Continuous Monitoring of Transplant Center Performance: Different Options for Different Goals.

Abstract:

BACKGROUND:In France, the need for continuous monitoring of transplant center performance has recently become apparent. Cumulative sum (CUSUM) monitoring of transplantation is already been used to monitor transplant outcomes in the United Kingdom and in the United States. Because CUSUM monitoring can be applied by different methods, the objective was to assess and compare the performance of different CUSUM methods for detecting higher than expected (ie, excessive) graft failure rates. METHODS:Data come from the French transplant registry. Lung and kidney transplants in 2011-2013 constituted the control cohort, and those in 2014-2016 the observed cohort. The performance of CUSUM monitoring, according to center type and predefined control limits, was measured by simulation. The outcome monitored was 3-month graft failure. RESULTS:In a low-volume center with a low failure rate, 3 different types of control limits produced successful detection rates of excessive graft failures of 15%, 62%, and 73% and false alarm rates of 5%, 40%, and 52%, with 3, 1, and 1 excess failures necessary before a signal occurred. In a high-volume center with a high failure rate, successful detection rates were 83%, 93%, and 100% and false alarm rates were 5%, 16%, and 69%, with 6, 13, and 17 excess failures necessary before a signal occurred. CONCLUSIONS:CUSUM performances vary greatly depending on the type of control limit used. A new control limit set to maximize specificity and sensitivity of detection is an appropriate alternative to those commonly used. Continued attention is necessary for centers with characteristics making it difficult to obtain adequate sensitivity or sufficiently prompt response.

journal_name

Transplantation

journal_title

Transplantation

authors

Alexandrine B,Savoye E,Pessione F,Cantrelle C,Jasseron C,Santin G,Bastien O,Legeai C

doi

10.1097/TP.0000000000002591

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

1935-1944

issue

9

eissn

0041-1337

issn

1534-6080

journal_volume

103

pub_type

杂志文章
  • Outcomes of African American kidney transplant recipients treated with sirolimus, tacrolimus, and corticosteroids.

    abstract:BACKGROUND:African American kidney transplant recipients generally exhibit poor long-term graft survival compared with other ethnic groups. The combination of sirolimus, tacrolimus, and corticosteroids has proven to be effective in reducing rejection episodes in high-risk organ and islet cell transplant recipients but ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200207270-00008

    authors: Hricik DE,Anton HA,Knauss TC,Rodriguez V,Seaman D,Siegel C,Valente J,Schulak JA

    更新日期:2002-07-27 00:00:00

  • Technetium-99m sulfur colloid accumulation as a predictor of acute renal transplant rejection.

    abstract::Renal transplantation is the preferred treatment for end-stage renal disease in children. Most transplant failures are due to allograft rejection. To date, only histopathological findings on renal biopsy can establish this diagnosis. Prior to the availability of cyclosporine, technetium-99m sulfur colloid nuclear scan...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199212000-00005

    authors: Massengill SF,Pena DR,Drane WE,Fennell RS,Richard GA

    更新日期:1992-12-01 00:00:00

  • The role of resident accessory cells in corneal allograft rejection in the rabbit.

    abstract::Corneal grafts are more likely to be rejected when placed in a vascularized rather than in a normal host cornea. Using immunohistochemical techniques, normal rabbit cornea was found to contain measurable numbers of cells of hemopoietic origin, probably of either macrophage or dendritic lineage. After the deliberate in...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198612000-00017

    authors: Williams KA,Mann TS,Lewis M,Coster DJ

    更新日期:1986-12-01 00:00:00

  • Promoting Organ Donor Registries Through Public Education: What Is the Cost of Securing Organ Donors?

    abstract:BACKGROUND:Transplant medicine's impact on America's public health is seriously limited by acute shortage of transplantable organs. Consequently, the United Sates has witnessed considerable investment in the promotion of organ donor registries. Although there is no evidence to support that donor registry promotion alle...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000957

    authors: Razdan M,Smith KJ,Bryce CL,Degenholtz HB

    更新日期:2016-06-01 00:00:00

  • No evidence of association between NOD2/CARD15 gene polymorphism and atherosclerotic events after renal transplantation.

    abstract::Stable renal transplant recipients (RTR) display high rates of atherosclerotic events (AE). Innate immunity and especially vascular inflammation play a role in the pathogenesis of atherosclerosis. It is illustrated both by an increased occurrence of postrenal transplant cardiovascular events in patients with elevated ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000202846.17619.a4

    authors: Courivaud C,Ferrand C,Deschamps M,Tiberghien P,Chalopin JM,Duperrier A,Saas P,Ducloux D

    更新日期:2006-04-27 00:00:00

  • Early TLR4 Blockade Attenuates Sterile Inflammation-mediated Stress in Islets During Isolation and Promotes Successful Transplant Outcomes.

    abstract:BACKGROUND:During the isolation process, pancreatic islets are exposed to an environment of sterile inflammation resulting in an upregulated inflammatory state before transplantation. Toll-like receptor 4 (TLR4) has been identified as a major mediator of sterile inflammation. Therefore, we sought to determine whether e...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002287

    authors: Chang CA,Murphy K,Kane RR,Lawrence MC,Naziruddin B

    更新日期:2018-09-01 00:00:00

  • Efficacy and safety of adefovir dipivoxil in kidney recipients, hemodialysis patients, and patients with renal insufficiency.

    abstract:BACKGROUND:This study analyzes the biochemical, serological, and virological efficacy and the safety of adefovir dipivoxil in patients with renal disturbances. METHODS:Twelve patients with lamivudine-resistant hepatitis B virus (HBV) chronic infection were treated for a median time of 15 (3-19) months. The daily dosag...

    journal_title:Transplantation

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.tp.0000178305.39231.a2

    authors: Fontaine H,Vallet-Pichard A,Chaix ML,Currie G,Serpaggi J,Verkarre V,Varaut A,Morales E,Nalpas B,Brosgart C,Pol S

    更新日期:2005-10-27 00:00:00

  • Conversion from twice-daily tacrolimus capsules to once-daily extended-release tacrolimus (LCPT): a phase 2 trial of stable renal transplant recipients.

    abstract:BACKGROUND:LCP-Tacro is an extended-release formulation of tacrolimus designed for once-daily dosing. Phase 1 studies demonstrated greater bioavailability to twice-daily tacrolimus capsules and no new safety concerns. METHODS:In this phase 2 study, adult stable kidney transplant patients on tacrolimus capsules (Progra...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/TP.0b013e3182962cc1

    authors: Gaber AO,Alloway RR,Bodziak K,Kaplan B,Bunnapradist S

    更新日期:2013-07-27 00:00:00

  • Rituximab, IVIG, and plasma exchange without graft local infusion treatment: a new protocol in ABO incompatible living donor liver transplantation.

    abstract:BACKGROUND:Although graft local infusion (GLI) treatment via the portal vein or the hepatic artery has been the pivotal strategy in ABO incompatible (ABOi) living donor liver transplantation (LDLT) in Japan, the procedure is associated with a high rate of catheter-associated complications. METHODS:A new ABOi-LDLT prot...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181adcae6

    authors: Ikegami T,Taketomi A,Soejima Y,Yoshizumi T,Uchiyama H,Harada N,Iguchi T,Hashimoto N,Maehara Y

    更新日期:2009-08-15 00:00:00

  • Peripheral blood gene expression analysis in intestinal transplantation: a feasibility study for detecting novel candidate biomarkers of graft rejection.

    abstract:INTRODUCTION:We investigated the putative candidate biomarkers of graft rejection in peripheral blood of intestinal transplant patients. MATERIALS AND METHODS:Peripheral blood gene expression analysis was performed in intestinal transplant patients. The results were matched with concurrent graft biopsies using bioinfo...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3182370db1

    authors: Andreev VP,Tryphonopoulos P,Blomberg BB,Tsinoremas N,Weppler D,Neuman DR,Volsky A,Nishida S,Tekin A,Selvaggi G,Levi DM,Tzakis AG,Ruiz P

    更新日期:2011-12-27 00:00:00

  • External Validation of the DynPG for Kidney Transplant Recipients.

    abstract:BACKGROUND:In kidney transplantation, dynamic prediction of patient and kidney graft survival (DynPG) may help to promote therapeutic alliance by delivering personalized evidence-based information about long-term graft survival for kidney transplant recipients. The objective of the current study is to externally valida...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000003209

    authors: Lenain R,Dantan E,Giral M,Foucher Y,Asar Ö,Naesens M,Hazzan M,Fournier MC

    更新日期:2021-02-01 00:00:00

  • Use of alemtuzumab and tacrolimus monotherapy for cadaveric liver transplantation: with particular reference to hepatitis C virus.

    abstract::We have proposed that the mechanisms of alloengraftment and variable acquired tolerance can be facilitated by minimum posttransplant immunosuppression. It was further suggested that the efficacy of minimalistic treatment could be enhanced by preoperative recipient conditioning with an antilymphoid antibody preparation...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000142674.78268.01

    authors: Marcos A,Eghtesad B,Fung JJ,Fontes P,Patel K,Devera M,Marsh W,Gayowski T,Demetris AJ,Gray EA,Flynn B,Zeevi A,Murase N,Starzl TE

    更新日期:2004-10-15 00:00:00

  • VEGF-A and -C but not -B mediate increased vascular permeability in preserved lung grafts.

    abstract:BACKGROUND:Vascular endothelial growth factor (VEGF) is a potent endothelial cell growth and permeability factor, expressed in the lung. Overexpression of VEGF is associated with increased vascular permeability in the early stage of acute lung injury in mice. The role of various forms of VEGF in transplantation-induced...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200206150-00003

    authors: Abraham D,Taghavi S,Riml P,Paulus P,Hofmann M,Baumann C,Kocher A,Klepetko W,Aharinejad S

    更新日期:2002-06-15 00:00:00

  • The experience of pregnancy after renal transplantation: pregnancies even within postoperative 1 year may be tolerable.

    abstract:BACKGROUND:To identify factors related with successful pregnancy in renal transplant recipients and the effect of pregnancy on long-term graft outcome. METHODS:The study group consisted of 48 women who conceived after undergoing renal transplantation (total pregnancies 74). The control group consisted of 187 nonpregna...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318170f8ed

    authors: Kim HW,Seok HJ,Kim TH,Han DJ,Yang WS,Park SK

    更新日期:2008-05-27 00:00:00

  • Steroid-free immunosuppression in pediatric renal transplantation: rationale for and [corrected] outcomes following conversion to steroid based therapy.

    abstract:BACKGROUND:Short-term outcomes using steroid-free immunosuppression after renal transplantation have been promising. No studies have examined the incidence of and reasons for steroid-avoidance protocol failures. METHODS:We present a single-center analysis of steroid-free immunosuppression failures among 129 pediatric ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e3181a5df60

    authors: Sutherland S,Li L,Concepcion W,Salvatierra O,Sarwal MM

    更新日期:2009-06-15 00:00:00

  • "Natural" human leukocyte antigen antibodies found in nonalloimmunized healthy males.

    abstract:BACKGROUND:Human leukocyte antigen (HLA) antibodies were normally not found in subjects who have not been immunized by pregnancies, transfusions, or transplants. But with new methodology, we now see that HLA antibodies are often found in nonalloimmunized males. METHODS:The sera of 424 healthy male donors were tested w...

    journal_title:Transplantation

    pub_type: 杂志文章,多中心研究

    doi:10.1097/TP.0b013e318186d87b

    authors: Morales-Buenrostro LE,Terasaki PI,Marino-Vázquez LA,Lee JH,El-Awar N,Alberú J

    更新日期:2008-10-27 00:00:00

  • Fine-needle aspiration biopsy in the monitoring of liver allografts. Different cellular findings during rejection and cytomegalovirus infection.

    abstract::Fine-needle aspiration biopsies were used for clinical monitoring of liver allografts; 21 patients with an inflammatory episode of acute rejection (12.0 +/- 3.3 CIU at the peak) were studied; all episodes were reversible. The inflammatory infiltrate consisted mainly of lymphoid cells, including lymphoid blasts, with i...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199011000-00011

    authors: Lautenschlager I,Höckerstedt K,Salmela K,Isoniemi H,Holmberg C,Jalanko H,Häyry P

    更新日期:1990-11-01 00:00:00

  • Preemptive living donor kidney transplantation: do the benefits extend to all recipients?

    abstract:BACKGROUND:Preemptive kidney transplantation (prior to the institution of dialysis) avoids the morbidity and mortality of dialysis; however, detailed studies of high-risk patients are lacking. The aim of the current study was to compare recent outcomes of preemptive (P) versus nonpreemptive (NP) living donor kidney tra...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000250555.46539.65

    authors: Innocenti GR,Wadei HM,Prieto M,Dean PG,Ramos EJ,Textor S,Khamash H,Larson TS,Cosio F,Kosberg K,Fix L,Bauer C,Stegall MD

    更新日期:2007-01-27 00:00:00

  • Membranoproliferative glomerulonephritis type I in renal transplantation patients: a single-center study of a cohort of 68 renal transplants followed up for 11 years.

    abstract:BACKGROUND:To evaluate the long-term outcome of renal transplant patients with membranoproliferative glomerulonephritis (MPGN) type I and the impact of recurrence. METHODS:The outcomes of 68 renal transplants performed between 1976 and 2009 in 63 patients with MPGN were compared with those of 136 controls matched for ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318218e94e

    authors: Moroni G,Casati C,Quaglini S,Gallelli B,Banfi G,Montagnino G,Messa P

    更新日期:2011-06-15 00:00:00

  • Detection of Complement-binding Donor-specific Antibodies, Not IgG-antibody Strength Nor C4d Status, at Antibody-mediated Rejection Diagnosis Is an Independent Predictor of Kidney Graft Failure.

    abstract:BACKGROUND:Antibody-mediated rejection (AMR) remains associated with reduced kidney graft survival and no clear prognostic marker is available. METHODS:We investigated whether donor-specific antibodies (DSA) ability to bind C1q in comparison with AMR C4d status, both indirect signs of complement activation, improve ri...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002265

    authors: Malheiro J,Santos S,Tafulo S,Dias L,Martins S,Fonseca I,Almeida M,Pedroso S,Beirão I,Castro-Henriques A,Cabrita A

    更新日期:2018-11-01 00:00:00

  • Long-term Renal Function in Living Kidney Donors Who Had Histological Abnormalities at Donation.

    abstract:BACKGROUND:Recent evidence suggests that living kidney donors are at an increased risk of end-stage renal disease. However, predicting which donors will have renal dysfunction remains challenging, particularly among those with no clinical evidence of disease at the time of donation. Although renal biopsies are not rout...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001236

    authors: Fahmy LM,Massie AB,Muzaale AD,Bagnasco SM,Orandi BJ,Alejo JL,Boyarsky BJ,Anjum SK,Montgomery RA,Dagher NN,Segev DL

    更新日期:2016-06-01 00:00:00

  • Efficacy of anticoagulation therapy in end-stage renal disease patients with antiphospholipid antibody syndrome.

    abstract:BACKGROUND:End-stage renal disease (ESRD) patients with antiphospholipid antibody syndrome (APAS) remain at high risk for the development of renal thrombosis without the benefit of anticoagulation therapy. This study examines the efficacy of anticoagulation therapy in this high-risk patient population. METHOD:Of nine ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000119157.81765.46

    authors: Vaidya S,Gugliuzza K,Daller JA

    更新日期:2004-04-15 00:00:00

  • Risk-stratified screening for ischemic heart disease in kidney transplant candidates.

    abstract:BACKGROUND:Few studies have examined the effectiveness of a risk-stratified approach to screening kidney transplantation candidates for ischemic heart disease (IHD). METHODS:We retrospectively reviewed records from all adult patients (n = 514) placed on the deceased donor kidney transplantation waiting list at a singl...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000173652.87417.ca

    authors: Kasiske BL,Malik MA,Herzog CA

    更新日期:2005-09-27 00:00:00

  • Perfusion of kidneys with unformulated "naked" intercellular adhesion molecule-1 antisense oligodeoxynucleotides prevents ischemic/reperfusion injury.

    abstract:BACKGROUND:We have previously shown that phosphorothioate intercellular adhesion molecule (ICAM)-1 antisense oligodeoxynucleotide (oligo) IP-9125 blocks the expression of rat ICAM-1 mRNA in rat L2 cells. A single ex situ perfusion of grafts with unformulated IP-9125, suspended in Euro-Collins solution, prolonged the su...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199909270-00022

    authors: Chen W,Bennett CF,Wang ME,Dragun D,Tian L,Stecker K,Clark JH,Kahan BD,Stepkowski SM

    更新日期:1999-09-27 00:00:00

  • Pyruvate inhibits hepatic ischemia-reperfusion injury in rats.

    abstract:BACKGROUND:Ischemia/reperfusion (I/R) injury is a limiting factor in liver transplantation. We have recently shown that pyruvate (PY) inhibits intestinal and renal I/R injury. This study aims to evaluate the protective effect of PY on hepatic I/R injury. METHODS:ACI rats were treated with PY, whereas control animals r...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200107150-00008

    authors: Sileri P,Schena S,Morini S,Rastellini C,Pham S,Benedetti E,Cicalese L

    更新日期:2001-07-15 00:00:00

  • Renal transplantation from elderly living donors.

    abstract::A worldwide shortage of cadaveric donors has led to the increased utilization of elderly living donors, with controversial results. In an attempt to assess the effect of donor age on graft survival and subsequent renal function, we analyzed our clinical results in 276 consecutive recipients of living related renal tra...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199102000-00005

    authors: Sumrani N,Delaney V,Ding ZK,Davis R,Daskalakis P,Tejani A,Butt K,Hong J

    更新日期:1991-02-01 00:00:00

  • Decrease in 1-year Kidney Graft Size Predicts Inferior Outcomes After Deceased Donor Kidney Transplantation.

    abstract:BACKGROUND:Longest bipolar length of the kidney graft is routinely measured for ultrasonographic assessment of graft size (GS), although the value of the graft length remains unclear. METHODS:In a single-center, observational study involving 319 deceased-donor kidney transplant recipients, we assessed variations in ab...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000977

    authors: Černe S,Arnol M,Kandus A,Buturović-Ponikvar J

    更新日期:2016-08-01 00:00:00

  • A nondirected kidney donation and its consequences: personal experience of a transplant surgeon.

    abstract::Until 1996, living kidney donation had been neglected in Germany. To encourage potential donors and to convince them that nephrectomy is not too risky for a healthy person, the author decided to set an example with a personal nondirected donation. This donation, controversially discussed in the public domain, neverthe...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.TP.0000087834.02707.5B

    authors: Hoyer J

    更新日期:2003-10-27 00:00:00

  • Neighborhood Poverty and Sex Differences in Live Donor Kidney Transplant Outcomes in the United States.

    abstract:BACKGROUND:Neighborhood poverty has been associated with worse outcomes after live donor kidney transplantation (LDKT), and prior work suggests that women with kidney disease may be more susceptible to the negative influence of poverty than men. As such, our goal was to examine whether poverty differentially affects wo...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000002654

    authors: Purnell TS,Luo X,Crews DC,Bae S,Ruck JM,Cooper LA,Grams ME,Henderson ML,Waldram MM,Johnson M,Segev DL

    更新日期:2019-10-01 00:00:00

  • Infection with human herpesvirus 8 and transplant-associated gammopathy.

    abstract:BACKGROUND:The role of human herpesvirus (HHV)-8 in the pathogenesis of multiple myeloma and its pre-malignant state of monoclonal gammopathy is unclear. HHV-8 is transmitted by organ transplantation, representing a unique model with which to investigate primary HHV-8 infection. METHODS:The authors studied the inciden...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000129065.31427.96

    authors: Regamey N,Hess V,Passweg J,Hess C,Steiger J,Erb P,Cathomas G,Tamm M

    更新日期:2004-05-27 00:00:00