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Table 3 Meta-analysis for secondary outcomes

From: mTOR inhibitor versus mycophenolic acid as the primary immunosuppression regime combined with calcineurin inhibitor for kidney transplant recipients: a meta-analysis

Outcome

Trials (n)

Patients (n)

Type

RR (95 % CI)a

P-value

Heterogeneity

I2 %

P-value

New-onset diabetes mellitus

10

3550

Fixed

1.32 (1.07-1.62)

0.008

4

0.40

Urinary tract infection

7

2926

Fixed

1.00 (0.87-1.15)

0.96

15

0.32

CMV infection

11

4622

Random

0.40 (0.27-0.59)

<0.0001

56

0.01

Polyoma infection

2

975

Random

1.05 (0.03-40.89)

0.98

84

0.01

Hyperlipidemia

8

4233

Random

1.72 (1.35-2.20)

<0.0001

60

0.01

Anti-lipid therapy

8

2905

Random

1.35 (1.18-1.54)

<0.0001

72

0.0007

Thrombocytopenia

3

1774

Fixed

1.97 (1.19-3.35)

0.008

37

0.20

Leucopenia

7

3594

Random

0.43 (0.29-0.64)

<0.0001

59

0.02

Anemia

6

2734

Random

1.21 (0.88-1.68)

0.24

81

<0.0001

Proteinuria

7

2861

Fixed

1.79 (1.38-2.31)

<0.0001

0

0.73

Impaired wound healing

6

2374

Fixed

1.55 (0.97-2.47)

0.07

0

0.49

Lymphocele

7

3345

Fixed

1.80 (1.38-2.34)

<0.0001

0

0.71

Diarrhea

7

3729

Random

0.89 (0.64-1.25)

0.50

80

<0.0001

Peripheral edema

5

2752

Random

1.34 (1.08-1.68)

0.009

56

0.06

Malignancy

8

4250

Fixed

0.64 (0.45-0.91)

0.01

32

0.17

    

Weighted mean difference

   

Serum creatinine (μmol/L)

6

2427

Random

7.79 (−2.18 to 17.76)

0.13

51

0.07

Creatinine Clearance (mL/min)b

6

2177

Fixed

−2.41 (−4.55 to −0.26)

0.03

5

0.38

Total cholesterol (mg/dL)

6

1932

Random

33.02 (1.11 to 64.93)

0.04

98

<0.00001

Total triglyceride (mg/dL)

6

1932

Random

36.15 (23.65 to 48.64)

<0.00001

45

0.11

  1. aRR < 1 favor mTOR
  2. bCockcroft-Gault Formula