Kidney transplant list status and outcomes in the ISCHEMIA-CKD trial
Journal of the American College of Cardiology Oct 14, 2021
Herzog C, Simegn M, Xu Y, et al. - Outcomes of patients not listed vs those listed according to management strategy were compared in this post hoc analysis from ISCHEMIA-CKD (International Study of Comparative Health Effectiveness of Medical and Invasive Approaches–Chronic Kidney Disease).
In the ISCHEMIA-CKD trial (n = 777), there was a listing of 194 patients (25%) with chronic coronary syndromes and at least moderate ischemia for transplantation.
Listed patients were relatively younger (60 years vs 65 years), were less likely to be of Asian race (15% vs 29%), were more likely to be on dialysis (83% vs 44%), had fewer anginal symptoms, and were more likely to have coronary angiography and coronary revascularization when compared with those not listed.
Outcomes revealed no improvement in outcomes in correlation with implementation of an invasive strategy in kidney transplant candidates when compared with conservative management.
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