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June 13, 2014Clinical Transplantation

Assessment of endothelial dysfunction in Asian Indian patients with chronic kidney disease and changes following renal transplantation

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Key result

Chronic kidney disease was associated with significantly lower flow-mediated dilatation compared to controls (9.1% vs 18.3%, p<0.001), which improved to 15.7% three months after renal transplantation.

Why the study?

Does renal transplantation improve endothelial dysfunction in patients with chronic kidney disease?

Population

108 Asian Indian patients with chronic kidney disease, 60 of whom underwent renal transplantation, and…

Comparison

Renal transplantation vs Healthy controls and pre-transplantation state

Design

Cohort

Follow-up

3 months

Authors

JSJugal SharmaAKAditya KapoorRMRanjanee Muthu

Discussion

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Member takes

Overview

Endothelial dysfunction assessment may refine CV risk stratification in CKD; leaves open whether transplantation restores function.

Study Design

Type

Observational (n=108)

Structured PICO

Does renal transplantation improve endothelial dysfunction in patients with chronic kidney disease?

P
Population
108 Asian Indian patients with chronic kidney disease, 60 of whom were evaluated three months following renal transplantation.
E
Exposure
Renal transplantation
C
Comparator
Healthy controls (for baseline comparison) and pre-transplantation state (for longitudinal comparison)
O
Outcome
Endothelial function assessed by endothelium-dependent flow-mediated dilatation (FMD) and endothelium-independent nitroglycerine-mediated dilatation (NMD)surrogate

Main Result

Absolute Event Rate: 9.1% vs 18.3%

p-value: p=<0.001

Renal transplantation significantly improves endothelium-dependent vasodilation in patients with chronic kidney disease within three months.

Cite This Study

Sharma et al. (2014) conducted an observational in Chronic kidney disease (n=108). Chronic kidney disease vs. Healthy controls was evaluated on Flow-mediated dilatation (FMD) (p=<0.001). Chronic kidney disease was associated with significantly lower flow-mediated dilatation compared to controls (9.1% vs 18.3%, p<0.001), which improved to 15.7% three months after renal transplantation.

synapsesocial.com/papers/6a61eeafc72d59d08cf542f2https://doi.org/10.1111/ctr.12398
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Also Consider

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  3. 3Nitric Oxide Production Is Reduced in Patients With Chronic Renal Failure1999 · 218 citations
  4. 41,25-Dihydroxyvitamin D3 is a negative endocrine regulator of the renin-angiotensin system2002 · 1,832 citations
  5. 5Endothelial dysfunction: a multifaceted disorder (The Wiggers Award Lecture)2006 · 814 citations