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Content archived on 2024-06-25

Association of ACEI / ARB with patient and graft survival after renal transplantation.

Objective

The continuously rising prevalence and incidence rates of end stage renal disease (ESRD) in Europe represent a serious public health problem. Patients with ESRD exhibit a tremendously increased mortality due to cardiac disease (CD) compared to the age matched general population. Although the CD-protective effects of Angiotensin-Converting Enzyme Inhibitors (ACEI) and AT1 Receptor Blocker (ARB) are generally accepted in high-risk populations, only scarce data exist for patients with ESRD treated by renal transplantation. To extrapolate the effectiveness of ACEI/ARB on CD prevention to ESRD patients may not be appropriate, since it has recently been shown that some of the traditional CD risk factors such as arterial hypertension, hypercholesterolemia or body mass index are even negatively associated with CD events and mortality in ESRD patients. Similarly, the effectiveness of these drugs on transplant survival remains elusive. Therefore the applicant will elucidate the specific issue of whether the use of ACEI or ARB in ESRD is associated with patient and transplant survival.
The Austrian/Eurotransplant databases will be utilized to answer the proposed issues, since the few large renal transplant databases UNOS, USRDS or CTS do not contain a complete follow up of important CD risk factors and medication. Sample size calculations revealed the feasibility of the proposed research. The actual analysis of the data will be performed at the Harvard School of Public Health under the supervision of Dr. G. Curhan, faculty in the epidemiology department. Starting in summer 2004, the applicant will receive three months of thorough training in clinical epidemiology at the HSPH and among completion starting with the analysis of the proposed project. After conclusion of the study in end 2005, the applicant will return to his home institution to conduct further studies and use the gained expertise to set up a training program in clinical effectiveness.

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Topic(s)

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Call for proposal

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FP6-2002-MOBILITY-6
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Funding Scheme

Funding scheme (or “Type of Action”) inside a programme with common features. It specifies: the scope of what is funded; the reimbursement rate; specific evaluation criteria to qualify for funding; and the use of simplified forms of costs like lump sums.

OIF - Marie Curie actions-Outgoing International Fellowships

Coordinator

MEDICAL UNIVERSITY OF VIENNA
EU contribution
No data
Total cost

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No data

Participants (1)

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