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Table 2 Remission after treatment with plasma exchange for recurrent post-transplant FSGS: a descriptive comparison using all available data

From: The role of plasma exchange in treating post-transplant focal segmental glomerulosclerosis: A systematic review and meta-analysis of 77 case-reports and case-series

 

Remission

 

Yesa

No

Pre-treatment characteristics

  

Age at time of treatment (years), median (IQR)

17 (13,32)

17 (11,38)

  < 18 years, n (%)

89 (50.6 %)

30 (50.8 %)

Male, n (%)

106 (65.8 %)

20 (39.2 %)

Pre-treatment proteinuria (g/day), median (IQR)

7 (5,12)

9 (6,15)

Biopsy conducted at time of recurrence, n (%)

157 (77.3 %)

54 (85.7 %)

Time to recurrence (days), median (IQR)

3 (1,14)

7 (1,60)

Kidney transplant type, n (%)

  

Living donor transplant

47 (35.1 %)

15 (36.6 %)

Deceased donor transplant

87 (64.9 %)

26 (63.4 %)

Treatment characteristics

  

Time from recurrence to start of plasma exchange (days), median (IQR)

1 (0,2)

1 (0,7)

Delayed treatment start, n (%)

  

 More than two weeks

15 (9.0 %)

13 (20.6 %)

 More than one month

10 (6.0 %)

12 (19.1 %)

Total number of plasma exchange sessions, median (IQR)

12 (10,20)

12 (9,20)

Received rituximab

27 (8.9 %)

14 (14.0 %)

Received steroids

250 (99.2 %)

86 (98.9 %)

Post-treatment outcomes

  

eGFR at follow up (ml/min/1.73 m2), median (IQR)

60 (37,84)

15 (15,40)

Proteinuria at follow-up (g/day), median (IQR)

0.1 (0,0.5)

4 (1,6)

End-stage renal disease (ESRD), n (%)

31 (10.7 %)

52 (57.1 %)

Time to ESRD after transplant (years), median (IQR)

1.4 (0.3,2.0)

0.8 (0.3,2.0)

  1. Abbreviations: eGFR estimated glomerular filtration rate, ESRD end-stage renal disease, IQR inter-quartile range (25th percentile, 75th percentile)
  2. aComplete or partial remission: Full remission was defined as proteinuria <0.5 g/day; partial remission was defined as proteinuria between 0.5 and 3.5 g/day. If protein data were not reported in the primary study, but the patient was reported as having achieved remission, we coded the patient as a partial remission