A randomized controlled trial of cyclosporine withdrawal in renal-transplant recipients: 15-year results.

Author: , BerryGeoffrey, CraigJonathan, ErisJosette, GallagherMartin P, HallBruce, TillerDavid J

Paper Details 
Original Abstract of the Article :
BACKGROUND: In renal transplantation, the immunosuppressive efficacy of cyclosporine is counterbalanced by its nephrotoxicity. Although cyclosporine improves short-term graft survival, its long-term effects are unclear. METHODS: Recipients of first cadaver renal transplants were randomized into thr...See full text at original site
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引用元:
https://doi.org/10.1097/01.tp.0000144181.47045.fe

データ提供:米国国立医学図書館(NLM)

Cyclosporine in Renal Transplants: A Desert Oasis with Hidden Dangers

This research takes us to a desert oasis where the effectiveness of cyclosporine in renal transplantation is explored. The study, conducted between 1983 and 1986, randomized patients into three groups: azathioprine and prednisolone alone, long-term cyclosporine alone, and short-term cyclosporine followed by azathioprine and prednisolone. The researchers assessed patient survival, graft survival, and serum creatinine levels over a 15-year period. The findings revealed that short-term cyclosporine followed by azathioprine and prednisolone resulted in improved long-term graft survival and better renal function compared to long-term cyclosporine use alone. The study highlights the importance of minimizing long-term cyclosporine exposure to optimize transplant outcomes.

The Desert of Transplantation: Finding the Right Path to Success

This research underscores the complex balance between effectiveness and potential toxicity in immunosuppressive therapies. The study demonstrates that short-term cyclosporine use, followed by a switch to a different regimen, can lead to improved long-term graft survival and better renal function. The research emphasizes the importance of personalized treatment strategies, carefully adjusting immunosuppressive therapy to optimize outcomes and minimize potential complications.

Navigating the Desert of Transplantation: Managing Risks and Optimizing Outcomes

This research provides valuable insights into the management of renal transplantation, highlighting the importance of considering long-term immunosuppressive strategies. The study underscores the potential benefits of short-term cyclosporine use followed by a switch to alternative agents, potentially optimizing graft survival and minimizing the risk of cyclosporine-induced nephrotoxicity. This research empowers clinicians to make informed decisions regarding immunosuppressive therapy, ensuring the best possible outcomes for transplant recipients.

Dr. Camel's Conclusion

Cyclosporine can be a lifesaver in renal transplantation, but it's important to be aware of its potential long-term effects. This research emphasizes the importance of carefully managing cyclosporine use, potentially leading to better outcomes for transplant recipients. It's like navigating a desert oasis - beautiful and refreshing, but with hidden dangers lurking beneath the surface.

Date :
  1. Date Completed 2004-12-30
  2. Date Revised 2019-07-13
Further Info :

Pubmed ID

15591955

DOI: Digital Object Identifier

10.1097/01.tp.0000144181.47045.fe

SNS
PICO Info
in preparation
Languages

English

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