
Lorent M., Giral M., Pascual M., Koller M.T., Steiger J., Trébern-Launay K., Legendre C., Kreis H., Mourad G., Garrigue V., Rostaing L., Kamar N., Kessler M., Ladrière M., Morelon E., Buron F., Golshayan D., Foucher Y.
ISSN
1932-6203 (Electronic)
ISSN-L
1932-6203
Statut éditorial
Publié
Date de publication
2016
Peer-reviewed
Oui
Volume
11
Numéro
5
Pages
e0155278
Langue
anglais
Résumé
After the first year post transplantation, prognostic mortality scores in kidney transplant recipients can be useful for personalizing medical management. We developed a new prognostic score based on 5 parameters and computable at 1-year post transplantation. The outcome was the time between the first anniversary of the transplantation and the patient's death with a functioning graft. Afterwards, we appraised the prognostic capacities of this score by estimating time-dependent Receiver Operating Characteristic (ROC) curves from two prospective and multicentric European cohorts: the DIVAT (Données Informatisées et VAlidées en Transplantation) cohort composed of patients transplanted between 2000 and 2012 in 6 French centers; and the STCS (Swiss Transplant Cohort Study) cohort composed of patients transplanted between 2008 and 2012 in 6 Swiss centers. We also compared the results with those of two existing scoring systems: one from Spain (Hernandez et al.) and one from the United States (the Recipient Risk Score, RRS, Baskin-Bey et al.). From the DIVAT validation cohort and for a prognostic time at 10 years, the new prognostic score (AUC = 0.78, 95%CI = [0.69, 0.85]) seemed to present significantly higher prognostic capacities than the scoring system proposed by Hernandez et al. (p = 0.04) and tended to perform better than the initial RRS (p = 0.10). By using the Swiss cohort, the RRS and the the new prognostic score had comparable prognostic capacities at 4 years (AUC = 0.77 and 0.76 respectively, p = 0.31). In addition to the current available scores related to the risk to return in dialysis, we recommend to further study the use of the score we propose or the RRS for a more efficient personalized follow-up of kidney transplant recipients.
Pubmed
Web of science
Open Access
Oui
Création de la notice
29/05/2016 14:22
Dernière modification de la notice
20/08/2019 13:11
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