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January 5, 2017American Journal of Hypertension

Higher post-kidney transplantation ANGPTL2 levels were associated with a significantly increased risk of mortality (HR 3.9; 95% CI 1.07-14.4; P=0.039).

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Why the study?

Does kidney transplantation reduce ANGPTL2 levels, and are post-transplantation levels associated with aortic stiffness and mortality in patients with chronic kidney disease?

Population

75 patients undergoing kidney transplantation

Comparison

Kidney transplantation vs Pre-transplantation baseline

Design

Cohort

Follow-up

median 90 months

Key result

Higher post-kidney transplantation ANGPTL2 levels were associated with a significantly increased risk of mortality (HR 3.9; 95% CI 1.07-14.4; P=0.039).

Authors

MDMarie‐Pier DesjardinsNTNathalie Thorin‐TrescasesASAboubacar Sidibé

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Overview

May stratify post-transplant mortality risk; leaves open ANGPTL2 as a modifiable target in CKD.

Study Design

Type

Cohort (n=75)

Structured PICO

Does kidney transplantation reduce ANGPTL2 levels, and are post-transplantation levels associated with aortic stiffness and mortality in patients with chronic kidney disease?

P
Population
75 patients undergoing kidney transplantation, followed for a median of 90 months.
E
Exposure
Kidney transplantation
C
Comparator
Pre-transplantation baseline
O
Outcome
Serum ANGPTL2 levels at 3 months post-transplantation, aortic stiffness (carotid-femoral pulse wave velocity), and mortalitysurrogate

Main Result

Hazard Ratio: 3.9 (95% CI 1.07–14.4)

p-value: p=0.039

Kidney transplantation significantly reduces serum ANGPTL2 levels, and higher residual levels are associated with increased aortic stiffness and long-term mortality.

Cite This Study

Desjardins et al. (2017) conducted a cohort in Kidney transplantation (n=75). Higher post-KTx ANGPTL2 levels vs. Lower post-KTx ANGPTL2 levels was evaluated on Mortality (HR 3.9, 95% CI 1.07-14.4, p=0.039). Higher post-kidney transplantation ANGPTL2 levels were associated with a significantly increased risk of mortality (HR 3.9; 95% CI 1.07-14.4; P=0.039).

synapsesocial.com/papers/6a964bf376292a5bc0fba9c6https://doi.org/10.1093/ajh/hpw208
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