Hyperthyroidism, Kidney Diseases, Kidney Transplant
Conditions
Keywords
Hyperthyroidism, Kidney Diseases
Brief summary
The objectives of the study are: to research the association, if any, between the occurrence of thyroid function changes in the immediate post-transplant period and the prognosis of the transplant itself; identify any risk factors for the occurrence of thyroid disorders In the immediate post-transplant period.
Detailed description
Kidney transplant patients are by definition affected by MRC, regardless of eGFR. However, at the same time, several factors make them a unique category with distant characteristics from non-kidney transplant MRC patients. Immunosuppressant and corticosteroid therapy could affect a variety of systems, including the pituitary-thyroid-kidney axis. MTOR inhibitors, for example, would result in increased iodine uptake in TSH-stimulated thyrocytes. Corticosteroids, on the other hand, inhibit the conversion of T4 to T3 and inhibit the TSH production in a dose-dependent manner, and this activity could contribute to the low T3 syndrome that some sturi repot in the phase immediately following kidney transplantation. In addition, abrupt changes in the serum concentration of thyroid hormones in the immediate post kidney transplantation could be influenced by the stress surgery related to the surgery itself and by exposure to iodinated agents (antiseptics and iodinated contrast medium). The objectives of the study are: 1. To research the association, if any, between the occurrence of thyroid function changes in the immediate post-transplant period and the prognosis of the transplant itself in terms of: * Renal function three months after transplantation. * Medical complications in the post-transplant period (from surgery to patient discharge) * Patient survival at three months after transplantation. 2. Identify any risk factors for the occurrence of thyroid disorders In the immediate post-transplant period. During the past 5 years at the Transplant Center of the Nephrology OU, Dialysis, Transplantation of our hospital, 579 kidney transplants have been performed with an average of about 115 transplants per year. It is therefore estimated for our study a sample size of about 100 patients, given the need to meet the inclusion criteria.
Interventions
None listed
Sponsors
IRCCS Azienda Ospedaliero-Universitaria di Bologna
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Inclusion criteria
* Subjects transplanted at our Center; * Subjects whose 3-month follow-up is available; * Age ≥18 years; * Availability of clinical and laboratory data regarding thyroid function trends in the immediate post-transplant period (within 30 days after transplantation); * Subjects giving informed consent to participate.
Exclusion criteria
* None.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Thyroid function | At baseline, then 3-month follow-up after kidney transplantation | To research, if any, the alteration of thyroid function in the immediate post-transplant period |
| Renal function | At 3-month follow-up after kidney transplantation | Investigating renal function three months after transplantation. |
| Medical complications | Baseline (surgery), at 3-month follow-up after kidney transplantation, at patient discharge | Investigate about medical complications in the post-transplant period |
| Survival | At 3-month follow-up after kidney transplantation | Patient survival at three months after transplantation. |
Countries
Italy
Contacts
Primary ContactGaetano La Manna, MD
Outcome results
None listed