Association between acute graft pyelonephritis and kidney graft survival: A single-center observational study Article Swipe
Mehdi Maanaoui
,
Dulciane Baes
,
Aghilès Hamroun
,
Kahina Khedjat
,
Fanny Vuotto
,
Emmanuel Faure
,
Benjamín López
,
Sébastien Bouye
,
T. Caës
,
Arnaud Lionet
,
Céline Lebas
,
François Provôt
,
François Glowacki
,
Jean‐Baptiste Gibier
,
Rémi Lenain
,
Marc Hazzan
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1111/ajt.16703
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.1111/ajt.16703
The association between acute graft pyelonephritis (AGPN) and graft failure in kidney transplant recipients (KTR) remains controversial. In this single-center observational study, we aimed to assess the incidence of AGPN as a time-dependent posttransplantation event. We also examined the association between the diagnosis of AGPN and graft outcomes. In total, we evaluated 1480 patients who underwent kidney transplantation between January 2007 and December 2017. During a median follow-up of 5.04 years, we observed 297 AGPN episodes that occurred in 158 KTR. To evaluate the association between AGPN and clinical outcomes, we performed Cox proportional hazards regression analyses in which AGPN was entered as a time-dependent covariate. AGPN was independently associated with an increased risk of graft loss (hazard ratio = 1.66; 95% confidence interval [CI]: 1.05-2.64, p < .03) and a persistently decreased eGFR (fixed effect on intercept: -2.29 ml/min/1.73 m2 ; 95% CI: from -3.23 to -1.35, p < .01). However, neither mortality nor biopsy-proven acute rejection was found to correlate with AGPN. Moreover, recurrent AGPN episodes did not appear to have an additive detrimental impact on graft loss. These data represent a promising step in understanding whether AGPN prevention may decrease the risk of graft loss in KTR.
Related Topics
Concepts
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/ajt.16703
- http://www.amjtransplant.org/article/S1600613522087962/pdf
- OA Status
- hybrid
- Cited By
- 14
- References
- 33
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3165208718
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W3165208718Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1111/ajt.16703Digital Object Identifier
- Title
-
Association between acute graft pyelonephritis and kidney graft survival: A single-center observational studyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2021Year of publication
- Publication date
-
2021-05-31Full publication date if available
- Authors
-
Mehdi Maanaoui, Dulciane Baes, Aghilès Hamroun, Kahina Khedjat, Fanny Vuotto, Emmanuel Faure, Benjamín López, Sébastien Bouye, T. Caës, Arnaud Lionet, Céline Lebas, François Provôt, François Glowacki, Jean‐Baptiste Gibier, Rémi Lenain, Marc HazzanList of authors in order
- Landing page
-
https://doi.org/10.1111/ajt.16703Publisher landing page
- PDF URL
-
https://www.amjtransplant.org/article/S1600613522087962/pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://www.amjtransplant.org/article/S1600613522087962/pdfDirect OA link when available
- Concepts
-
Medicine, Hazard ratio, Single Center, Confidence interval, Proportional hazards model, Observational study, Kidney transplantation, Incidence (geometry), Internal medicine, Surgery, Transplantation, Retrospective cohort study, Panel reactive antibody, Urology, Optics, PhysicsTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
14Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 1, 2024: 4, 2023: 3, 2022: 6Per-year citation counts (last 5 years)
- References (count)
-
33Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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