{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T18:02:00Z","timestamp":1781200920849,"version":"3.54.1"},"reference-count":96,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T00:00:00Z","timestamp":1760400000000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    There has been concern about long\u2010term outcomes of kidney transplant recipients treated with prednisone\u2010free maintenance immunosuppression. We studied 20\u2010year outcomes for recipients treated with discontinuation of prednisone &lt;1 week posttransplant (rapid discontinuation of prednisone [RDP]) compared with contemporaneous matched controls treated with maintenance prednisone (MP). First and second, adult living donor (LD) and deceased donor (DD) kidney transplant recipients from 1999 to 2009, treated with RDP were matched\u2014using data from the Scientific Registry of Transplant Recipients\u2014with contemporaneous controls, from large transplant centers, who were treated with MP. A total of 361 DD recipients treated with RDP were matched with 1805 treated with long\u2010term MP. A total of 763 LD recipients treated with RDP were matched with 2289 treated with long\u2010term MP. DD recipients treated with RDP had significantly better recipient survival (\n                    <jats:italic>p<\/jats:italic>\n                    = 0.02); there was no difference in graft or death\u2010censored graft survival. For LD recipients, there was no difference between groups for all outcomes. Kidney transplant recipients treated with RDP had better or similar long\u2010term outcomes as those treated with long\u2010term MP. RDP should be considered for the majority of kidney transplant recipients.\n                  <\/jats:p>","DOI":"10.1111\/ctr.70297","type":"journal-article","created":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T15:14:52Z","timestamp":1760454892000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Twenty\u2010Year Kidney Transplant Outcomes With Prednisone\u2010Free Maintenance Immunosuppression: A Matched Control Analysis"],"prefix":"10.1111","volume":"39","author":[{"given":"Lindsey","family":"Turner","sequence":"first","affiliation":[{"name":"Division of Biostatistics and Health Data Science School of Public Health University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David M.","family":"Vock","sequence":"additional","affiliation":[{"name":"Division of Biostatistics and Health Data Science School of Public Health University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erika","family":"Helgeson","sequence":"additional","affiliation":[{"name":"Division of Biostatistics and Health Data Science School of Public Health University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raja","family":"Kandaswamy","sequence":"additional","affiliation":[{"name":"Division of Transplantation Department of Surgery University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Spong","sequence":"additional","affiliation":[{"name":"Division of Nephrology Department of Medicine University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Pruett","sequence":"additional","affiliation":[{"name":"Division of Transplantation Department of Surgery University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3899-6985","authenticated-orcid":false,"given":"Erik","family":"Finger","sequence":"additional","affiliation":[{"name":"Division of Transplantation Department of Surgery University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"Humphreville","sequence":"additional","affiliation":[{"name":"Division of Transplantation Department of Surgery University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5443-1258","authenticated-orcid":false,"given":"Srinath","family":"Chinnakotla","sequence":"additional","affiliation":[{"name":"Division of Transplantation Department of Surgery University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Adams","sequence":"additional","affiliation":[{"name":"Division of Transplantation Department of Surgery University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rasha","family":"el\u2010Rifai","sequence":"additional","affiliation":[{"name":"Division of Nephrology Department of Medicine University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karthik","family":"Ramanathan","sequence":"additional","affiliation":[{"name":"Division of Transplantation Department of Surgery University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9957-639X","authenticated-orcid":false,"given":"Arthur J.","family":"Matas","sequence":"additional","affiliation":[{"name":"Division of Transplantation Department of Surgery University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,14]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-0012.1994.tb00245.x"},{"issue":"1","key":"e_1_2_9_3_1","first-page":"91","article-title":"Steroid\u2010Related Complications in Pediatric Kidney Transplant Recipients in the Cyclosporine Era","volume":"26","author":"Fryer J. 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