{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T06:41:26Z","timestamp":1767163286857,"version":"build-2238731810"},"reference-count":22,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,6,17]],"date-time":"2019-06-17T00:00:00Z","timestamp":1560729600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["T32 DK007785"],"award-info":[{"award-number":["T32 DK007785"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Adolescent age at time of transplant has been recognized as a risk factor for renal allograft loss. Increased risk for graft failure may persist from adolescence to young adulthood. Transfer of care is hypothesized as a risk factor for non\u2010adherence and graft loss. We explored whether kidney allograft function declined at an accelerated rate after transfer of care to adult transplant centers and whether coefficient of variation of tacrolimus (CV TAC) trough levels predicted allograft loss. Single\u2010center, retrospective chart review was performed for pediatric kidney transplant recipients who received transplants between 1999 and 2011. Change in eGFR pre\u2010 and post\u2010transfer was performed via a linear mixed\u2010effects model. CV TAC was calculated in transplant recipients with TAC data pre\u2010 and post\u2010transfer.\n                    <jats:italic>t<\/jats:italic>\n                    test was performed to determine the difference between means of CV TAC in subjects with and without allograft loss following transfer of care. Of the 138 subjects who transferred to adult care, 47 subjects with data pre\u2010 and post\u2010transfer demonstrated a decrease in the rate of eGFR decline post\u2010transfer from 8.0\u00a0mL\/min\/1.73\u00a0m\n                    <jats:sup>2<\/jats:sup>\n                    per year to 2.1\u00a0mL\/min\/1.73\u00a0m\n                    <jats:sup>2<\/jats:sup>\n                    per year, an ~80% decrease in eGFR decline post\u2010transfer (\n                    <jats:italic>P<\/jats:italic>\n                    \u00a0=\u00a00.01). Twenty\u2010four subjects had CV TAC data pre\u2010 and post\u2010transfer of care. Pretransfer CV TAC for subjects with allograft loss post\u2010transfer was significantly higher than in subjects without allograft loss (49% vs 26%,\n                    <jats:italic>P<\/jats:italic>\n                    \u00a0&lt;\u00a00.05). Transfer of care was not independently associated with acceleration in eGFR decline. CV TAC may aid in identifying patients at risk for allograft loss post\u2010transfer.\n                  <\/jats:p>","DOI":"10.1111\/petr.13527","type":"journal-article","created":{"date-parts":[[2019,6,18]],"date-time":"2019-06-18T01:52:59Z","timestamp":1560822779000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["The effect of transfer to adult transplant care on kidney function and immunosuppressant drug level variability in pediatric kidney transplant recipients"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3740-1062","authenticated-orcid":false,"given":"Hilda E.","family":"Fernandez","sequence":"first","affiliation":[{"name":"Division of Nephrology, Department of Medicine Columbia University Medical Center New York New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Amaral","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Pediatrics Children\u2019s Hospital of Philadelphia, and University of Pennsylvania Philadelphia Pennsylvania"},{"name":"Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1883-8410","authenticated-orcid":false,"given":"Pamela A.","family":"Shaw","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3113-571X","authenticated-orcid":false,"given":"Alden M.","family":"Doyle","sequence":"additional","affiliation":[{"name":"Division of Nephrology University of Virginia School of Medicine Charlottesville Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4783-7775","authenticated-orcid":false,"given":"Roy D.","family":"Bloom","sequence":"additional","affiliation":[{"name":"Renal Division, Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo Ann","family":"Palmer","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Pediatrics Children\u2019s Hospital of Philadelphia, and University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0021-0265","authenticated-orcid":false,"given":"Hobart J.","family":"Baluarte","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Pediatrics Children\u2019s Hospital of Philadelphia, and University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2081-5242","authenticated-orcid":false,"given":"Susan L.","family":"Furth","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Pediatrics Children\u2019s Hospital of Philadelphia, and University of Pennsylvania Philadelphia Pennsylvania"},{"name":"Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,6,17]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3046.2011.01567.x"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3046.2006.00639.x"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s004670050794"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.14557"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0b013e31823411d7"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/petr.12289"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1526924816667952"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-3046.2007.00689.x"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0b013e31821b2f4b"},{"key":"e_1_2_9_11_1","first-page":"117","volume-title":"Pediatric 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