Id |
Subject |
Object |
Predicate |
Lexical cue |
T1 |
0-89 |
Sentence |
denotes |
Hydroxychloroquine and Maintenance Immunosuppression Use in Kidney Transplant Recipients: |
T2 |
90-113 |
Sentence |
denotes |
Analysis of Linked U.S. |
T3 |
114-139 |
Sentence |
denotes |
Registry and Claims Data. |
T4 |
140-284 |
Sentence |
denotes |
Hydroxychloroquine (HCQ) is an antimalarial drug with immunomodulatory effects used to treat systemic lupus erythematosus (SLE) and scleroderma. |
T5 |
285-410 |
Sentence |
denotes |
The antiviral effects of HCQ have raised attention in the context of the COVID-19 pandemic, although safety is controversial. |
T6 |
411-638 |
Sentence |
denotes |
We examined linkages of national transplant registry data with pharmaceutical claims and Medicare billing claims to study HCQ use among Medicare-insured kidney transplant recipients with SLE or scleroderma (2008-2017; N=1,820). |
T7 |
639-726 |
Sentence |
denotes |
We compared three groups based on immunosuppression regimen 7-12 months posttransplant: |
T8 |
727-884 |
Sentence |
denotes |
1) tacrolimus (Tac)+mycophenolic acid (MPA)+prednisone (Pred) (referent group, 77.7%); 2) Tac+MPA+Pred+HCQ (16.5%); or 3) other immunosuppression+HCQ (5.7%). |
T9 |
885-1188 |
Sentence |
denotes |
Compared to the referent group, recipients treated with other immunosuppression+HCQ had a 2-fold increased risk of abnormal ECG or QT prolongation (18.9% vs. 10.7%; aHR,1.12 1.963.42 , p=0.02) and ventricular arrhythmias (15.2% vs. 11.4%; aHR,1.00 1.813.29 , p=0.05) in the >1-to-3 years posttransplant. |
T10 |
1189-1427 |
Sentence |
denotes |
Tac+MPA+Pred+HCQ was associated with increased risk of ventricular arrhythmias (13.5% vs. 11.4%; aHR,1.02 1.54 2.31 , p=0.04) and pancytopenia (35.9% vs. 31.4%; aHR,1.03 1.311.68 , p=0.03) compared to triple immunosuppression without HCQ. |
T11 |
1428-1530 |
Sentence |
denotes |
However, HCQ-containing regimens were not associated with an increased risk of death or graft failure. |
T12 |
1531-1694 |
Sentence |
denotes |
HCQ may be used safely in selected kidney transplant recipients in addition to their maintenance immunosuppression, although attention to arrhythmias is warranted. |