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Predictive value of flow cytometry crossmatch to oneyear graft loss following kidney transplantation
- WEN Rong-zhu,Paul Keown,Vivian Wu,LIU Gang,L XUE-ai,SONG Chun-yan,GUAN Guang-ju
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JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES). 2006, 44(6):
602-605.
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Abstract
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Objective: Flow cytometry crossmatch (FCXM) has been extensively used in kidney transplantation, but there is no agreement regarding its predictive value for oneyear graft loss following kidney transplantation. The aim of the study was to explore the relationship between FCXM and oneyear graft loss following kidney backward stepwise method. Results: Graft loss occurred in 30 subjects during the followup, and 23 graft losses happened in the first year following kidney transplantation. χ2 test showed that there was no statistical difference regarding oneyear graft loss between FCXM positive and negative groups. Logistic regression showed that the significant predictors for oneyear graft loss were delayed graft function (OR=8.00, P=0.001?4), cadaver donor (OR=9.30, P=0.001?7) and vascular rejection (OR=5.05, P=0.021?9). FCXM was not a significant predictor with an odds ratio of 1.60 (P=0.534?6). Conclusion: FCXM has no predictive value for oneyear graft loss following kidney transplantation.transplantation. Methods: χ2 test was used to compare oneyear graft loss rate between FCXM positive and negative groups. Logistic model was built to measure the association between flow cytometry crossmatch and oneyear graft loss, and model variables included early acute rejection, vascular rejection, delayed graft function, positive FCXM, panel reactive antibody, HLAA, B mismatch number, HLADR mismatch number, donor resource, transplantation history, cold ischemic time, donor and recipient age and immunosuppression medication. The final model was determined by th