Paul C. Grimm

Publication Details

  • Steroid avoidance in renal transplantation CURRENT OPINION IN ORGAN TRANSPLANTATION Lightner, A., Concepcion, W., Grimm, P. 2011; 16 (5): 477-482

    Abstract:

    The recent surge in the use of steroid-avoidance protocols for pediatric renal transplant recipients has been fueled by the numerous adverse side effects of steroids and development of alternatives for successful immunosuppression. Steroid-avoidance protocols were first attempted in the adult population, and with positive outcomes, pediatrics soon followed. As more pediatric patients are placed on steroid-avoidance protocols, we must begin answering several important questions such as patient and graft outcome, safety profiles of various steroid-avoidance induction protocols, viral complications and incidence of transplant lymphoproliferative disease (PTLD), metabolic benefits, and the affect of steroid minimization on growth.Initial results from steroid-avoidance protocols show these protocols are safe and effective with improved graft survival, metabolic profiles, and linear growth without an increase in viremia or PTLD.Although initial results are promising, there is still a lack of long-term data from large, prospective randomized trials, and there is not enough data to determine the optimal steroid-avoidance protocol for pediatric renal transplant recipients.

    View details for DOI 10.1097/MOT.0b013e32834a8c74

    View details for Web of Science ID 000294676600006

    View details for PubMedID 21844809

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