CovidStanfordV1, Main, Exploration, bibRecord, 000748

COVID-19 and kidney transplantation: Results from the TANGO International Transplant Consortium.

Identifieur interne : 000748 ( Main/Exploration ); précédent : 000747; suivant : 000749

COVID-19 and kidney transplantation: Results from the TANGO International Transplant Consortium.

Auteurs : Paolo Cravedi [États-Unis] ; Suraj S. Mothi [États-Unis] ; Yorg Azzi [États-Unis] ; Meredith Haverly [États-Unis] ; Samira S. Farouk [États-Unis] ; María J. Pérez-Sáez [Espagne] ; Maria D. Redondo-Pach N [Espagne] ; Barbara Murphy [États-Unis] ; Sander Florman [États-Unis] ; Laura G. Cyrino [États-Unis] ; Monica Grafals [États-Unis] ; Sandheep Venkataraman [États-Unis] ; Xingxing S. Cheng [États-Unis] ; Aileen X. Wang [États-Unis] ; Gianluigi Zaza [Italie] ; Andrea Ranghino [Italie] ; Lucrezia Furian [Italie] ; Joaquin Manrique [Espagne] ; Umberto Maggiore [Italie] ; Ilaria Gandolfini [Italie] ; Nikhil Agrawal [États-Unis] ; Het Patel [États-Unis] ; Enver Akalin [États-Unis] ; Leonardo V. Riella [États-Unis]

Source :

American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons [ 1600-6143 ] ; 2020.

RBID : pubmed:32649791

Descripteurs français

KwdFr :
- Adulte d'âge moyen (MeSH), Amérique du Nord (épidémiologie), Comorbidité (MeSH), Europe (épidémiologie), Femelle (MeSH), Humains (MeSH), Immunosuppresseurs (usage thérapeutique), Immunosuppression thérapeutique (méthodes), Mâle (MeSH), Pandémies (MeSH), Receveurs de transplantation (MeSH), Rejet du greffon (prévention et contrôle), Rejet du greffon (épidémiologie), Sujet immunodéprimé (MeSH), Sujet âgé (MeSH), Transplantation rénale (statistiques et données numériques), Études de suivi (MeSH), Études rétrospectives (MeSH).
MESH :
- méthodes : Immunosuppression thérapeutique.
- prévention et contrôle : Rejet du greffon.
- statistiques et données numériques : Transplantation rénale.
- usage thérapeutique : Immunosuppresseurs.
- épidémiologie : Amérique du Nord, Europe, Rejet du greffon.
- Adulte d'âge moyen, Comorbidité, Femelle, Humains, Mâle, Pandémies, Receveurs de transplantation, Sujet immunodéprimé, Sujet âgé, Études de suivi, Études rétrospectives.

English descriptors

KwdEn :
- Aged (MeSH), COVID-19 (epidemiology), Comorbidity (MeSH), Europe (epidemiology), Female (MeSH), Follow-Up Studies (MeSH), Graft Rejection (epidemiology), Graft Rejection (prevention & control), Humans (MeSH), Immunocompromised Host (MeSH), Immunosuppression (methods), Immunosuppressive Agents (therapeutic use), Kidney Transplantation (statistics & numerical data), Male (MeSH), Middle Aged (MeSH), North America (epidemiology), Pandemics (MeSH), Retrospective Studies (MeSH), SARS-CoV-2 (MeSH), Transplant Recipients (MeSH).
MESH :
- chemical , therapeutic use : Immunosuppressive Agents.
- geographic , epidemiology : Europe, North America.
- epidemiology : COVID-19, Graft Rejection.
- methods : Immunosuppression.
- prevention & control : Graft Rejection.
- statistics & numerical data : Kidney Transplantation.
- Aged, Comorbidity, Female, Follow-Up Studies, Humans, Immunocompromised Host, Male, Middle Aged, Pandemics, Retrospective Studies, SARS-CoV-2, Transplant Recipients.

Abstract

Kidney transplant recipients may be at a high risk of developing critical coronavirus disease 2019 (COVID-19) illness due to chronic immunosuppression and comorbidities. We identified hospitalized adult kidney transplant recipients at 12 transplant centers in the United States, Italy, and Spain who tested positive for COVID-19. Clinical presentation, laboratory values, immunosuppression, and treatment strategies were reviewed, and predictors of poor clinical outcomes were determined through multivariable analyses. Among 9845 kidney transplant recipients across centers, 144 were hospitalized due to COVID-19 during the 9-week study period. Of the 144 patients, 66% were male with a mean age of 60 (±12) years, and 40% were Hispanic and 25% were African American. Prevalent comorbidities included hypertension (95%), diabetes (52%), obesity (49%), and heart (28%) and lung (19%) disease. Therapeutic management included antimetabolite withdrawal (68%), calcineurin inhibitor withdrawal (23%), hydroxychloroquine (71%), antibiotics (74%), tocilizumab (13%), and antivirals (14%). During a median follow-up period of 52 days (IQR: 16-66 days), acute kidney injury occurred in 52% cases, with respiratory failure requiring intubation in 29%, and the mortality rate was 32%. The 46 patients who died were older, had lower lymphocyte counts and estimated glomerular filtration rate levels, and had higher serum lactate dehydrogenase, procalcitonin, and interleukin-6 levels. In sum, hospitalized kidney transplant recipients with COVID-19 have higher rates of acute kidney injury and mortality.

DOI: 10.1111/ajt.16185
PubMed: 32649791
PubMed Central: PMC7405285

Affiliations:

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Le document en format XML

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<author><name sortKey="Florman, Sander" sort="Florman, Sander" uniqKey="Florman S" first="Sander" last="Florman">Sander Florman</name>
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<author><name sortKey="Cyrino, Laura G" sort="Cyrino, Laura G" uniqKey="Cyrino L" first="Laura G" last="Cyrino">Laura G. Cyrino</name>
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<author><name sortKey="Grafals, Monica" sort="Grafals, Monica" uniqKey="Grafals M" first="Monica" last="Grafals">Monica Grafals</name>
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<author><name sortKey="Cheng, Xingxing S" sort="Cheng, Xingxing S" uniqKey="Cheng X" first="Xingxing S" last="Cheng">Xingxing S. Cheng</name>
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<author><name sortKey="Wang, Aileen X" sort="Wang, Aileen X" uniqKey="Wang A" first="Aileen X" last="Wang">Aileen X. Wang</name>
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<author><name sortKey="Zaza, Gianluigi" sort="Zaza, Gianluigi" uniqKey="Zaza G" first="Gianluigi" last="Zaza">Gianluigi Zaza</name>
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<author><name sortKey="Ranghino, Andrea" sort="Ranghino, Andrea" uniqKey="Ranghino A" first="Andrea" last="Ranghino">Andrea Ranghino</name>
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<author><name sortKey="Furian, Lucrezia" sort="Furian, Lucrezia" uniqKey="Furian L" first="Lucrezia" last="Furian">Lucrezia Furian</name>
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<country xml:lang="fr">Italie</country>
<wicri:regionArea>Kidney and Pancreas Transplantation Unit, Department of Surgical, Oncological and Gastroenterological Sciences, University of Padova, Padova</wicri:regionArea>
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<author><name sortKey="Manrique, Joaquin" sort="Manrique, Joaquin" uniqKey="Manrique J" first="Joaquin" last="Manrique">Joaquin Manrique</name>
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<author><name sortKey="Maggiore, Umberto" sort="Maggiore, Umberto" uniqKey="Maggiore U" first="Umberto" last="Maggiore">Umberto Maggiore</name>
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<country xml:lang="fr">Italie</country>
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<author><name sortKey="Gandolfini, Ilaria" sort="Gandolfini, Ilaria" uniqKey="Gandolfini I" first="Ilaria" last="Gandolfini">Ilaria Gandolfini</name>
<affiliation wicri:level="1"><nlm:affiliation>Dipartimento di Medicina e Chirurgia, Università di Parma, UO Nefrologia, Azienda Ospedaliera-Universitaria Parma, Parma, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
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<author><name sortKey="Agrawal, Nikhil" sort="Agrawal, Nikhil" uniqKey="Agrawal N" first="Nikhil" last="Agrawal">Nikhil Agrawal</name>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Nephrology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts</wicri:regionArea>
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<author><name sortKey="Patel, Het" sort="Patel, Het" uniqKey="Patel H" first="Het" last="Patel">Het Patel</name>
<affiliation wicri:level="2"><nlm:affiliation>Division of Nephrology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Nephrology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
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<author><name sortKey="Akalin, Enver" sort="Akalin, Enver" uniqKey="Akalin E" first="Enver" last="Akalin">Enver Akalin</name>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Nephrology, Montefiore Medical Center Transplant Center, Albert Einstein College of Medicine, Bronx, New York</wicri:regionArea>
<placeName><region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Riella, Leonardo V" sort="Riella, Leonardo V" uniqKey="Riella L" first="Leonardo V" last="Riella">Leonardo V. Riella</name>
<affiliation wicri:level="2"><nlm:affiliation>Division of Nephrology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Nephrology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
<affiliation wicri:level="2"><nlm:affiliation>Center for Transplantation Sciences, Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Center for Transplantation Sciences, Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">COVID-19 and kidney transplantation: Results from the TANGO International Transplant Consortium.</title>
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<author><name sortKey="Azzi, Yorg" sort="Azzi, Yorg" uniqKey="Azzi Y" first="Yorg" last="Azzi">Yorg Azzi</name>
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<country xml:lang="fr">États-Unis</country>
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<author><name sortKey="Haverly, Meredith" sort="Haverly, Meredith" uniqKey="Haverly M" first="Meredith" last="Haverly">Meredith Haverly</name>
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<author><name sortKey="Farouk, Samira S" sort="Farouk, Samira S" uniqKey="Farouk S" first="Samira S" last="Farouk">Samira S. Farouk</name>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Recanati-Miller Transplantation Institute, Mount Sinai Hospital, New York, New York</wicri:regionArea>
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<author><name sortKey="Perez Saez, Maria J" sort="Perez Saez, Maria J" uniqKey="Perez Saez M" first="María J" last="Pérez-Sáez">María J. Pérez-Sáez</name>
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<country xml:lang="fr">Espagne</country>
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<author><name sortKey="Redondo Pach N, Maria D" sort="Redondo Pach N, Maria D" uniqKey="Redondo Pach N M" first="Maria D" last="Redondo-Pach N">Maria D. Redondo-Pach N</name>
<affiliation wicri:level="3"><nlm:affiliation>Servicio de Nefrología, Hospital del Mar, Barcelona, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Servicio de Nefrología, Hospital del Mar, Barcelona</wicri:regionArea>
<placeName><settlement type="city">Barcelone</settlement>
<region nuts="2" type="region">Catalogne</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Murphy, Barbara" sort="Murphy, Barbara" uniqKey="Murphy B" first="Barbara" last="Murphy">Barbara Murphy</name>
<affiliation wicri:level="2"><nlm:affiliation>Division of Nephrology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Nephrology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York</wicri:regionArea>
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<author><name sortKey="Florman, Sander" sort="Florman, Sander" uniqKey="Florman S" first="Sander" last="Florman">Sander Florman</name>
<affiliation wicri:level="2"><nlm:affiliation>Recanati-Miller Transplantation Institute, Mount Sinai Hospital, New York, New York, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Recanati-Miller Transplantation Institute, Mount Sinai Hospital, New York, New York</wicri:regionArea>
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</placeName>
</affiliation>
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<author><name sortKey="Cyrino, Laura G" sort="Cyrino, Laura G" uniqKey="Cyrino L" first="Laura G" last="Cyrino">Laura G. Cyrino</name>
<affiliation wicri:level="2"><nlm:affiliation>Schuster Transplantation Research Center, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Schuster Transplantation Research Center, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
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<author><name sortKey="Grafals, Monica" sort="Grafals, Monica" uniqKey="Grafals M" first="Monica" last="Grafals">Monica Grafals</name>
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<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado</wicri:regionArea>
<placeName><region type="state">Colorado</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Venkataraman, Sandheep" sort="Venkataraman, Sandheep" uniqKey="Venkataraman S" first="Sandheep" last="Venkataraman">Sandheep Venkataraman</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado</wicri:regionArea>
<placeName><region type="state">Colorado</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Cheng, Xingxing S" sort="Cheng, Xingxing S" uniqKey="Cheng X" first="Xingxing S" last="Cheng">Xingxing S. Cheng</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Medicine, Division of Nephrology, Stanford University School of Medicine, Stanford, Massachusetts, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Medicine, Division of Nephrology, Stanford University School of Medicine, Stanford, Massachusetts</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Wang, Aileen X" sort="Wang, Aileen X" uniqKey="Wang A" first="Aileen X" last="Wang">Aileen X. Wang</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Medicine, Division of Nephrology, Stanford University School of Medicine, Stanford, Massachusetts, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Medicine, Division of Nephrology, Stanford University School of Medicine, Stanford, Massachusetts</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Zaza, Gianluigi" sort="Zaza, Gianluigi" uniqKey="Zaza G" first="Gianluigi" last="Zaza">Gianluigi Zaza</name>
<affiliation wicri:level="1"><nlm:affiliation>Renal Unit, Department of Medicine, University Hospital of Verona, Verona, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Renal Unit, Department of Medicine, University Hospital of Verona, Verona</wicri:regionArea>
<wicri:noRegion>Verona</wicri:noRegion>
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</author>
<author><name sortKey="Ranghino, Andrea" sort="Ranghino, Andrea" uniqKey="Ranghino A" first="Andrea" last="Ranghino">Andrea Ranghino</name>
<affiliation wicri:level="1"><nlm:affiliation>SOD Nefrologia, Dialisi e Trapianto Rene, AOU Ospedali Riuniti, Ancona, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>SOD Nefrologia, Dialisi e Trapianto Rene, AOU Ospedali Riuniti, Ancona</wicri:regionArea>
<wicri:noRegion>Ancona</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Furian, Lucrezia" sort="Furian, Lucrezia" uniqKey="Furian L" first="Lucrezia" last="Furian">Lucrezia Furian</name>
<affiliation wicri:level="1"><nlm:affiliation>Kidney and Pancreas Transplantation Unit, Department of Surgical, Oncological and Gastroenterological Sciences, University of Padova, Padova, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Kidney and Pancreas Transplantation Unit, Department of Surgical, Oncological and Gastroenterological Sciences, University of Padova, Padova</wicri:regionArea>
<wicri:noRegion>Padova</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Manrique, Joaquin" sort="Manrique, Joaquin" uniqKey="Manrique J" first="Joaquin" last="Manrique">Joaquin Manrique</name>
<affiliation wicri:level="1"><nlm:affiliation>Nephrology Service, Complejo Hospitalario de Navarra, Pamplona, Spain.</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
<wicri:regionArea>Nephrology Service, Complejo Hospitalario de Navarra, Pamplona</wicri:regionArea>
<wicri:noRegion>Pamplona</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Maggiore, Umberto" sort="Maggiore, Umberto" uniqKey="Maggiore U" first="Umberto" last="Maggiore">Umberto Maggiore</name>
<affiliation wicri:level="1"><nlm:affiliation>Dipartimento di Medicina e Chirurgia, Università di Parma, UO Nefrologia, Azienda Ospedaliera-Universitaria Parma, Parma, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Dipartimento di Medicina e Chirurgia, Università di Parma, UO Nefrologia, Azienda Ospedaliera-Universitaria Parma, Parma</wicri:regionArea>
<wicri:noRegion>Parma</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Gandolfini, Ilaria" sort="Gandolfini, Ilaria" uniqKey="Gandolfini I" first="Ilaria" last="Gandolfini">Ilaria Gandolfini</name>
<affiliation wicri:level="1"><nlm:affiliation>Dipartimento di Medicina e Chirurgia, Università di Parma, UO Nefrologia, Azienda Ospedaliera-Universitaria Parma, Parma, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
<wicri:regionArea>Dipartimento di Medicina e Chirurgia, Università di Parma, UO Nefrologia, Azienda Ospedaliera-Universitaria Parma, Parma</wicri:regionArea>
<wicri:noRegion>Parma</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Agrawal, Nikhil" sort="Agrawal, Nikhil" uniqKey="Agrawal N" first="Nikhil" last="Agrawal">Nikhil Agrawal</name>
<affiliation wicri:level="2"><nlm:affiliation>Division of Nephrology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Nephrology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Patel, Het" sort="Patel, Het" uniqKey="Patel H" first="Het" last="Patel">Het Patel</name>
<affiliation wicri:level="2"><nlm:affiliation>Division of Nephrology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Nephrology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Akalin, Enver" sort="Akalin, Enver" uniqKey="Akalin E" first="Enver" last="Akalin">Enver Akalin</name>
<affiliation wicri:level="2"><nlm:affiliation>Division of Nephrology, Montefiore Medical Center Transplant Center, Albert Einstein College of Medicine, Bronx, New York, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Nephrology, Montefiore Medical Center Transplant Center, Albert Einstein College of Medicine, Bronx, New York</wicri:regionArea>
<placeName><region type="state">État de New York</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Riella, Leonardo V" sort="Riella, Leonardo V" uniqKey="Riella L" first="Leonardo V" last="Riella">Leonardo V. Riella</name>
<affiliation wicri:level="2"><nlm:affiliation>Division of Nephrology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Nephrology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
<affiliation wicri:level="2"><nlm:affiliation>Center for Transplantation Sciences, Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Center for Transplantation Sciences, Department of Surgery, Massachusetts General Hospital, Boston, Massachusetts</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j">American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons</title>
<idno type="eISSN">1600-6143</idno>
<imprint><date when="2020" type="published">2020</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term>
<term>COVID-19 (epidemiology)</term>
<term>Comorbidity (MeSH)</term>
<term>Europe (epidemiology)</term>
<term>Female (MeSH)</term>
<term>Follow-Up Studies (MeSH)</term>
<term>Graft Rejection (epidemiology)</term>
<term>Graft Rejection (prevention & control)</term>
<term>Humans (MeSH)</term>
<term>Immunocompromised Host (MeSH)</term>
<term>Immunosuppression (methods)</term>
<term>Immunosuppressive Agents (therapeutic use)</term>
<term>Kidney Transplantation (statistics & numerical data)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>North America (epidemiology)</term>
<term>Pandemics (MeSH)</term>
<term>Retrospective Studies (MeSH)</term>
<term>SARS-CoV-2 (MeSH)</term>
<term>Transplant Recipients (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term>
<term>Amérique du Nord (épidémiologie)</term>
<term>Comorbidité (MeSH)</term>
<term>Europe (épidémiologie)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Immunosuppresseurs (usage thérapeutique)</term>
<term>Immunosuppression thérapeutique (méthodes)</term>
<term>Mâle (MeSH)</term>
<term>Pandémies (MeSH)</term>
<term>Receveurs de transplantation (MeSH)</term>
<term>Rejet du greffon (prévention et contrôle)</term>
<term>Rejet du greffon (épidémiologie)</term>
<term>Sujet immunodéprimé (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Transplantation rénale (statistiques et données numériques)</term>
<term>Études de suivi (MeSH)</term>
<term>Études rétrospectives (MeSH)</term>
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<keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Rejet du greffon</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Kidney Transplantation</term>
</keywords>
<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Transplantation rénale</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Immunosuppresseurs</term>
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<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Amérique du Nord</term>
<term>Europe</term>
<term>Rejet du greffon</term>
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<term>Comorbidity</term>
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<term>Comorbidité</term>
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<term>Receveurs de transplantation</term>
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<front><div type="abstract" xml:lang="en">Kidney transplant recipients may be at a high risk of developing critical coronavirus disease 2019 (COVID-19) illness due to chronic immunosuppression and comorbidities. We identified hospitalized adult kidney transplant recipients at 12 transplant centers in the United States, Italy, and Spain who tested positive for COVID-19. Clinical presentation, laboratory values, immunosuppression, and treatment strategies were reviewed, and predictors of poor clinical outcomes were determined through multivariable analyses. Among 9845 kidney transplant recipients across centers, 144 were hospitalized due to COVID-19 during the 9-week study period. Of the 144 patients, 66% were male with a mean age of 60 (±12) years, and 40% were Hispanic and 25% were African American. Prevalent comorbidities included hypertension (95%), diabetes (52%), obesity (49%), and heart (28%) and lung (19%) disease. Therapeutic management included antimetabolite withdrawal (68%), calcineurin inhibitor withdrawal (23%), hydroxychloroquine (71%), antibiotics (74%), tocilizumab (13%), and antivirals (14%). During a median follow-up period of 52 days (IQR: 16-66 days), acute kidney injury occurred in 52% cases, with respiratory failure requiring intubation in 29%, and the mortality rate was 32%. The 46 patients who died were older, had lower lymphocyte counts and estimated glomerular filtration rate levels, and had higher serum lactate dehydrogenase, procalcitonin, and interleukin-6 levels. In sum, hospitalized kidney transplant recipients with COVID-19 have higher rates of acute kidney injury and mortality.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32649791</PMID>
<DateCompleted><Year>2020</Year>
<Month>12</Month>
<Day>23</Day>
</DateCompleted>
<DateRevised><Year>2021</Year>
<Month>01</Month>
<Day>10</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1600-6143</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>20</Volume>
<Issue>11</Issue>
<PubDate><Year>2020</Year>
<Month>11</Month>
</PubDate>
</JournalIssue>
<Title>American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons</Title>
<ISOAbbreviation>Am J Transplant</ISOAbbreviation>
</Journal>
<ArticleTitle>COVID-19 and kidney transplantation: Results from the TANGO International Transplant Consortium.</ArticleTitle>
<Pagination><MedlinePgn>3140-3148</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1111/ajt.16185</ELocationID>
<Abstract><AbstractText>Kidney transplant recipients may be at a high risk of developing critical coronavirus disease 2019 (COVID-19) illness due to chronic immunosuppression and comorbidities. We identified hospitalized adult kidney transplant recipients at 12 transplant centers in the United States, Italy, and Spain who tested positive for COVID-19. Clinical presentation, laboratory values, immunosuppression, and treatment strategies were reviewed, and predictors of poor clinical outcomes were determined through multivariable analyses. Among 9845 kidney transplant recipients across centers, 144 were hospitalized due to COVID-19 during the 9-week study period. Of the 144 patients, 66% were male with a mean age of 60 (±12) years, and 40% were Hispanic and 25% were African American. Prevalent comorbidities included hypertension (95%), diabetes (52%), obesity (49%), and heart (28%) and lung (19%) disease. Therapeutic management included antimetabolite withdrawal (68%), calcineurin inhibitor withdrawal (23%), hydroxychloroquine (71%), antibiotics (74%), tocilizumab (13%), and antivirals (14%). During a median follow-up period of 52 days (IQR: 16-66 days), acute kidney injury occurred in 52% cases, with respiratory failure requiring intubation in 29%, and the mortality rate was 32%. The 46 patients who died were older, had lower lymphocyte counts and estimated glomerular filtration rate levels, and had higher serum lactate dehydrogenase, procalcitonin, and interleukin-6 levels. In sum, hospitalized kidney transplant recipients with COVID-19 have higher rates of acute kidney injury and mortality.</AbstractText>
<CopyrightInformation>© 2020 The American Society of Transplantation and the American Society of Transplant Surgeons.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cravedi</LastName>
<ForeName>Paolo</ForeName>
<Initials>P</Initials>
<Identifier Source="ORCID">0000-0001-7837-0923</Identifier>
<AffiliationInfo><Affiliation>Division of Nephrology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Mothi</LastName>
<ForeName>Suraj S</ForeName>
<Initials>SS</Initials>
<AffiliationInfo><Affiliation>Schuster Transplantation Research Center, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Azzi</LastName>
<ForeName>Yorg</ForeName>
<Initials>Y</Initials>
<AffiliationInfo><Affiliation>Division of Nephrology, Montefiore Medical Center Transplant Center, Albert Einstein College of Medicine, Bronx, New York, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Haverly</LastName>
<ForeName>Meredith</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Division of Nephrology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Farouk</LastName>
<ForeName>Samira S</ForeName>
<Initials>SS</Initials>
<Identifier Source="ORCID">0000-0001-5598-5925</Identifier>
<AffiliationInfo><Affiliation>Recanati-Miller Transplantation Institute, Mount Sinai Hospital, New York, New York, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Pérez-Sáez</LastName>
<ForeName>María J</ForeName>
<Initials>MJ</Initials>
<Identifier Source="ORCID">0000-0002-8601-2699</Identifier>
<AffiliationInfo><Affiliation>Servicio de Nefrología, Hospital del Mar, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Redondo-Pachón</LastName>
<ForeName>Maria D</ForeName>
<Initials>MD</Initials>
<AffiliationInfo><Affiliation>Servicio de Nefrología, Hospital del Mar, Barcelona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Murphy</LastName>
<ForeName>Barbara</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Division of Nephrology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Florman</LastName>
<ForeName>Sander</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Recanati-Miller Transplantation Institute, Mount Sinai Hospital, New York, New York, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Cyrino</LastName>
<ForeName>Laura G</ForeName>
<Initials>LG</Initials>
<AffiliationInfo><Affiliation>Schuster Transplantation Research Center, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Grafals</LastName>
<ForeName>Monica</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Venkataraman</LastName>
<ForeName>Sandheep</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Cheng</LastName>
<ForeName>Xingxing S</ForeName>
<Initials>XS</Initials>
<Identifier Source="ORCID">0000-0002-0542-8749</Identifier>
<AffiliationInfo><Affiliation>Department of Medicine, Division of Nephrology, Stanford University School of Medicine, Stanford, Massachusetts, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Wang</LastName>
<ForeName>Aileen X</ForeName>
<Initials>AX</Initials>
<AffiliationInfo><Affiliation>Department of Medicine, Division of Nephrology, Stanford University School of Medicine, Stanford, Massachusetts, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Zaza</LastName>
<ForeName>Gianluigi</ForeName>
<Initials>G</Initials>
<Identifier Source="ORCID">0000-0002-6004-6196</Identifier>
<AffiliationInfo><Affiliation>Renal Unit, Department of Medicine, University Hospital of Verona, Verona, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ranghino</LastName>
<ForeName>Andrea</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>SOD Nefrologia, Dialisi e Trapianto Rene, AOU Ospedali Riuniti, Ancona, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Furian</LastName>
<ForeName>Lucrezia</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Kidney and Pancreas Transplantation Unit, Department of Surgical, Oncological and Gastroenterological Sciences, University of Padova, Padova, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Manrique</LastName>
<ForeName>Joaquin</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Nephrology Service, Complejo Hospitalario de Navarra, Pamplona, Spain.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Maggiore</LastName>
<ForeName>Umberto</ForeName>
<Initials>U</Initials>
<AffiliationInfo><Affiliation>Dipartimento di Medicina e Chirurgia, Università di Parma, UO Nefrologia, Azienda Ospedaliera-Universitaria Parma, Parma, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Gandolfini</LastName>
<ForeName>Ilaria</ForeName>
<Initials>I</Initials>
<AffiliationInfo><Affiliation>Dipartimento di Medicina e Chirurgia, Università di Parma, UO Nefrologia, Azienda Ospedaliera-Universitaria Parma, Parma, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Agrawal</LastName>
<ForeName>Nikhil</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>Division of Nephrology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Patel</LastName>
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COVID-19 and kidney transplantation: Results from the TANGO International Transplant Consortium.

COVID-19 and kidney transplantation: Results from the TANGO International Transplant Consortium.

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