Institute of Cardiovascular and Medical Sciences, University of Glasgow, Scotland; Glasgow Renal and Transplant Unit, Queen Elizabeth University Hospital, Glasgow, Scotland.
Institute of Cardiovascular and Medical Sciences, University of Glasgow, Scotland; Glasgow Renal and Transplant Unit, Queen Elizabeth University Hospital, Glasgow, Scotland.
Kidney Int. 2021 Feb;99(2):306-308. doi: 10.1016/j.kint.2020.10.043.
Cardiovascular disease is the leading cause of death in kidney transplant recipients in many transplant registries. An analysis of transplant recipients from the United Kingdom using propensity score matching (PSM) suggests there are limited or no benefits to cardiovascular screening before transplant listing. We suggest that short of a randomized controlled trial (RCT) in this area, these data are sufficient to suggest that transplant centers should reflect on their current protocols for cardiovascular workup required before transplantation.
心血管疾病是许多移植注册中心中肾移植受者的主要死亡原因。 使用倾向评分匹配(PSM)对来自英国的移植受者进行的分析表明,在移植登记前进行心血管筛查的益处有限或没有。 我们建议,除非在该领域进行随机对照试验(RCT),否则这些数据足以表明移植中心应反思其当前的移植前心血管检查所需的方案。