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Introduction
Kidney
Pancreas
Liver
Intestine
Heart
Lung
Deceased Organ Donation
Allocation Policies
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Table 15.5a
Steroid Withdrawal Rate at One Year Following Transplantation, 2000 to 2008
Recipients of Deceased Donor Livers
Discharge Regimen
Year of Transplant
2000
2001
2002
2003
2004
2005
2006
2007
2008
Total
Patients
2,893
2,993
3,235
3,198
3,435
3,375
3,572
3,384
3,414
Steroids Withdrawn
1,146
1,370
1,670
1,630
1,750
1,841
1,934
1,994
2,087
Rate
39.6%
45.8%
51.6%
51.0%
50.9%
54.5%
54.1%
58.9%
61.1%
CyA
Patients
193
92
75
50
42
42
25
26
19
Steroids Withdrawn
45
41
42
17
19
23
17
15
11
Rate
23.3%
44.6%
56.0%
34.0%
45.2%
54.8%
68.0%
57.7%
57.9%
Tac
Patients
994
1,072
1,269
1,138
1,158
1,040
950
847
694
Steroids Withdrawn
467
521
704
596
578
555
500
491
417
Rate
47.0%
48.6%
55.5%
52.4%
49.9%
53.4%
52.6%
58.0%
60.1%
CyA+MMF
Patients
224
188
150
139
139
142
142
138
155
Steroids Withdrawn
52
61
63
57
68
81
78
79
99
Rate
23.2%
32.4%
42.0%
41.0%
48.9%
57.0%
54.9%
57.2%
63.9%
Tac+MMF
Patients
956
1,171
1,331
1,544
1,760
1,912
2,239
2,231
2,350
Steroids Withdrawn
391
545
683
823
928
1,064
1,215
1,339
1,477
Rate
40.9%
46.5%
51.3%
53.3%
52.7%
55.6%
54.3%
60.0%
62.9%
CyA+Aza
Patients
97
47
44
1
24
12
5
3
4
Steroids Withdrawn
15
4
12
0
7
4
1
2
1
Rate
15.5%
8.5%
27.3%
0.0%
29.2%
33.3%
20.0%
66.7%
25.0%
Tac+Aza
Patients
64
59
77
80
26
3
3
8
6
Steroids Withdrawn
11
15
17
15
14
0
2
2
3
Rate
17.2%
25.4%
22.1%
18.8%
53.8%
0.0%
66.7%
25.0%
50.0%
CyA+Siro
Patients
13
8
21
18
19
17
3
3
11
Steroids Withdrawn
7
3
14
9
14
13
2
1
2
Rate
53.8%
37.5%
66.7%
50.0%
73.7%
76.5%
66.7%
33.3%
18.2%
Tac+Siro
Patients
135
134
85
41
52
37
44
18
12
Steroids Withdrawn
63
67
57
23
23
19
30
12
7
Rate
46.7%
50.0%
67.1%
56.1%
44.2%
51.4%
68.2%
66.7%
58.3%
Siro+MMF
Patients
27
39
34
32
31
30
23
13
18
Steroids Withdrawn
11
16
20
16
14
17
14
8
8
Rate
40.7%
41.0%
58.8%
50.0%
45.2%
56.7%
60.9%
61.5%
44.4%
Other Regimen
Patients
190
183
149
155
184
140
138
97
145
Steroids Withdrawn
84
97
58
74
85
65
75
45
62
Rate
44.2%
53.0%
38.9%
47.7%
46.2%
46.4%
54.3%
46.4%
42.8%
Source: OPTN/SRTR Data as of October 1, 2010.
Includes patients receiving first transplants of any organ with steroid use at transplant discharge, and who have a functioning
graft and maintenance drug use one year after transplantation.
CyA: Cyclosporine; Tac: Tacrolimus; MMF: Include MMF(Mycophenolate Mofetil) and MPA(Mycophenolate Sodium); Aza: Azathioprine;
Siro: Sirolimus.