Please use this identifier to cite or link to this item: https://observatorio.fm.usp.br/handle/OPI/17246
Title: Renal transplantation in human immunodeficiency virus-infected recipients: a case-control study from the Brazilian experience
Authors: VICARI, A. R.SPULDARO, F.SANDES-FREITAS, T. V.CRISTELLI, M. P.REQUIAO-MOURA, L. R.REUSING, J. O.PIERROTTI, L. C.OLIVEIRA, M. L.GIRAO, C. M.GADONSKI, G.KROTH, L. V.DEBONI, L. M.FERREIRA, G. F.TEDESCO-SILVA, H.ESMERALDO, R.DAVID-NETO, E.SAITOVITCH, D.KEITEL, E.GARCIA, V. D.PACHECO-SILVA, A.MEDINA-PESTANA, J. O.MANFRO, R. C.
Citation: TRANSPLANT INFECTIOUS DISEASE, v.18, n.5, p.730-740, 2016
Abstract: BackgroundHighly active antiretroviral therapy has turned human immunodeficiency virus (HIV)-infected patients with end-stage renal disease into suitable candidates for renal transplantation. We present the Brazilian experience with kidney transplantation in HIV-infected recipients observed in a multicenter study. MethodsHIV-infected kidney transplant recipients and matched controls were evaluated for the incidence of delayed graft function (DGF), acute rejection (AR), infections, graft function, and survival of patients and renal grafts. ResultsFifty-three HIV-infected recipients and 106 controls were enrolled. Baseline characteristics were similar, but a higher frequency of pre-transplant positivity for hepatitis C virus and cytomegalovirus infections was found in the HIV group. Immunosuppressive regimens did not differ, but a trend was observed toward lower use of anti-thymocyte globulin in the group of HIV-infected recipients (P = 0.079). The HIV-positive recipient group presented a higher incidence of treated AR (P = 0.036) and DGF (P = 0.044). Chronic Kidney Disease Epidemiology Collaboration estimated that glomerular filtration rate was similar at 6 months (P = 0.374) and at 12 months (P = 0.957). The median number of infections per patient was higher in the HIV-infected group (P = 0.018). The 1-year patient survival (P < 0.001) and graft survival (P = 0.004) were lower, but acceptable, in the group of HIV-infected patients. ConclusionsIn the Brazilian experience, despite somewhat inferior outcomes, kidney transplantation is an adequate therapy for selected HIV-infected recipients.
Appears in Collections:

Artigos e Materiais de Revistas Científicas - HC/ICESP
Instituto do Câncer do Estado de São Paulo - HC/ICESP

Artigos e Materiais de Revistas Científicas - HC/ICHC
Instituto Central - HC/ICHC

Artigos e Materiais de Revistas Científicas - LIM/47
LIM/47 - Laboratório de Hepatologia por Vírus

Artigos e Materiais de Revistas Científicas - ODS/03
ODS/03 - Saúde e bem-estar


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