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BMJ· 2014Q1· Review

Effect of sirolimus on malignancy and survival after kidney transplantation: systematic review and meta-analysis of individual patient data

Greg Knoll, Madzouka B. Kokolo, Ranjeeta Mallick, Andrew Beck et al.

Short summary

Sirolimus, an immunosuppressant, significantly reduced the risk of malignancy by 40% and non-melanoma skin cancer by 56% in kidney transplant recipients compared to controls, with the greatest benefit seen in patients switching to sirolimus. However, it was also associated with a 43% increased risk of death.

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Field: Transplantation

TransplantationMedicine