Immunological (Rejection) Loss by Category and Duct Management, International Pancreas Transplant Registry at the University of Minnesota

FOR 2000-2004 US CASES

Rejection loss at 1 year was slightly lower but not significant, for US ED vs. BD in SPK (2.3 % vs. 3.1%) and PAK (6.6% vs. 9.0%).  However, the ED 1 year rejection loss rate in PTA was significantly higher, 14.6% vs. 5.4% (p=0.03). By multivariate analysis, only PAK BD vs. ED had a higher HR risk for rejection loss (Table 5).

Table 5.    Cox – regression for immunological pancreas graft failure (technically successful US DD primary pancreas transplants 1/1/2000 – 6/2004)

Variables

SPK

PAK

PTA

    p          RR*    p        RR*    p       RR* 
Large vs. Small Centers   0.17       1.43 0.51        - 0.15     3.08
BD vs. ED 0.71         - 0.007     2.53 0.30       -
Donor Risk vs. None 0.57         - 0.12       1.60 0.28       -
HLA A: 2 vs. 1&0 MM 0.005      2.08 0.11       1.61 0.86       -
HLA B: 2 vs. 1&0 MM 0.62         - 0.48        - 0.09      2.17
Receipient Age
15-29 yrs vs. 30-44 yrs
≥45 yrs vs. 30-44 yrs
0.46
0.06       0.58
0.48      
0.03       0.45
0.32       -
0.04     0.33
Deplet. AB Therapy 0.32         - 0.13       0.57 0.91       -
Nondepl. AB Therapy 0.09      0.63 0.28         - 0.89       -
TAC&MMF vs. Other 0.75         - 0.02       0.46 0.38       -
SIR vs. None 0.16       0.51 0.17       0.36    -          -

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