Abstract

Background: Hepatitis C virus (HCV) infection occursin 0 to 51 of dialysis patients, and many HCV-positive patients are urged to undergo kidney transplantation. However, the outcome of renal transplantation in HCV-positive recipients is unknown. Objectives: Our review aimed to address the outcomes of renal transplantation recipients (RTRs)following kidney transplantation. Materials and Methods: We selected studies that used the adjusted relative risk (aRR) and 95 Cl of all-cause mortality and graft loss in HCV-positive compared with HCV-negative RTRs as study endpoints. Cox proportional hazard analysis was usedin all studies to calculate the independent effects of HCV infection on RTR outcomes. Sixteen retrospective cohort studies and 2 clinical trials were selected for our review. Sixteen studies were related to patient survival, and 12 examined graft survival. Results: The combined hazard ratio in HCV-infected recipients was 1.69-fold (1.33-1.97, p < 0.0001) and 1.56 times (1.22-2.004, p < 0.0001) greaterthan that of HCV-negative recipients for mortality and graft loss, respectively. Conclusions: Although HCV-infected RTRs have worse outcomes than HCV-negative RTRs,kidney transplantation is the preferred treatment for patients with HCV infection and end-stage renal disease (C) 2017 Kowsar M.P.Co. All rights reserved.