Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc
Journal website https://www.jocmr.org

Original Article

Volume 14, Number 9, September 2022, pages 335-340


The Outcome of Tapered Steroid Regimen When Used to Treat Acute Borderline Cellular Rejection After Kidney Transplant: A Single-Center Experience

Tables

Table 1. Demographics of the Study Population
 
NRG (N = 63)RG (N = 28)P-value
NRG: non-responder group; RG: responder group; Q1: first interquartile range; Q3: third interquartile range.
Age (years)0.40
  Missing00
  Median (Q1, Q3)59.0 (47.0, 68.0)61.5 (50.2, 71.2)
Gender0.36
  Missing00
  Female26 (41.3%)15 (53.6%)
Race0.50
  Missing00
  Non-Hispanic White37 (58.7%)16 (57.1%)
  Non-Hispanic Black22 (34.9%)8 (28.6%)
  Hispanic White1 (1.6%)2 (7.1%)
  Other3 (4.8%)2 (7.1%)

 

Table 2. Comorbidities and Immune Risk Phenotypes
 
NRG (N = 63)RG (N = 28)P-value
BCR: borderline cellular rejection; cPRA: calculated panel reactive antibodies; NRG: non-responder group; RG: responder group; Q1: first interquartile range; Q3: third interquartile range.
Hypertension0.79
  Missing91
  No40 (74.1%)19 (70.4%)
  Yes14 (25.9%)8 (29.6%)
Diabetes mellitus0.63
  Missing91
  No35 (64.8%)16 (59.3%)
  Yes19 (35.2%)11 (40.7%)
Donor type0.43
  Missing00
  Living donor17 (27.0%)5 (17.9%)
  Deceased donor46 (73.0%)23 (82.1%)
Induction agent0.74
  Missing10
  Alemtuzumab22 (35.5%)9 (32.1%)
  Basiliximab15 (24.2%)9 (32.1%)
  Thymoglobulin25 (40.3%)10 (35.7%)
Class I cPRA0.64
  Missing117
  Median (Q1, Q3)1.5 (0.0, 32.0)10.0 (0.0, 48.0)
Class II cPRA0.29
  Missing117
  Median (Q1, Q3)0.0 (0.0, 37.0)0.0 (0.0, 56.0)
Time from transplant to first diagnosed acute BCR (in months)0.21
  Missing00
  Median (Q1, Q3)12.3 (4.3, 25.2)17.5 (10.9, 47.9)
Time between biopsies (in months)0.78
  Missing00
  Median (Q1, Q3)2.7 (1.6, 3.7)2.5 (2.0, 3.5)

 

Table 3. Treatment Outcomes
 
NRG (N = 70)RG (N = 39)P-value
NRG: non-responder group; RG: responder group; Q1: first interquartile range; Q3: third interquartile range; SCr: serum creatinine; P: plasmatic.
Initial SCr0.36
  Median (Q1, Q3)1.6 (1.2, 2.1)1.5 (1.4, 2.4)
1-month post-biopsy SCr0.44
  Median (Q1, Q3)1.5 (1.2, 2.0)1.5 (1.2, 2.1)
2-month post-biopsy SCr0.099
  Median (Q1, Q3)1.4 (1.1, 1.9)1.7 (1.3, 2.1)
3-month post-biopsy SCr0.94
  Median (Q1, Q3)1.5 (1.2, 1.7)1.3 (1.1, 1.8)
6-month post-biopsy SCr0.23
  Median (Q1, Q3)1.4 (1.1, 1.8)1.6 (1.4, 1.9)
12-month post-biopsy SCr0.92
  Median (Q1, Q3)1.5 (1.2, 1.8)1.5 (1.2, 1.6)
Initial urine P/Cr0.16
  Missing60
  Median (Q1, Q3)0.1 (0.1, 0.3)0.2 (0.1, 0.3)
Follow-up urine P/Cr0.55
  Missing164
  Median (Q1, Q3)0.1 (0.1, 0.3)0.2 (0.1, 0.3)
Initial tacrolimus level0.44
  Missing81
  Median (Q1, Q3)7.0 (5.8, 8.2)7.2 (6.1, 9.0)
Follow-up tacrolimus level0.60
  Missing91
  Median (Q1, Q3)8.3 (7.0, 10.2)8.1 (7.0, 9.3)