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Table 8.6h

Persistency of Discharge Regimen by Follow-up Period, 2003 to 2007

Recipients with Kidney-Pancreas Transplants

  Year of Transplant
2003 2004 2005 2006 2007
Discharge Regimen (w/ or w/o Steroid Use) CyA+Aza At Discharge (N) - 1 - - -
At Discharge (%) - 100.0% - - -
6 Months PostTx (%) - 100.0% - - -
1 Year PostTx (%) - 100.0% - - -
2 Years PostTx (%) - 100.0% - - -
3 Years PostTx (%) - 100.0% - - -
CyA+MMF At Discharge (N) 45 14 22 15 13
At Discharge (%) 100.0% 100.0% 100.0% 100.0% 100.0%
6 Months PostTx (%) 75.1% 57.1% 90.9% 73.3% 92.3%
1 Year PostTx (%) 59.2% 50.0% 76.8% 53.3% 56.4%
2 Years PostTx (%) 56.9% 42.9% 66.5% 46.7% -
3 Years PostTx (%) 54.5% 42.9% 66.5% - -
CyA+Siro At Discharge (N) 26 32 33 34 22
At Discharge (%) 100.0% 100.0% 100.0% 100.0% 100.0%
6 Months PostTx (%) 80.8% 78.1% 65.8% 70.6% 86.4%
1 Year PostTx (%) 65.4% 50.0% 56.4% 61.8% 77.3%
2 Years PostTx (%) 61.5% 46.9% 53.3% 48.9% 77.3%
3 Years PostTx (%) 61.5% 43.8% 35.5% 48.9% -
Siro+MMF At Discharge (N) 30 40 4 6 3
At Discharge (%) 100.0% 100.0% 100.0% 100.0% 100.0%
6 Months PostTx (%) 63.3% 77.5% 100.0% 50.0% 66.7%
1 Year PostTx (%) 56.7% 62.5% 75.0% 33.3% 66.7%
2 Years PostTx (%) 46.7% 55.0% 75.0% 16.7% -
3 Years PostTx (%) 39.5% 49.8% 75.0% - -
Tac+Aza At Discharge (N) 6 2 - 7 3
At Discharge (%) 100.0% 100.0% - 100.0% 100.0%
6 Months PostTx (%) 50.0% - - 57.1% 33.3%
1 Year PostTx (%) 33.3% - - 28.6% -
2 Years PostTx (%) 33.3% - - 28.6% -
3 Years PostTx (%) 33.3% - - - -
Tac+MMF At Discharge (N) 562 619 658 667 691
At Discharge (%) 100.0% 100.0% 100.0% 100.0% 100.0%
6 Months PostTx (%) 77.0% 83.1% 89.0% 88.7% 88.8%
1 Year PostTx (%) 70.0% 76.6% 84.2% 84.3% 85.5%
2 Years PostTx (%) 65.8% 70.7% 80.4% 78.8% 78.9%
3 Years PostTx (%) 59.5% 67.6% 77.1% 78.2% -
Tac+Siro At Discharge (N) 71 51 77 59 21
At Discharge (%) 100.0% 100.0% 100.0% 100.0% 100.0%
6 Months PostTx (%) 78.9% 79.3% 83.1% 77.7% 90.0%
1 Year PostTx (%) 63.4% 71.0% 80.5% 76.0% 90.0%
2 Years PostTx (%) 59.0% 64.1% 73.9% 74.1% 75.0%
3 Years PostTx (%) 48.2% 54.9% 69.1% 74.1% -


Source: OPTN/SRTR Data as of May 4, 2009.

Regimen change is defined as being on different drug combination at follow-up comparing to discharge, or indication of conflicting regimen (CyA vs. Tac; MMF/MPA vs. Aza; Siro vs. Evero) during follow-up period, or graft failure/death. Addition or deletion of steroids is not considered a regimen change.Rates are calculated for the most common discharge regimens.

CyA: Cyclosporine; Tac: Tacrolimus; MMF: Include MMF(Mycophenolate Mofetil) and MPA(Mycophenolate Sodium); Aza: Azathioprine; Siro: Sirolimus.

See Technical Notes for further details.



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