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Glomerulonephritis (GN) is the leading cause of end-stage renal disease in 30% to 50% of patients who receive a renal transplant. The exact prevalence of either recurrent or de novo GN is unknown since a considerable number of patients never undergo allograft biopsy, leaving GN underdiagnosed. The aim of this study is to evaluate the effects of recurrent GN on the prevalence, risk factors, clinicopathological features, and outcome of renal transplant recipients.
Glomerulonephritis is the leading cause of end-stage renal disease in 30% to 50% of patients who receive a renal transplant. Even though recurrent or de novo posttransplant primary GN is the third most frequent cause of renal allograft loss after renal transplantation, different recurrence rates have been reported in different patient series worldwide. With the implementation of diverse and improved immunosuppressive treatment regimens and prolongation of graft survival, renal allograft loss caused by recurrent or de novo GN will be more important than ever. Data obtained from comparing patients who have recurrent primary GN against patients with non-recurrent GN and renal transplant recipients with non-GN etiology shall bring new approaches to the daily practice of managing patients with GN and renal failure, assessing them as transplant candidates and applying new therapies.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Recurrent GN | Renal transplant recipients with biopsy-confirmed recurrent primary glomerulonephritis. | ||
| Non-recurrent GN | Renal transplant recipients with non-recurrent primary glomerulonephritis. | ||
| Non-GN | Renal transplant recipients with etiologies other than primary glomerulonephritis. |
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| Measure | Description | Time Frame |
|---|---|---|
| Allograft survival | 1 - 5 years |
| Measure | Description | Time Frame |
|---|---|---|
| Allograft rejection | 1 - 5 years |
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Inclusion Criteria:
Exclusion Criteria:
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Renal transplant recipients
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| Name | Affiliation | Role |
|---|---|---|
| Yasar Caliskan, MD | Division of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Division of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine | Istanbul | 34093 | Turkey (Türkiye) | |||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 12110738 | Background | Briganti EM, Russ GR, McNeil JJ, Atkins RC, Chadban SJ. Risk of renal allograft loss from recurrent glomerulonephritis. N Engl J Med. 2002 Jul 11;347(2):103-9. doi: 10.1056/NEJMoa013036. |
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| ID | Term |
|---|---|
| D005921 | Glomerulonephritis |
| ID | Term |
|---|---|
| D009393 | Nephritis |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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| Division of Nephrology, Department of Internal Medicine, Cerrahpasa Faculty of Medicine |
| Istanbul |
| Turkey (Türkiye) |
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |