Abstract
Background. Although advances in treatment have dramatically improved short-term graft survival and acute rejection in kidney transplant recipients, long-term graft outcomes have not substantially improved. Transplant recipients also have a considerably increased risk of cancer, cardiovascular disease, diabetes, and infection, which all contribute to appreciable morbidity and premature mortality. Many trials in kidney transplantation are short-term, frequently use unvalidated surrogate endpoints, outcomes of uncertain relevance to patients and clinicians, and do not consistently measure and report key outcomes like death, graft loss, graft function, and adverse effects of therapy. This diminishes the value of trials in supporting treatment decisions that require individual-level multiple tradeoffs between graft survival and the risk of side effects, adverse events, and mortality. The Standardized Outcomes in Nephrology-Transplantation initiative aims to develop a core outcome set for trials in kidney transplantation that is based on the shared priorities of all stakeholders. Methods. This will include a systematic review to identify outcomes reported in randomized trials, a Delphi survey with an international multistakeholder panel (patients, caregivers, clinicians, researchers, policy makers, members from industry) to develop a consensus-based prioritized list of outcome domains and a consensus workshop to review and finalize the core outcome set for trials in kidney transplantation. Conclusions. Developing and implementing a core outcome set to be reported, at a minimum, in all kidney transplantation trials will improve the transparency, quality, and relevance of research; to enable kidney transplant recipients and their clinicians to make better-informed treatment decisions for improved patient outcomes.
| Original language | English (US) |
|---|---|
| Pages (from-to) | E79 |
| Journal | Transplantation Direct |
| Volume | 2 |
| Issue number | 6 |
| DOIs | |
| State | Published - Jun 1 2016 |
Bibliographical note
Funding Information:The SONG-Tx initiative is endorsed by The Transplantation Society. The authors also want to acknowledge the following organizations for their partnerships and support: Cochrane Kidney and Transplant, Kidney Disease Improving Global Outcomes (KDIGO), PKD International, World Transplant Games Federation, Australasian Kidney Trials Network (AKTN), Christchurch Kidney Society, Kidney Health Australia, Transplant Australia, The Kidney Foundation of Canada, British Kidney Patient Association, European Kidney Transplant Association (EKITA) of the European Society of Transplantation, European Renal Best Practice (ERBP), and the UK National Kidney Federation. All SONG Collaborators are listed here: songinitiative.org/who-we-are/partners-and-supporters/.
Funding Information:
This project is supported by the National Health and Medical Research Council (NHMRC) Program Grant 1092597. AT is supported by the NHMRC Career Development Fellowship (1106716).
Funding Information:
This project is supported by the National Health and Medical Research Council (NHMRC) Program Grant 1092597. AT is supported by the NHMRC Career Development Fellowship (1106716). The SONG-Tx initiative is endorsed by The Transplantation Society. The authors also want to acknowledge the following organizations for their partnerships and support: Cochrane Kidney and Transplant, Kidney Disease Improving Global Outcomes (KDIGO), PKD International, World Transplant Games Federation, Australasian Kidney Trials Network (AKTN), Christchurch Kidney Society, Kidney Health Australia, Transplant Australia, The Kidney Foundation of Canada, British Kidney Patient Association, European Kidney Transplant Association (EKITA) of the European Society of Transplantation, European Renal Best Practice (ERBP), and the UK National Kidney Federation. All SONG Collaborators are listed here: songinitiative.org/who-we-are/partners- and-supporters/.
Publisher Copyright:
Copyright © 2016 The Authors.
