2021
DOI: 10.3389/fmed.2021.718747
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Epidemiology and Prognosis of Invasive Fungal Disease in Chinese Lung Transplant Recipients

Abstract: This study explored the epidemiology, risk factors, and prognosis of invasive fungal disease (IFD) in Chinese lung transplant recipients (LTRs). This retrospective cohort study included patients who received lung transplants at four hospitals in South China between January 2015 and June 2019. The participants were divided into IFD and non-IFD (NIFD) groups. The final analysis included 226 LTRs (83.2% males) aged 55.0 ± 14.2 years old. Eighty-two LTRs (36.3%) developed IFD (proven or probable diagnosis). The mo… Show more

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Cited by 5 publications
(12 citation statements)
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“…Chance-adjusted interrater agreement for study inclusion, determined using kappa statistic, was 0.86 (CI, 0.75-0.95; P = 0.05) indicating almost perfect agreement. Of the 58 articles included in the systematic review, 5,22-78 27 studies either initially contained or provided after email contact enough information to calculate a quantitative relationship between risk factors and IFI within the first year posttransplant. 22-42,51,69,70,74,77,78 Of the 27 studies included in the meta-analysis, 13 evaluated risk factors for any IFI, 23,24,27,28,30,33,35,36,38,41,42,77,78 10 evaluated risk factors for IA, 22,25,26,32,34,37,39,40,51,74 2 evaluated for risk factors for only IA or IC, 29,31 and 2 evaluated risk factors for IC.…”
Section: Resultsmentioning
confidence: 99%
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“…Chance-adjusted interrater agreement for study inclusion, determined using kappa statistic, was 0.86 (CI, 0.75-0.95; P = 0.05) indicating almost perfect agreement. Of the 58 articles included in the systematic review, 5,22-78 27 studies either initially contained or provided after email contact enough information to calculate a quantitative relationship between risk factors and IFI within the first year posttransplant. 22-42,51,69,70,74,77,78 Of the 27 studies included in the meta-analysis, 13 evaluated risk factors for any IFI, 23,24,27,28,30,33,35,36,38,41,42,77,78 10 evaluated risk factors for IA, 22,25,26,32,34,37,39,40,51,74 2 evaluated for risk factors for only IA or IC, 29,31 and 2 evaluated risk factors for IC.…”
Section: Resultsmentioning
confidence: 99%
“…Table 1 summarizes key study characteristics. Topically, 20 studies pertained to liver transplant, 27-36,52-59,77,78 15 to lung transplant, 5,38-41,64-67,69,71,72,74-76 9 to kidney transplant, 25,26,46-51,73 6 to heart transplant, 22-24,43-45 1 to small bowel transplant, 68 2 to pancreas-kidney transplant, 42,70 and 5 to multiple SOT groups. 37,60-63 One study evaluated a specific lung transplant population (those with cystic fibrosis 40 ), and 3 studies evaluated a specific liver transplant population (2 with deceased donors only 29,33 and 1 with living donors only 55 ).…”
Section: Resultsmentioning
confidence: 99%
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“…However, post-lung transplant survival is still low compared with other solid organ transplantations, mainly due to pulmonary and airway fungal infections ( 1 , 2 ). Aspergillus is the most frequent pathogen causing invasive fungal diseases (IFDs) in Chinese lung transplant recipients ( 3 ). Universal antifungal prophylaxis is recommended by many lung transplantation guidelines and adopted by most transplant centers.…”
Section: Introductionmentioning
confidence: 99%