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Correspondence
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Volume 346:2089-2092 June 27, 2002 Number 26
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Strategies to Improve Outcomes after Renal Transplantation

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 by Pascual, M.
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To the Editor: Like most reviews of strategies to improve outcomes in recipients of renal transplants, the recent article by Pascual et al. (Feb. 21 issue)1 focused on immunologic issues and immunosuppression. It is becoming clear, however, that the most common cause of graft loss is death (due to cardiovascular disease in 30 to 50 percent of cases) and that most chronic graft loss is nonimmunologic.2 Pascual et al., in fact, concede these points. It stands to reason that aggressive treatment of nonimmunologic causes of graft failure and cardiovascular disease might have a larger effect in renal-transplant recipients than any . . . [Full Text of this Article]


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