{"id":"https://openalex.org/W2409329355","doi":null,"title":"Steroid avoidance reduce the cost of morbidities after live-donor renal allotransplants: a prospective, randomized, controlled study.","display_name":"Steroid avoidance reduce the cost of morbidities after live-donor renal allotransplants: a prospective, randomized, controlled study.","publication_year":2011,"publication_date":"2011-04-01","ids":{"openalex":"https://openalex.org/W2409329355","mag":"2409329355","pmid":"https://pubmed.ncbi.nlm.nih.gov/21453230"},"language":"en","primary_location":{"id":"pmid:21453230","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/21453230","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5036949145","display_name":"Osama Ashry Ahmed Gheith","orcid":"https://orcid.org/0000-0002-7324-0211","observed_orcids":["https://orcid.org/0000-0002-7324-0211"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Osama A Gheith","raw_affiliation_strings":["Urology & Nephrology Center, Mansoura, Egypt. ogheith@yahoo.com","Urology and Nephrology Center, Mansoura, Egypt"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Urology & Nephrology Center, Mansoura, Egypt. ogheith@yahoo.com","institution_ids":[]},{"raw_affiliation_string":"Urology and Nephrology Center, Mansoura, Egypt","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5036543130","display_name":"Ahmed H Nematalla","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ahmed H Nematalla","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055102518","display_name":"Mohamed Adel Bakr","orcid":"https://orcid.org/0000-0002-3650-4353","observed_orcids":["https://orcid.org/0000-0002-3650-4353"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mohamed A Bakr","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017230060","display_name":"Ayman Fathi Refaie","orcid":"https://orcid.org/0000-0002-6960-2881","observed_orcids":["https://orcid.org/0000-0002-6960-2881"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ayman Refaie","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058411993","display_name":"Ahmed A. Shokeir","orcid":"https://orcid.org/0000-0001-6386-3215","observed_orcids":["https://orcid.org/0000-0001-6386-3215","https://orcid.org/0000-0003-2699-2629"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ahmed A Shokeir","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5023952567","display_name":"Mohamed A. Ghoneim","orcid":"https://orcid.org/0000-0003-4329-0346","observed_orcids":["https://orcid.org/0000-0003-4329-0346"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mohamed A Ghoneim","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.2263,"has_fulltext":false,"cited_by_count":10,"citation_normalized_percentile":{"value":0.52786431,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"9","issue":"2","first_page":"121","last_page":"7"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10373","display_name":"Renal Transplantation Outcomes and Treatments","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2747","display_name":"Transplantation"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10373","display_name":"Renal Transplantation Outcomes and Treatments","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2747","display_name":"Transplantation"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11189","display_name":"Transplantation: Methods and Outcomes","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11163","display_name":"Organ Donation and Transplantation","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/steroid-avoidance","display_name":"steroid avoidance","score":0.9070000052452087},{"id":"https://openalex.org/keywords/living-donor-kidney-transplantation","display_name":"living donor kidney transplantation","score":0.9020000100135803},{"id":"https://openalex.org/keywords/tacrolimus","display_name":"tacrolimus","score":0.7730000019073486},{"id":"https://openalex.org/keywords/mycophenolate-mofetil","display_name":"mycophenolate mofetil","score":1.0},{"id":"https://openalex.org/keywords/basiliximab-induction","display_name":"basiliximab induction","score":0.9319999814033508},{"id":"https://openalex.org/keywords/hypertension","display_name":"hypertension","score":0.7799999713897705},{"id":"https://openalex.org/keywords/post-transplant-diabetes-mellitus","display_name":"post-transplant diabetes mellitus","score":0.984000027179718},{"id":"https://openalex.org/keywords/severe-infection","display_name":"serious infections","score":0.6620000004768372},{"id":"https://openalex.org/keywords/hyperlipidemia","display_name":"hyperlipidemia","score":0.9890000224113464},{"id":"https://openalex.org/keywords/hospitalization-costs","display_name":"hospital costs","score":0.8220000267028809},{"id":"https://openalex.org/keywords/cost-benefit-analysis","display_name":"cost-benefit analysis","score":0.7509999871253967},{"id":"https://openalex.org/keywords/immunosuppression","display_name":"immunosuppression","score":0.8489999771118164}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8194074034690857},{"id":"https://openalex.org/C2781307858","wikidata":"https://www.wikidata.org/wiki/Q418702","display_name":"Basiliximab","level":4,"score":0.7644380331039429},{"id":"https://openalex.org/C2780252810","wikidata":"https://www.wikidata.org/wiki/Q1455316","display_name":"Immunosuppression","level":2,"score":0.7115334868431091},{"id":"https://openalex.org/C2909675724","wikidata":"https://www.wikidata.org/wiki/Q411648","display_name":"Tacrolimus","level":3,"score":0.658883810043335},{"id":"https://openalex.org/C2781413609","wikidata":"https://www.wikidata.org/wiki/Q7308373","display_name":"Regimen","level":2,"score":0.5153905153274536},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.47210875153541565},{"id":"https://openalex.org/C2911091166","wikidata":"https://www.wikidata.org/wiki/Q106419912","display_name":"Transplantation","level":2,"score":0.46387991309165955},{"id":"https://openalex.org/C2778283404","wikidata":"https://www.wikidata.org/wiki/Q6736822","display_name":"Maintenance therapy","level":3,"score":0.42546606063842773},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4151357114315033},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4093485474586487},{"id":"https://openalex.org/C126894567","wikidata":"https://www.wikidata.org/wiki/Q105650","display_name":"Urology","level":1,"score":0.35722804069519043},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.15949487686157227},{"id":"https://openalex.org/C2776694085","wikidata":"https://www.wikidata.org/wiki/Q974135","display_name":"Chemotherapy","level":2,"score":0.14383402466773987}],"mesh":[{"descriptor_ui":"D000075202","descriptor_name":"Contraindications","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000077552","descriptor_name":"Basiliximab","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000911","descriptor_name":"Antibodies, Monoclonal","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D003362","descriptor_name":"Cost-Benefit Analysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003920","descriptor_name":"Diabetes Mellitus","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D003920","descriptor_name":"Diabetes Mellitus","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D003920","descriptor_name":"Diabetes Mellitus","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006084","descriptor_name":"Graft Rejection","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006949","descriptor_name":"Hyperlipidemias","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D006949","descriptor_name":"Hyperlipidemias","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D006949","descriptor_name":"Hyperlipidemias","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D006973","descriptor_name":"Hypertension","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D006973","descriptor_name":"Hypertension","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D006973","descriptor_name":"Hypertension","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D007165","descriptor_name":"Immunosuppression Therapy","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D007165","descriptor_name":"Immunosuppression Therapy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D007166","descriptor_name":"Immunosuppressive Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009173","descriptor_name":"Mycophenolic Acid","qualifier_ui":"Q000031","qualifier_name":"analogs & derivatives","is_major_topic":false},{"descriptor_ui":"D009173","descriptor_name":"Mycophenolic Acid","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011993","descriptor_name":"Recombinant Fusion Proteins","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D013256","descriptor_name":"Steroids","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D013256","descriptor_name":"Steroids","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D014184","descriptor_name":"Transplantation, Homologous","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015897","descriptor_name":"Comorbidity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015994","descriptor_name":"Incidence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016030","descriptor_name":"Kidney Transplantation","qualifier_ui":"Q000276","qualifier_name":"immunology","is_major_topic":true},{"descriptor_ui":"D016559","descriptor_name":"Tacrolimus","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019520","descriptor_name":"Living Donors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":1,"locations":[{"id":"pmid:21453230","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/21453230","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Randomized Controlled Trial","id":"https://openalex.org/study-designs/randomized-controlled-trial"},{"display_name":"Clinical Trial","id":"https://openalex.org/study-designs/clinical-trial"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":20,"referenced_works":["https://openalex.org/W95307141","https://openalex.org/W1605838100","https://openalex.org/W1665088674","https://openalex.org/W1980253731","https://openalex.org/W1988868846","https://openalex.org/W1992241917","https://openalex.org/W1995791071","https://openalex.org/W2000231466","https://openalex.org/W2006211317","https://openalex.org/W2018025828","https://openalex.org/W2026399893","https://openalex.org/W2034501684","https://openalex.org/W2037389738","https://openalex.org/W2037937957","https://openalex.org/W2042796309","https://openalex.org/W2062918220","https://openalex.org/W2082831696","https://openalex.org/W2108647254","https://openalex.org/W2168376821","https://openalex.org/W2175221342"],"related_works":["https://openalex.org/W1978790451","https://openalex.org/W2145734061","https://openalex.org/W2419090744","https://openalex.org/W2002260113","https://openalex.org/W2065486986","https://openalex.org/W4245799210","https://openalex.org/W4200048097","https://openalex.org/W2014324653","https://openalex.org/W2003651336","https://openalex.org/W2065903902"],"abstract_inverted_index":{"OBJECTIVES:":[0],"Steroids":[1],"have":[2],"had":[3],"the":[4,49,132,146,164,177,184,191],"main":[5],"role":[6],"in":[7,35,131,138,145,163,176,183,200],"renal":[8,37,59,216],"transplant":[9],"for":[10,77],"more":[11,129,161],"than":[12,180],"4":[13],"decades.":[14],"However,":[15],"chronic":[16],"use":[17],"of":[18,29,32,51,108,140,193,206,214,247],"steroids":[19,76,90],"is":[20],"associated":[21,230,248],"with":[22,105,223,231],"many":[23],"comorbidities,":[24],"owing":[25],"to":[26,47,70,244],"a":[27,52,92],"lack":[28],"assessing":[30],"cost-benefit":[31,50],"steroid":[33,227],"avoidance":[34,228],"live-donor":[36,58,215],"allotransplants.":[38],"In":[39,209],"this":[40],"prospective,":[41],"randomized,":[42],"controlled":[43],"study,":[44],"we":[45],"aimed":[46],"assess":[48],"steroid-free":[53,141,185],"immunosuppression":[54,239],"regimen":[55],"among":[56],"Egyptian":[57],"transplants.":[60],"MATERIALS":[61],"AND":[62],"METHODS:":[63],"One":[64,187],"hundred":[65],"patients":[66,100],"were":[67,127,159,173,182],"randomly":[68],"allocated":[69],"receive":[71],"tacrolimus,":[72,86,224],"mycophenolate":[73,87,225],"mofetil,":[74,88,226],"and":[75,89,117,122,157,221],"only":[78],"3":[79],"days":[80],"(n=50":[81,95],"patients;":[82,96],"study":[83],"group)":[84],"or":[85],"on":[91],"maintenance":[93,222],"basis":[94],"control":[97],"group).":[98],"All":[99],"received":[101],"basiliximab":[102,219],"(Simulect)":[103],"induction,":[104],"median":[106],"follow-up":[107],"12":[109],"months.":[110],"RESULTS:":[111],"Both":[112],"groups":[113],"showed":[114],"comparable":[115,204,238],"graft":[116,123],"patient":[118],"survivals,":[119],"rejection":[120],"episodes,":[121],"functioning.":[124],"Posttransplant":[125,152],"comorbidities":[126,196],"significantly":[128,160,198],"prevalent":[130,162],"steroid-maintenance":[133,147,165,178,201],"group.":[134,186],"Hypertension":[135],"was":[136,197,229,242],"detected":[137],"4%":[139],"group":[142,148,166,179],"versus":[143],"24%":[144],"(P":[149,167],"=":[150],".0009).":[151],"diabetes":[153],"mellitus,":[154],"serious":[155],"infections,":[156],"hyperlipidemia":[158],"<":[168],".05).":[169],"Associated":[170],"hospitalization":[171],"costs":[172,205,236,246],"2.2-fold":[174],"higher":[175,199],"they":[181],"year":[188],"after":[189],"transplant,":[190],"cost":[192],"managing":[194],"posttransplant":[195],"group,":[202],"despite":[203,237],"immunosuppression.":[207],"CONCLUSIONS:":[208],"low,":[210],"immunologic":[211],"risk":[212],"recipients":[213],"transplants,":[217],"using":[218],"induction":[220],"lower":[232,245],"first":[233],"annual":[234],"total":[235],"costs,":[240],"which":[241],"attributed":[243],"morbidities.":[249]},"counts_by_year":[{"year":2022,"cited_by_count":4},{"year":2021,"cited_by_count":2},{"year":2016,"cited_by_count":2},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}
