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January 1, 2023Saudi Journal of Kidney Diseases and TransplantationOpen Access

Improved Arterial Stiffness Indices 3 and 6 Months after Living-donor Renal Transplantation

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Key result

Living-donor renal transplantation significantly reduced the augmentation index from 21.53% pre-transplant to 16.19% at 6 months post-transplant (P<0.05).

Why the study?

Arterial stiffness is a non-traditional cardiovascular risk factor in chronic kidney disease, and successful renal transplantation may restore renal function and improve metabolic abnormalities involved in arterial stiffness.

Does living-donor renal transplantation improve arterial stiffness indices in patients with end-stage kidney disease?

Population

26 ESKD patients scheduled for living-donor renal transplantation

Comparison

Post-transplantation (3 and 6 months) vs pre-transplantation baseline

Design

Prospective study

Follow-up

6 months

Authors

BSBhanu Pratap SinghMaharishi University of Management and TechnologyVJVijoy Kumar JhaHospital BaseHKHarshit KhuranaIndian Air Force

Discussion

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Implication

AI reduction after living-donor RT may lower CV risk in ESKD; leaves open PWV effects and immunosuppression impact for prospective trials.

Study Design

Type

Cohort (n=26)

Structured PICO

Does living-donor renal transplantation improve arterial stiffness indices in patients with end-stage kidney disease?

P
Population
26 end-stage kidney disease patients (mean age 34.1 years) scheduled for living-donor renal transplantation, followed for 6 months post-transplant.
E
Exposure
Living-donor renal transplantation (RT)
C
Comparator
Pre-transplant baseline (within 1 week before transplantation)
O
Outcome
Arterial stiffness indices (augmentation index [AI] and pulse wave velocity [PWV]) at 3 and 6 months after transplantationsurrogate

Main Result

Absolute Event Rate: 16.19% vs 21.53%

p-value: p=<0.05

Successful living-donor renal transplantation significantly improves arterial stiffness (augmentation index) at 6 months, potentially reducing cardiovascular risk in ESKD patients.

Cite This Study

Singh et al. (2023) conducted a cohort in End-stage kidney disease (ESKD) (n=26). Living-donor renal transplantation vs. Pre-transplant baseline was evaluated on Augmentation index (AI) (p=<0.05). Living-donor renal transplantation significantly reduced the augmentation index from 21.53% pre-transplant to 16.19% at 6 months post-transplant (P<0.05).

synapsesocial.com/papers/6a85aca7159a1fb27a202e7dhttps://doi.org/10.4103/1319-2442.397199
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Reduction of Arterial Stiffness After Kidney Transplantation: A Systematic Review and Meta‐Analysis2017 · 27 citations
  2. 2Arterial stiffness and wave reflections in renal transplant recipients2007 · 46 citations
  3. 3Kidney transplantation improves arterial function measured by pulse wave analysis and endothelium-independent dilatation in uraemic patients despite deterioration of glucose metabolism2010 · 31 citations
  4. 4Impact of immunosuppressive therapy on arterial stiffness in kidney transplantation: are all treatments the same?2017 · 21 citations
  5. 5Successful renal transplantation decreases aortic stiffness and increases vascular reactivity in dialysis patients2003 · 107 citations