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Alimi, Rasoul, Hami, Maryam, Afzalaghaee, Monavar, Nazemian, Fatemeh, Mahmoodi, Mahmood, Yaseri, Mehdi, Zeraati, Hojjat. (1400). Multivariate Longitudinal Assessment of Kidney Function Outcomes on Graft Survival after Kidney Transplantation Using Multivariate Joint Modeling Approach: A Retrospective Cohort Study. سامانه مدیریت نشریات علمی, 46(5), 364-372. doi: 10.30476/ijms.2020.82857.1144
Rasoul Alimi; Maryam Hami; Monavar Afzalaghaee; Fatemeh Nazemian; Mahmood Mahmoodi; Mehdi Yaseri; Hojjat Zeraati. "Multivariate Longitudinal Assessment of Kidney Function Outcomes on Graft Survival after Kidney Transplantation Using Multivariate Joint Modeling Approach: A Retrospective Cohort Study". سامانه مدیریت نشریات علمی, 46, 5, 1400, 364-372. doi: 10.30476/ijms.2020.82857.1144
Alimi, Rasoul, Hami, Maryam, Afzalaghaee, Monavar, Nazemian, Fatemeh, Mahmoodi, Mahmood, Yaseri, Mehdi, Zeraati, Hojjat. (1400). 'Multivariate Longitudinal Assessment of Kidney Function Outcomes on Graft Survival after Kidney Transplantation Using Multivariate Joint Modeling Approach: A Retrospective Cohort Study', سامانه مدیریت نشریات علمی, 46(5), pp. 364-372. doi: 10.30476/ijms.2020.82857.1144
Alimi, Rasoul, Hami, Maryam, Afzalaghaee, Monavar, Nazemian, Fatemeh, Mahmoodi, Mahmood, Yaseri, Mehdi, Zeraati, Hojjat. Multivariate Longitudinal Assessment of Kidney Function Outcomes on Graft Survival after Kidney Transplantation Using Multivariate Joint Modeling Approach: A Retrospective Cohort Study. سامانه مدیریت نشریات علمی, 1400; 46(5): 364-372. doi: 10.30476/ijms.2020.82857.1144

Multivariate Longitudinal Assessment of Kidney Function Outcomes on Graft Survival after Kidney Transplantation Using Multivariate Joint Modeling Approach: A Retrospective Cohort Study

Iranian Journal of Medical Sciences
مقاله 6، دوره 46، شماره 5، آذر 2021، صفحه 364-372    اصل مقاله (635.69 K)
نوع مقاله: Original Article(s)
شناسه دیجیتال (DOI): 10.30476/ijms.2020.82857.1144
نویسندگان
Rasoul Alimi1؛ Maryam Hami2؛ Monavar Afzalaghaee3؛ Fatemeh Nazemian4؛ Mahmood Mahmoodi1؛ Mehdi Yaseri1؛ Hojjat Zeraati* 1
1Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
2Kidney Transplantation Complications Research Center, Ghaem Hospital, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
3Management & Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
4Department of Internal Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
چکیده
Background: The performance of a transplanted kidney is evaluated by monitoring variations in the value of the most important markers. These markers are measured longitudinally, and their variation is influenced by other factors. The simultaneous use of these markers increases the predictive power of the analytical model. This study aimed to determine the simultaneous longitudinal effect of serum creatinine and blood urea nitrogen (BUN) markers, and other risk factors on allograft survival after kidney transplantation.
Methods: In a retrospective cohort study, the medical records of 731 renal transplant patients, dated July 2000 to December 2013, from various transplant centers in Mashhad (Iran) were examined. Univariate and multivariate joint models of longitudinal and survival data were used, and the results from both models were compared. The R package joineRML was used to implement joint models. P values Results: Results of the multivariate model showed that allograft rejection occurred more frequently in patients with elevated BUN levels (HR=1.68, 95% CI: 1.24-2.27). In contrast, despite a positive correlation between serum creatinine and allograft rejection (HR=1.49, 95% CI: 0.99-2.22), this relationship was not statistically significant.
Conclusion: Results of the multivariate model showed that longitudinal measurements of BUN marker play a more important role in the investigation of the allograft rejection.
کلیدواژه‌ها
Kidney transplantation؛ Graft survival؛ Survival analysis؛ Longitudinal studies؛ Multivariate analysis
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مراجع
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