{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,18]],"date-time":"2026-07-18T17:32:56Z","timestamp":1784395976480,"version":"3.55.0"},"reference-count":30,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,11,20]],"date-time":"2013-11-20T00:00:00Z","timestamp":1384905600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2013,11,20]],"date-time":"2013-11-20T00:00:00Z","timestamp":1384905600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2014,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Increased focus on the potential negative side effects of steroid usage in pediatric transplantation has led to steroid minimization or steroid\u2010free transplantation. In this study, we report results after complete steroid avoidance in renal transplantation in the period 1994\u20132009. We evaluate the effects of complete steroid avoidance on allograft function,\n                    <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                    , and linear growth. The majority of transplanted children were induced with antithymocyte globulin and immunosuppressed with a calcineurin inhibitor and mycophenolate mofetil. Steroids were given only when rejection occurred or due to comorbidities. Anthropometric data were collected from 65 transplantations in 60 children. Patient survival was 93%; graft survival was 81% after five\u00a0yr (N\u00a0=\u00a042) and 63% after 10\u00a0yr (N\u00a0=\u00a016). Acute rejection within the first year of transplantation was 9%. The distribution of the children's\n                    <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                    before transplantation was normal; the mean\n                    <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                    \u2010\n                    <jats:styled-content style=\"fixed-case\">SDS<\/jats:styled-content>\n                    was 0.21 before transplantation, and this value remained stable during the next five\u00a0yr. Post\u2010transplantation the children demonstrated significant improved growth as the mean height\u2010\n                    <jats:styled-content style=\"fixed-case\">SDS<\/jats:styled-content>\n                    increased significantly from \u22121.7 to \u22121.1. Catch\u2010up growth was most pronounced in the youngest (&lt; six\u00a0yr). Steroid\u2010free immunosuppression in pediatric renal transplantation is safe and protects against steroid\u2010induced obesity and short stature.\n                  <\/jats:p>","DOI":"10.1111\/petr.12186","type":"journal-article","created":{"date-parts":[[2013,11,20]],"date-time":"2013-11-20T05:46:04Z","timestamp":1384926364000},"page":"35-41","source":"Crossref","is-referenced-by-count":33,"title":["Long\u2010term experience of steroid\u2010free pediatric renal transplantation: Effects on graft function, body mass index, and longitudinal growth"],"prefix":"10.1111","volume":"18","author":[{"given":"Per","family":"Wittenhagen","sequence":"first","affiliation":[{"name":"Department of Nephrology Odense University Hospital Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helle C.","family":"Thiesson","sequence":"additional","affiliation":[{"name":"Department of Nephrology Odense University Hospital Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7ois","family":"Baudier","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery Odense University Hospital Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik B.","family":"Pedersen","sequence":"additional","affiliation":[{"name":"Department of Nephrology Odense University Hospital Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mette","family":"Neland","sequence":"additional","affiliation":[{"name":"Hans Christian Andersen Children's Hospital Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,11,20]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0b013e3181d3c9be"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-010-1572-4"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3046.2005.00304.x"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2009.02640.x"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3046.2008.01111.x"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-002-0863-9"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2006.01316.x"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ackd.2005.07.007"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1755.1999.00356.x"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-008-0787-0"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3046.2007.00731.x"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3046.2008.00928.x"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2012.04145.x"},{"key":"e_1_2_6_15_1","first-page":"2610","article-title":"Cyclosporine monotherapy in children: Long\u2010term effect","volume":"26","author":"Birkeland SA","year":"1994","journal-title":"Transplant Proc"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007890-200104270-00013"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfl131"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0031-3955(16)36251-4"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/17.suppl_1.60"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0801515"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2002.tb03322.x"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2011111115"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3046.2012.01749.x"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-3132"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2012.04144.x"},{"key":"e_1_2_6_26_1","unstructured":"2010 Annual report of the North American Pediatric Renal Trials and Collaborative Studies. 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