The impact of time-zero biopsy on early graft outcomes after living donor kidney transplantation

A. L. Lee, Y. S. Kim, B. J. Lim, H. J. Jeong, D. J. Joo, M. S. Kim, K. H. Huh

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Abstract

Background In contrast with deceased donor transplantation, the clinical significance of pathologic findings in time-zero biopsies after living donor kidney transplantation are rarely reported, due to the expectation that histologic findings and renal function are normal. The aim of this study was to identify subclinical pathologic findings in living donors and examine the effect on early graft renal function. Methods Between December 2006 and July 2011, 146 living-donor kidney transplant recipients were enrolled in this study. We retrospectively analyzed donor and recipient-related clinical parameters, and post-transplant 6 months and 1 year estimated glomerular filtration rate (eGFR) as early graft renal function. Time-zero biopsies were evaluated using the 2007 Banff criteria. Results Most abnormal histologic findings were of mild degree as determined by Banff scores. Global glomerulosclerosis (GS, 35.6%), tubular atrophy (CT, 36.3%), interstitial fibrosis (CI, 20.5%), vascular fibrous intimal thickening (CV, 4.1%), arteriolar hyaline thickening (AH, 14.4%), interstitial inflammation (I, 3.4%) were pathologic findings in time-zero biopsies. The univariate analysis revealed that donor age and gender were significantly associated with eGFR at post-transplant 6 months and at 1 year (P <.05). Furthermore, GS and CT were significantly associated with early graft renal function (P <.05). However, multivariate linear regression analysis showed only donor age was significantly associated with early graft renal function (P =.001). Conclusion A mild degree of subclinical, pathologic findings on time-zero biopsy did not affect early graft renal function in living-donor kidney transplantation.

Original languageEnglish
Pages (from-to)2937-2940
Number of pages4
JournalTransplantation Proceedings
Volume45
Issue number8
DOIs
Publication statusPublished - 2013 Oct 1

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Living Donors
Kidney Transplantation
Transplants
Kidney
Biopsy
Tissue Donors
Glomerular Filtration Rate
Tunica Intima
Hyalin
Atrophy
Blood Vessels
Linear Models
Fibrosis
Transplantation
Regression Analysis
Inflammation

All Science Journal Classification (ASJC) codes

  • Surgery
  • Transplantation

Cite this

Lee, A. L. ; Kim, Y. S. ; Lim, B. J. ; Jeong, H. J. ; Joo, D. J. ; Kim, M. S. ; Huh, K. H. / The impact of time-zero biopsy on early graft outcomes after living donor kidney transplantation. In: Transplantation Proceedings. 2013 ; Vol. 45, No. 8. pp. 2937-2940.
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abstract = "Background In contrast with deceased donor transplantation, the clinical significance of pathologic findings in time-zero biopsies after living donor kidney transplantation are rarely reported, due to the expectation that histologic findings and renal function are normal. The aim of this study was to identify subclinical pathologic findings in living donors and examine the effect on early graft renal function. Methods Between December 2006 and July 2011, 146 living-donor kidney transplant recipients were enrolled in this study. We retrospectively analyzed donor and recipient-related clinical parameters, and post-transplant 6 months and 1 year estimated glomerular filtration rate (eGFR) as early graft renal function. Time-zero biopsies were evaluated using the 2007 Banff criteria. Results Most abnormal histologic findings were of mild degree as determined by Banff scores. Global glomerulosclerosis (GS, 35.6{\%}), tubular atrophy (CT, 36.3{\%}), interstitial fibrosis (CI, 20.5{\%}), vascular fibrous intimal thickening (CV, 4.1{\%}), arteriolar hyaline thickening (AH, 14.4{\%}), interstitial inflammation (I, 3.4{\%}) were pathologic findings in time-zero biopsies. The univariate analysis revealed that donor age and gender were significantly associated with eGFR at post-transplant 6 months and at 1 year (P <.05). Furthermore, GS and CT were significantly associated with early graft renal function (P <.05). However, multivariate linear regression analysis showed only donor age was significantly associated with early graft renal function (P =.001). Conclusion A mild degree of subclinical, pathologic findings on time-zero biopsy did not affect early graft renal function in living-donor kidney transplantation.",
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The impact of time-zero biopsy on early graft outcomes after living donor kidney transplantation. / Lee, A. L.; Kim, Y. S.; Lim, B. J.; Jeong, H. J.; Joo, D. J.; Kim, M. S.; Huh, K. H.

In: Transplantation Proceedings, Vol. 45, No. 8, 01.10.2013, p. 2937-2940.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The impact of time-zero biopsy on early graft outcomes after living donor kidney transplantation

AU - Lee, A. L.

AU - Kim, Y. S.

AU - Lim, B. J.

AU - Jeong, H. J.

AU - Joo, D. J.

AU - Kim, M. S.

AU - Huh, K. H.

PY - 2013/10/1

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N2 - Background In contrast with deceased donor transplantation, the clinical significance of pathologic findings in time-zero biopsies after living donor kidney transplantation are rarely reported, due to the expectation that histologic findings and renal function are normal. The aim of this study was to identify subclinical pathologic findings in living donors and examine the effect on early graft renal function. Methods Between December 2006 and July 2011, 146 living-donor kidney transplant recipients were enrolled in this study. We retrospectively analyzed donor and recipient-related clinical parameters, and post-transplant 6 months and 1 year estimated glomerular filtration rate (eGFR) as early graft renal function. Time-zero biopsies were evaluated using the 2007 Banff criteria. Results Most abnormal histologic findings were of mild degree as determined by Banff scores. Global glomerulosclerosis (GS, 35.6%), tubular atrophy (CT, 36.3%), interstitial fibrosis (CI, 20.5%), vascular fibrous intimal thickening (CV, 4.1%), arteriolar hyaline thickening (AH, 14.4%), interstitial inflammation (I, 3.4%) were pathologic findings in time-zero biopsies. The univariate analysis revealed that donor age and gender were significantly associated with eGFR at post-transplant 6 months and at 1 year (P <.05). Furthermore, GS and CT were significantly associated with early graft renal function (P <.05). However, multivariate linear regression analysis showed only donor age was significantly associated with early graft renal function (P =.001). Conclusion A mild degree of subclinical, pathologic findings on time-zero biopsy did not affect early graft renal function in living-donor kidney transplantation.

AB - Background In contrast with deceased donor transplantation, the clinical significance of pathologic findings in time-zero biopsies after living donor kidney transplantation are rarely reported, due to the expectation that histologic findings and renal function are normal. The aim of this study was to identify subclinical pathologic findings in living donors and examine the effect on early graft renal function. Methods Between December 2006 and July 2011, 146 living-donor kidney transplant recipients were enrolled in this study. We retrospectively analyzed donor and recipient-related clinical parameters, and post-transplant 6 months and 1 year estimated glomerular filtration rate (eGFR) as early graft renal function. Time-zero biopsies were evaluated using the 2007 Banff criteria. Results Most abnormal histologic findings were of mild degree as determined by Banff scores. Global glomerulosclerosis (GS, 35.6%), tubular atrophy (CT, 36.3%), interstitial fibrosis (CI, 20.5%), vascular fibrous intimal thickening (CV, 4.1%), arteriolar hyaline thickening (AH, 14.4%), interstitial inflammation (I, 3.4%) were pathologic findings in time-zero biopsies. The univariate analysis revealed that donor age and gender were significantly associated with eGFR at post-transplant 6 months and at 1 year (P <.05). Furthermore, GS and CT were significantly associated with early graft renal function (P <.05). However, multivariate linear regression analysis showed only donor age was significantly associated with early graft renal function (P =.001). Conclusion A mild degree of subclinical, pathologic findings on time-zero biopsy did not affect early graft renal function in living-donor kidney transplantation.

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