Impact of Acute Rejection on Kidney Allograft Outcomes in Recipients on Rapid Steroid Withdrawal
Table 4
Findings on followup 1-year protocol biopsy.
No rejection
SR
CR
% of group with 1-year protocol biopsy
57%
76%
53%
Days from rejection to biopsy (median)
223
336*
Banff scores (mean value)
Interstitial inflammation (i)
0.11
0.83*#
0.35*#
Tubulitis (t)
0.16
0.66*
0.59*
Glomerulitis (g)
0.08
0.26
0.18
Interstitial fibrosis (ci)
0.97
1.43#
1.06
Tubular atrophy (ct)
1.18
1.51#
1.24
Intimal thickening (cv)
0.59
0.43
0.56
Transplant glomerulopathy (cg)
0.01
0.11#
0.06
IFTA > 2 and i/t > 0
8%
34%
24%**
SAR: subclinical acute rejection, CAR: clinical acute rejection, AR: acute rejection, IFTA: interstitial fibrosis and tubular atrophy (sum of Banff ci plus ct score).
*
comparing CAR to SAR. # compared to No rejection. ^ comparing SR to No rejection.
**
comparing CR to No rejection.