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Table 1 Baseline characteristics of the studies included in the meta-analysis

From: What is the impact of human leukocyte antigen mismatching on graft survival and mortality in renal transplantation? A meta-analysis of 23 cohort studies involving 486,608 recipients

Author, year

No. of recipients

Mean age, years

Male, %

Year data collection

Country of origin

Data Source

Type of risk (Adjustments)

Quality score

De Fijter, 2001 [20]

496

47.4

62.1

1983–1997

Netherlands

Single-center

Recipient and donor age and gender, CIT, PRA, initial immunosuppression, DGF, ARE, type of AR

8

Roodnat, 2003 [21]

1124

44.8

58.5

1981–2000

Netherlands

Single-center

Recipient and donor age, donor gender, CIT, donor Cr, transplantation year, donor type, number of previous transplants

8

Tekin, 2015 [22]

2633

47.7

40.4

2008–2013

Turkey

Single-center

Recipient and donor age and gender, donor follow-up Cr levels, time on dialysis, original disease, CIT, DGF, ARE, recipient serum Cr-levels, warm ischemia times

7

Mandal, 2003 [23]

31,909

NR

59.0

1995–1998

USA

Registry (USRDS)

Recipient and donor age, recipient gender and race, donor type, CIT, diabetic nephropathy

8

Arias, 2007 [24]

214

47.7

64.0

NR

Spain

Single-center

Recipient and donor age and gender, donor type, ARE, CMV, CIT, PRA, glomerulosclerosis, interstitial fibrosis, tubular atrophy, arteriosclerosis, arteriolar hyalinosis

8

Cho, 2016 [25]

229

63.2

63.6

1995–2014

Korea

Single-center

Recipient and donor age, donor type, recipient gender, ABO-incompatible, DGF, CMV, HBV, HCV, time on dialysis prior to transplantation

8

Gomez, 2013 [26]

487

38.0

63.2

1979–1997

Spain

Single-center

Recipient and donor age, donor gender, donor type, DGF, CIT, PRA, AR, time on dialysis, immunosuppression

8

Laging, 2012 [28]

1821

47.8

62.0

1990–2009

Netherlands

Single-center

Recipient and donor age, maximum PRA, current PRA, transplant year, donor gender, donor type, DGF, immunosuppression

8

Laging, 2014 [35]

1998

48.2

62.5

1990–2010

Netherlands

Single-center

Recipient and donor age, donor gender, donor type, PRA, transplant year, immunosuppression

8

Schnuelle, 1999 [30]

152

46.4

56.7

1989–1998

Germany

Single-center

Recipient and donor age, recipient gender, time on dialysis, original disease, PRA, dopamine, noradrenaline, head trauma, previous transplant, immunosuppression, Induction (ATG/OKT3)

8

Hariharan, 2002 [32]

105,742

NR

NR

1988–1998

USA

Registry (OPTN/UNOS)

Recipient and donor age and race, gender, DM, hypertensive nephropathy, pre-TX dialysis and transfusions, previous transplant, most recent PRA, DGF, donor type, 1-year AR, induction therapy, immunosuppression regiment

7

Massie, 2016 [19]

106,019

50.0

62.4

2005–2013

USA

Registry (SRTR)

Recipient and donor age, gender and race, PRA, transplant year, private insurance, HCV, eGFR, BMI, cigarette use, SBP, ABO-incompatible, unrelated to recipient, min(donor/recipient weight ratio,0.9)

8

Cho, 2012 [33]

39,332

52.0

51.2

2000–2008

USA

Registry (OPTN/UNOS)

Recipient and donor age, gender, race, CAD, CVD, DM, PVD, pulmonary, malignancy, CMV, DGF, rejection treatment

8

Croke, 2010 [27]

12,662

NR

NR

1985–2007

Australia/ New Zealand

Registry (ANZDATA)

Donor and recipient variables,transplant year,type of initial CNI

8

Connolly, 1996 [31]

516

NR

67.4

1989–1993

UK

Single-center

Recipient and donor age and gender, donor type, DGF, CIT, PRA, ARE, warm ischemia time,

8

Asderakis, 2001 [29]

788

42.1

67.8

1990–1995

UK

Single-center

Recipient and donor gender, donor age, DGF, CIT, ARE, immunosuppression

8

Opelz, 2007 [35]

135,970

NR

61.6

1985–2004

Germany

Registry (CTS)

Recipient and donor age, gender, and race, PRA, CIT, transplant year, time on dialysis, original disease, previous transplant, pre-transplant dialysis, recipient geographical origin, immunosuppression

8

Amatya, 2010 [36]

229

40.5

59.4

1997–2007

USA

Single-center

Recipient age, gender, and race, BMI, PRA, previous transplant, CIT, WIT

8

Zukowski, 2014 [40]

232

37.7

63.8

1997–1998

Poland

Multi-center

Univariate

6

Fellstrom, 2005 [41]

2102

51

65.2

1996–1997

Europe

Multi-center

Univariate

6

Summers 2010 [37]

9134

47

61.4

2000–2007

UK

Registry (UK transpalnt registry)

Recipient age, donor age, CIT

6

Van 1996 [39]

1289

32.8

60.9

1966–1994

Netherlands

Single-center

Recipient and donor age and gender, type of immnnosuppression, presensitisation, DM, and living or post-mortem donor

8

Lynch 2013 [38]

31,534

N/A

N/A

2000–2010

USA

Registry (SRTR)

Not reported

8

  1. ANZDATA Australia and New Zealand Dialysis and Transplant Registry, AR acute rejection, ARE acute rejection episode, ATG antithymocyte globulin, BMI body mass index, CAD coronary artery disease, CIT cold ischemic time, CMV cytomegalovirus, CNI calcineurin inhibitor, Cr creatinine, CTS Collaborative Transplant Study, CVD cardiovascular disease, DGF delayed graft function, DM diabetes mellitus, GFR glomerular filtration rate, HBV hepatitis B virus, HCV hepatitis C virus, NR not reported, OPTN the Organ Procurement and Transplantation Network, PRA panel reactive antibodies, pre-TX pre-transplant, PVD peripheral vascular disease, SBP systolic blood pressure, SRTR Scientific Registry for Transplant Recipient, UNOS United Network for Organ Sharing, USRDS United States Renal Data System, WIT warm ischemic time