Thanks so much for this very informative and simple presentation
nawaf yehia
2 years ago
Thank You for this concise & highly informative lecture
mai shawky
2 years ago
Great lectures, thanks alot
Case based scenarios are very informative and teach us critical thinking and decision making.
Osama Hendam
2 years ago
Thanks alot
mohamed hefzy
2 years ago
many thanks for this great informative lecture
Ahmed Fouad Omar
2 years ago
Nice informative presentation
Doaa Elwasly
2 years ago
Informative presentation
saja Mohammed
2 years ago
excellent presentation
Abdul Rahim Khan
2 years ago
Ver nice lecture on Trnasplant GN
Assafi Mohammed
2 years ago
This is a very interesting lecture covering GN post transplant in an easy and attractive way of teaching.
MICHAEL Farag
2 years ago
thank you
Hinda Hassan
2 years ago
Thank you for the great lecture
Manal Malik
2 years ago
Thanks for this tactfuland informative lecture which highlight the overlook topic,realy Ienjoy this lecture.
Wael Jebur
2 years ago
Its interesting topic about an issue that we always underestimate, and missed unfortunately. Its highlighting how important is the pre transplant assessment has to be including the kidney biopsy to verify the underlying etiology. Thank you for your lecture.
Nasrin Esfandiar
2 years ago
Thank you for this useful lecture
Amit Sharma
2 years ago
Thank you for the lecture.
Recurrence post transplant is an important aspect of kidney transplant which sometimes is not paid the attention it deserves because many a times the basic disease causing ESKD is not known.
mohamed hefzy
2 years ago
Many thanks for this very informative lecture
Mohamad Habli
2 years ago
Very interesting lecture. thank you
Huda Al-Taee
2 years ago
Thanks for the excellent lecture What about anti-thrombospondin type 1 domain-containing 7A testing in de novo and recurrent MN? any experience? Is it also testing negative in de novo MN?
Zahid Nabi
2 years ago
Thanks for nice lecture
How do u look at good HLA match as a risk factor for IgA recurrence?
Should we avoid good match donors?
Any data in this regard
Ben Lomatayo
2 years ago
Thank prof Hanadi for this nice lecture, few questions for clarification of terminologies;
What is death-censored graft failure? how do we calculate that?
What is the first cause of death-censored graft failure?
What is meant by uncensored-graft failure?
What are the other two causes of uncensored-graft failure?
Thank you Ben for raising these very nice questions. I failed to find any good source that clearly address such questions.. I am looking forward to good clarification in answering them.
European best practice guidelines for renal transplantation. Section IV: Long-term management of the transplant recipient. IV.13 Analysis of patient and graft survival EBPG Expert Group on Renal Transplantation · PMID: 12091653 Abstract A. It is important for a transplant unit to follow-up on the results of their transplant activities. In order to achieve correct reports on graft and patient outcome in all patients, it is necessary to have sufficient resources, such as a computerized database, and continuous updates of patient information. All data collected should be subjected to validation procedures to ensure completeness and accuracy. B. Improved outcomes following implementation of new protocols, based on evaluation of clinical multi-centre trials, should be verified at local transplant centres since centres often include a range of patients different from those selected for the trial. C. The most widely accepted descriptor of outcome is the Kaplan-Meier probability estimate of patient and graft survival. Survival estimates should be calculated at intervals of time after transplantation and should always be expressed with their 95% confidence intervals. D. Kaplan-Meier survival estimates may be calculated in three ways. (i) ‘Patient survival’ should be calculated from the date of transplantation to the date of death or the date of the last follow-up. (ii) ‘Graft survival’ (non-censored for death) should be calculated from the date of transplantation to the date of irreversible graft failure signified by return to long-term dialysis (or retransplantation) or the date of the last follow-up during the period when the transplant was still functioning or to the date of death. Here, death with graft function is treated as graft failure. (iii) ‘Graft survival censored for death with a functioning graft’ (death-censored graft survival) should be calculated from the date of transplantation to the date of irreversible graft failure signified by return to long-term dialysis (or retransplantation) or the date of last follow-up during the period when the transplant was still functioning. In the event of death with a functioning graft, the follow-up period is censored at the date of death. E. The outcome of transplants carried out at a centre should be compared with those achieved across a range of data from centres collated by national and international multi-centre registries. Interpretation of a centre’s performance should take into account the number of transplants performed and the prevalence of major risk factors. F. Major risk factors that influence transplant outcome are identifiable by applying multivariate analytical methods to large multi-centre follow-up databases. Although these major risk factors may not be identifiable in individual centre data, they should nonetheless be taken into account in patient management. G. When designing a clinical trial or evaluating data from a recent trial, the expected improvement in graft survival resulting from a reduction in acute rejection may be estimated from a knowledge of the rejection and graft survival rates that existed prior to the introduction of the new therapeutic regimen. H. When designing or evaluating a clinical trial, it is important to analyse the power of the study to verify statistically the difference (in graft survival) that might be expected and its statistical significance. A study resulting in absence of statistically significant differences between two treatment groups with insufficient statistical power to verify a difference at the expected level should not be taken as evidence of absence of a true difference.
Nandita Sugumar
2 years ago
Scenario 3 week 10 is opening into a different question. Is this only for me or for others too?
Thank prof.
thank you
Thanks alot for elegant presentation 🙏
thank you a lot for the informative presentation
good discussion. And nice presentation.
Very nice presentation
Much appreciated
good presentation
thanks a lot for this presentstion
thank you very much for this nice lecture
Thanks so much for this very informative and simple presentation
Thank You for this concise & highly informative lecture
Great lectures, thanks alot
Case based scenarios are very informative and teach us critical thinking and decision making.
Thanks alot
many thanks for this great informative lecture
Nice informative presentation
Informative presentation
excellent presentation
Ver nice lecture on Trnasplant GN
This is a very interesting lecture covering GN post transplant in an easy and attractive way of teaching.
thank you
Thank you for the great lecture
Thanks for this tactfuland informative lecture which highlight the overlook topic,realy Ienjoy this lecture.
Its interesting topic about an issue that we always underestimate, and missed unfortunately. Its highlighting how important is the pre transplant assessment has to be including the kidney biopsy to verify the underlying etiology. Thank you for your lecture.
Thank you for this useful lecture
Thank you for the lecture.
Recurrence post transplant is an important aspect of kidney transplant which sometimes is not paid the attention it deserves because many a times the basic disease causing ESKD is not known.
Many thanks for this very informative lecture
Very interesting lecture. thank you
Thanks for the excellent lecture
What about anti-thrombospondin type 1 domain-containing 7A testing in de novo and recurrent MN? any experience? Is it also testing negative in de novo MN?
Thanks for nice lecture
How do u look at good HLA match as a risk factor for IgA recurrence?
Should we avoid good match donors?
Any data in this regard
Thank prof Hanadi for this nice lecture, few questions for clarification of terminologies;
Thank you Ben for raising these very nice questions.
I failed to find any good source that clearly address such questions..
I am looking forward to good clarification in answering them.
Thanks Mohamed for responding to that, let me go through your article
Nephrol Dial Transplant . 2002;17 Suppl 4:60-7.
European best practice guidelines for renal transplantation. Section IV: Long-term management of the transplant recipient. IV.13 Analysis of patient and graft survival
EBPG Expert Group on Renal Transplantation
· PMID: 12091653
Abstract A. It is important for a transplant unit to follow-up on the results of their transplant activities. In order to achieve correct reports on graft and patient outcome in all patients, it is necessary to have sufficient resources, such as a computerized database, and continuous updates of patient information. All data collected should be subjected to validation procedures to ensure completeness and accuracy. B. Improved outcomes following implementation of new protocols, based on evaluation of clinical multi-centre trials, should be verified at local transplant centres since centres often include a range of patients different from those selected for the trial. C. The most widely accepted descriptor of outcome is the Kaplan-Meier probability estimate of patient and graft survival. Survival estimates should be calculated at intervals of time after transplantation and should always be expressed with their 95% confidence intervals. D. Kaplan-Meier survival estimates may be calculated in three ways. (i) ‘Patient survival’ should be calculated from the date of transplantation to the date of death or the date of the last follow-up. (ii) ‘Graft survival’ (non-censored for death) should be calculated from the date of transplantation to the date of irreversible graft failure signified by return to long-term dialysis (or retransplantation) or the date of the last follow-up during the period when the transplant was still functioning or to the date of death. Here, death with graft function is treated as graft failure. (iii) ‘Graft survival censored for death with a functioning graft’ (death-censored graft survival) should be calculated from the date of transplantation to the date of irreversible graft failure signified by return to long-term dialysis (or retransplantation) or the date of last follow-up during the period when the transplant was still functioning. In the event of death with a functioning graft, the follow-up period is censored at the date of death. E. The outcome of transplants carried out at a centre should be compared with those achieved across a range of data from centres collated by national and international multi-centre registries. Interpretation of a centre’s performance should take into account the number of transplants performed and the prevalence of major risk factors. F. Major risk factors that influence transplant outcome are identifiable by applying multivariate analytical methods to large multi-centre follow-up databases. Although these major risk factors may not be identifiable in individual centre data, they should nonetheless be taken into account in patient management. G. When designing a clinical trial or evaluating data from a recent trial, the expected improvement in graft survival resulting from a reduction in acute rejection may be estimated from a knowledge of the rejection and graft survival rates that existed prior to the introduction of the new therapeutic regimen. H. When designing or evaluating a clinical trial, it is important to analyse the power of the study to verify statistically the difference (in graft survival) that might be expected and its statistical significance. A study resulting in absence of statistically significant differences between two treatment groups with insufficient statistical power to verify a difference at the expected level should not be taken as evidence of absence of a true difference.
Scenario 3 week 10 is opening into a different question. Is this only for me or for others too?
For everybody