Various factors influence the graft survival, infections being most common. While several. Z94. According to data from the OPTN, for individuals receiving primary kidney transplants between 2008 and 2015, the 1-, 3- and 5-year survival rates were 97. Persons with potential health hazards related to family and personal history and certain conditions influencing health status. 29: Type 2 diabetes mellitus with other diabetic kidney complication; E10. Other transplanted organ and tissue status. T86. The 2024 edition of ICD-10-CM Z52. Among recipients of a kidney from a deceased donor, the incidence of delayed allograft function at 2 weeks (defined as persistent oliguria, a decrease in the serum creatinine level of less than 0. Human de novo papillary renal-cell carcinomas in a kidney graft: evidence of recipient origin with adenoma-carcinoma sequence. 84 Stem cells transplant status. et al. 8% of recipients by 10 years post-transplant [ 6]. 82 Intestine transplant status. BKV-mediated allograft dysfunction has been retrospectively identified in 1 to 5 percent of renal-transplant recipients, but the incidence of BKV nephropathy, risk factors for it, and appropriate. The glomerular filtration rate (GFR) and levels of proteinuria are shown as measured after transplantation of the allograft in the first recipient, Patient 1 (beginning on day 0), and after. 05 relative risk of DGF if the other kidney had developed DGF [10,11]. Chronic active antibody-mediated rejection (AMR) is a leading cause of graft failure in kidney transplant recipients [1, 2]. ICD-10-CM Diagnosis Code T86. 7 may differ. 29:. 1 Introduction. We aimed to. Purpose of Review Cardiovascular disease is the leading cause of death and allograft loss among kidney transplant recipients, and hypertension is an independent risk factor for cardiovascular morbidity of this patient population. The use of dd-cfDNA as a marker of allograft rejection in the setting of immune checkpoint inhibitor therapy is further supported by a case from Hurkmans et al, 11 who described a kidney transplant recipient treated with nivolumab (anti-PD-1) for metastatic melanoma. Reported risk factors for cardiovascular disease in kidney transplant recipients include inflammatory and immunosuppressive agents, episodes of allograft rejection, as well as traditional cardiovascular risk factors, such as hypertension, hyperlipidemia, smoking, obesity, chronic kidney disease, proteinuria, and diabetes. The investigators assessed the significance of immune cell function in 76 renal allograft recipients after anti-thymocyte globulin induction and initiation of maintenance immunosuppression. Chronic allograft dysfunction (CAD) is considered the leading cause of late allograft loss. 04/2000 - Corrected ICD-9-CM code from 52. Therefore, the current study aimed to analyze if PTDM increases mortality and graft failure by pooling multivariable-adjusted data from individual studies. Z94. Factors influencing health status and contact with health services. Data. Similarly, 10-year graft survival was better in the RAAS blockade group when compared with the non-RAAS blockage group (59% vs 41%, p = 0. Urinary tract infection in kidney transplant recipients. Z94. Citation 6 Overall, AKI in the. Risk factors for graft failure in kidney transplantation. Hepatitis B virus (HBV) infection is a major risk factor for liver injury after kidney transplantation because of the requirement for immunosuppressive therapies []. Applicable To. Tacrolimus is one of the most commonly used immunosuppressant with kidney transplant patients because it provides better allograft survival and lower incidence of calcineurin inhibitor. CNI toxicity is seen most frequently in kidney transplant recipients, but it has been reported in other. 12 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 404A [convert to ICD-9-CM] Unspecified injury of right renal vein, initial encounter. Chronic allograft injury includes both immune-mediated and nonimmune-mediated injuries, which may involve the organ donor, the recipient, or both. The revised Banff 2017 classification of ABMR defines active (previously called acute) and chronic active ABMR as conditions in which histologic evidence of acute and chronic injury is associated with. 8, 68. For each study participant, we determined the first date of a hospital encounter with a discharge code for kidney transplant rejection (T86. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Allograft dysfunction after a kidney transplant is often clinically asymptomatic and is usually detected as an increase in serum creatinine level with corresponding decrease in glomerular filtration rate. Figure 3. Z1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 6%, while the prevalence of post-transplant hypertension among recipients of a renal allograft from a hypertensive donor range. Competing risk analysis could be useful to determine the impact of different events affecting graft survival, the occurrence of an outcome of interest can be precluded by another. This complication usually occurs within the first two weeks after transplantation. 1 became effective on October 1, 2023. Antiphospholipid syndrome (APS) is well recognized as an important cause of kidney injury, with specific. Z1 may differ. After careful patient selection successful pregnancies are described. However, urological complications are frequently observed, leading to both postoperative. Baseline Characteristics. Median time from transplant to. 1%, 92. Methods Computerized records from Taichung Veterans General Hospital were collected to identify renal transplant biopsies performed in the past 7 years. However, vascular complications can impact renal allograft outcomes. 10 - T86. The 2024 edition of ICD-10-CM Z94. 84 may differ. Synonyms: absent renal function, chronic graft-versus-host disease,Summary of Evidence. The morbidity. 4 percent of. Chronic allograft. 1, 4 – 6 The variation in the reported incidence may be due in part. Calcineurin inhibitors (CNI) are both the savior and Achilles heel of kidney transplantation. In the early period, drug induced acute interstitial nephritis can also be a reason for AKI in kidney allograft recipients. 12 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Z94. Complications of transplanted organs and tissue (T86) Other complication of kidney transplant (T86. Thrombotic microangiopathy is a rare but serious complication that affects kidney transplant recipients. Right renal artery injury. Injury, poisoning and certain other consequences of external causes. And the native kidney is an organ relatively susceptible to malignant tumors after renal transplantation. 12 became effective on October 1, 2023. 101 for kidney transplant failure. Chronic renal failure after liver transplantation (LT) is significantly more frequent than after lung or heart transplantation and it results in an increased short and long-term mortality. ICD-10 codes covered if selection criteria are met (not all-inclusive): I21. What this adds. This is substantially better than our earlier series of 89. Interstitial fibrosis and glomerular sclerosis occur in the kidney in 45% of the patients with renal impairment during long-term follow-up [2]. Renal allotransplantation, implantation of graft; with recipient nephrectomy. Introduction. 9, and 47. . 3 Moreover, in a multicenter cohort study, antibody-mediated damage. The following ICD-10-CM codes have been revised: Group 1: I71. The causes for graft loss are predominantly acute T cell-mediated rejection (TCMR), primary non-function in case of deceased donor donation, surgical complications, and increased risk of death because of. CD8+ and CD4+ T cells of donor and recipient origin are present in the renal allograft. 00 Read transplantation of kidney. 3%, respectively. 2 Aims of Induction Therapy. Early detection and correction reduce patients' morbidity and allograft dysfunction. Figure 2 demonstrates the time course from 8 to 20 April 2020 over which the 54 SARS-CoV-2-positive cases occurred and the cumulative cases over time. 23 - other international versions of ICD-10 Z48. The 2024 edition of ICD-10-CM T86. T86. The most affected kidney transplant group was the recipients (83%, 10/12). Messenger RNA for FOXP3 in the urine of renal-allograft recipients. Potential immuno-An observational study among kidney transplant recipients aged ≥60 years found that the risks of acute rejection at 1-year post transplant and mortality were significantly higher with IL-2 receptor. Delayed graft function (DGF), most commonly defined as the need for at least 1 dialysis treatment within the. [1] It typically occurs within the first month following transplantation, and more than 90% of cases occur within the first year. The consequences of UTIs in this population are serious, with increased morbidity and hospitalisation rates as well as acute allograft dysfunction. Recent insights in allorecognition and graft rejection mechanisms revealed a more complex picture than originally considered, involving multiple pathways of both adaptive and innate immune response, supplied by efficient inflammatory synergies. Donor-specific antibodies have become an established biomarker predicting antibody-mediated rejection. T86. Polyomavirus nephropathy (PVN) is primarily caused by a productive intra-renal BK virus infection. 7 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. This was the first year ICD-10-CM was implemented into the HIPAA code set. Chronic allograft nephropathy is the generic term to describe chronic interstitial fibrosis and tubular atrophy commonly seen in kidney transplants, which is responsible for most allograft losses, excluding recipient death. BK is a circular, double-stranded DNA virus from the polyomavirus family. The median age was 57 (interquartile range [IQR] 47-67), 60% were male, 40% Caucasian, and 30% Black/African American. Case presentation We present a rare case of early spontaneous SH in an allograft kidney. This is the American ICD-10-CM version of T86. 50360 Renal allotransplantation, implantation of graft; without recipient nephrectomy 50365 Renal allotransplantation, implantation of graft; with recipient nephrectomy ICD. These results in this meta-analysis could help inform the selection process, treatment, and monitoring of transplanted kidneys at high risk of DGF. The investigators. 83–1. 11 - kidney transplant rejection Epidemiology. After immunosuppression withdrawal, a diagnosis of graft intolerance syndrome was made based on clinical criteria and confirmed by the persistence of renal perfusion under imaging procedures. Although the incidence of HBV infection has declined among dialysis patients, the prevalence is still high in endemic areas. 12 may differ. 9 may differ. This was the first year ICD-10-CM was implemented into the HIPAA code set. 12 may differ. This is the American ICD-10-CM version of D47. FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. Type 1 Excludes. Transplanted organ previously removed due to complication, failure, rejection or infection. 0 became effective on October 1, 2023. One of the most crucial factors that affect the risk of CMV infection in post-renal transplant recipients is the preoperative. 500 results found. 12 - other international versions of ICD-10 T86. Infections account for 16% of patient deaths and 7. Renal allograft recipients have a 13-fold. Am J Transplant. [ Read More ] En Bloc Kidney. 2 ICD-10 during kidney dialysis or other perfusionZ94. We retrospectively analysed all patients who received a kidney transplant and received follow up care in our centre between 2009–2019. Cancer diagnoses were classified using the International Classification of Disease ver. 9% and 86. The International Classification of Diseases, 9 th revision, Clinical Modification code (ICD-9 CM) was used to identify all kidney transplant recipients (ICD-9-CM code V420, diagnosis [DX]2-DXn) admitted for treatment of sepsis (ICD-9-CM code 0380-0389, DX1). ICD-10-CM Diagnosis Code T86. Summary Background Data. 195-217 Long-term similar patient and allograft survival were confirmed in a follow-up analysis of a landmark study. Complications of surgical and medical care, not elsewhere classified. Includes: organ or tissue replaced by heterogenous or homogenous transplant. Graft loss risk factors are usually estimated with the cox method. Kidney transplantation (KT) is the best choice for patients with end-stage renal disease. 11 Read h/o: kidney dialysis. This systematic review aimed to establish the clinical impact of statins in cardiac allograft recipients, critically appraising the literature on this subject. Methods Patients who underwent kidney transplantation in. , early detection of graft dysfunction, timely identification of rejection episodes, personalization of immunosuppressive therapy, and prediction of long-term graft survival. Antibody-mediated rejection (AMR) is a significant contributor to graft loss in kidney transplant recipients and accounts for up to 76% of death-censored graft failures beyond the first year of transplantation. Z94. 99:. The 2024 edition of ICD-10-CM Z94. The following ICD-10-CM code has been added to the article: Group 2: I1A. 0. 8 Other transplanted organ and tissue status. 1. 9% and 86. The BK virus was first isolated from the urine of a renal transplant recipient with ureteric stenosis in 1971 , but it was not until 20 years later that BK was recognized as a cause of interstitial nephritis and allograft failure in renal transplant recipients [2, 3]. In terms of kidney function, KT recipients with a longer functional graft showed lower stages of depression 33. 3 CSL Behring, King of Prussia, PA, USA. 4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Compared to the reference standard, this algorithm had a sensitivity of 97% and a PPV of 90%. H/o: skin recipient; History of skin transplant; Autogenous skin transplant status. Z94. The 2024 edition of ICD-10-CM Z98. 50340. Chronic allograft nephropathy is the most prevalent cause of renal transplant failure in the first post-transplant decade, but its pathogenesis has remained elusive. Chronic allograft nephropathy (CAN) is defined as renal allograft dysfunction that occurs at least 3 months after transplantation and independent of acute rejection, drug toxicity, or other disease. When compared with other organ transplant recipients, renal transplant patients are at lower risk for CMV, in part due to the lower burden of latent virus in the renal allograft. Patients with failing transplants experience high mortality rates Citation 2, and those who survive must. In the discovery phase, 50 deletion-tagging SNPs were screened for association with biopsy-confirmed rejection in 705 kidney allograft recipients. Hospital admission following acute kidney injury in kidney transplant recipients is associated with a negative impact on graft function after 1-year. With currently used combination therapies, 1 year acute rejection rates have decreased to 10 - 15% Sites. 9% and 86. [ 2, 3] However, these conditions were not observed in our patient. 62. A kidney transplant involves the surgical removal of a kidney from a deceased or living donor and implantation into a recipient. Antiphospholipid syndrome (APS) is a devastating autoimmune disease and in renal transplant recipients may result in allograft thrombosis or in extra-renal manifestation, mostly venous thromboembolism. Kidney allograft rejection is a major cause of allograft dysfunction. They concluded that the use of RAAS blockers was associated with longer patient and graft survival and more frequent use of these medications may reduce the incidence of renal allograft failure in KTRs . Effective and implementation dates 10/01/2000. , who found that Transplant recipients who were positively tested for DSA using a complement-dependent cytotoxicity crossmatch assay had a higher risk of transplant. Recent Findings Transplant. 11 became effective on October 1, 2023. Effective and. 1 The first marker of. Kidney transplant rejection. Baseline Characteristics. Background Post transplantation anemia (PTA) is common among kidney transplant patients. Compared to dialysis, kidney transplantation is associated with reduced mortality and. 01 [convert to ICD-9-CM] Right upper quadrant abdominal swelling, mass and lump. A single ICD-10 code for kidney transplant rejection (T86. In SOT, the disease caused by CMV occurs mainly between 30 and 90 days after transplantation and is rare after 180 days. Thrombosis may arise as a complication of angiography, angioplasty or stent placement. 9 - other international versions of ICD-10 N28. Antibody-mediated rejection is the leading cause of graft loss after kidney transplant. It may be caused by modifiable and non-modifiable factors. Showing 1-25: ICD-10-CM Diagnosis Code Z94. Persons with potential health hazards related to family and personal history and certain conditions influencing health status. This is the American ICD-10-CM version of Z94. History of kidney transplant; History of renal transplant. There is a lack of data comparing transplant recipients with a failing graft to nontransplant controls with chronic kidney disease (CKD). Delayed graft function (DGF) is a manifestation of acute kidney injury (AKI) with attributes unique to the transplant process. ICD-PCS (Procedure Coding System) codes are used for facility reporting of hospital inpatient procedures in relation to kidney. Current standards employ lab markers of renal function and biopsy results for accurate diagnosis. This section shows you chapter-specific coding guidelines to increase your understanding and correct usage of the target ICD-10-CM Volume 1 code. A kidney transplant involves the surgical removal of a kidney from a deceased or living donor and implantation into a recipient. ICD-10 codes not covered for indications listed in the CPB: Z94. 10 (ICD-10). Z94. Delayed graft function (DGF) refers to the acute kidney injury that occurs in the first week of kidney transplantation that necessitates dialysis intervention. Z94. This variant was next tested under the. 7, 10, 19, 24, 26-28 Such an early diagnosis requires: (a) proper risk assessment of renal allograft recipients, and (b) optimal timing of a. The 2024 edition of ICD-10-CM Z94. 19, p = 0. 6% (n = 101). 0–8. The 2024 edition of ICD-10-CM T86. 4 - other international versions of ICD-10 Z94. 1%, 92. Y62. 5% in the transplant kidney arm. N Engl J Med 2005;353: 2342-2351. The revised Banff 2017 classification of ABMR defines active (previously called acute) and chronic active ABMR as conditions in which histologic evidence of acute and chronic injury is. Abstract. The differential diagnosis is broad and includes multiple infectious etiologies. 4) and 1 procedural code for kidney procurement/excision (1PC58, 1PC89, 1PC91). Banff 2019 classification recognizes three diagnostic AMR categories: active AMR, chronic active AMR and chronic (inactive) AMR (Table (Table1) 1) []. Renal replacement therapy in the form of renal transplantation (RT) is the treatment of choice in these patients. Methods. 5 Skin transplant status. The authors studied the risk factors for the development of CAF in a single center during a period in which a consistent baseline immunosuppression regimen (cyclosporine, azathioprine, and prednisolone) was used. ICD-10: T86. ICD-10-CM Diagnosis Code S35. Jun-Aug 2020;46-47:101690. In Brief. 5%. A few diseases are associated with a high risk of renal allograft loss, including focal segmental glomerulosclerosis, HUS oxalosis, and membranoproliferative glomerulonephritis. D,Use being made of the external iliac vein of the cadaveric donor. Complications of transplanted organs and tissue (T86) Kidney transplant failure (T86. Most data are for the clear-cell type. 01 - I24. INTRODUCTION. Thrombotic microangiopathy after kidney transplantation. 7 - other international versions of ICD-10 Z94. Infection is an important cause of morbidity and mortality after kidney transplantation. According to data from the OPTN, for individuals receiving primary kidney transplants between 2008 and 2015, the 1-, 3- and 5-year survival rates were 97. Nevertheless, it should remain high on any differential diagnosis of unexplained graft dysfunction because of the potential negative effect on graft longevity. Hence, the coder would assign 996. Transplant renal artery stenosis (TRAS) is the narrowing of the transplant renal artery, impeding blood flow to the allograft. Purpose of review: Delayed graft function is a common early posttransplant event predictive of adverse outcomes including hospital readmission, impaired long-term graft function, and decreased graft and patient survival. 9 - other international versions of ICD-10 Z52. 11) does not distinguish between T-cell mediated and antibody-mediated rejection, and this ICD-10 code was only added recently. Z94. Glomerulonephritis is the primary cause of end-stage renal disease in up to 50 percent of those who go on to receive a renal transplant. 0 may differ. Free Full TextImportantly, in the investigation by Manfro et al. Methods: We developed an algorithm to detect AMR using. Ureteral obstruction occurs in 2–10% of renal transplant patients post-operatively, usually presenting within the first few weeks, or the first year. J Am Soc Nephrol 1999; 10 :146–153. Recent Findings Transplant nephrectomy has high morbidity and mortality rates. 19) T86. There are 3 approaches to surgical placement of a renal allograft: (1) extraperitoneal, (2) transperitoneal, and (3) intraperitoneal. Delayed graft function is most commonly used to describe the failure of the transplanted kidney to function promptly after transplantation, leading to dialysis within 1 week after. This is the American ICD-10-CM version of Z98. The age range varied between 16 and 80 years (Table 1). 19 - other international versions of ICD-10 T86. ICD-10-CM Codes. 12 - other international versions of ICD-10 T86. The kidney is the most commonly transplanted solid organ. 9 became effective on October 1, 2023. A total of 51 subjects were enrolled and 3 or more baseline dd-cfDNA measurements were attained during a. Chronic kidney disease (CKD) is increasing in most countries and kidney transplantation is the best option for those patients requiring renal replacement therapy. ABSTRACT. 0 [convert to ICD-9-CM] Kidney transplant status. Results. For 50323, a donor kidney is prepared for transplant from a cadaver or living donor. Heine GH, Gerhart MK, Ulrich C, Kohler H, Girndt M. This video walks you through how to assign an ICD-10-PCS code for a kidney transplantation using a complete operative report. 82, and deleted reference to 36-month period of entitlement. Subsequently, we studied 696 consecutive adult kidney allograft recipients that were grouped according to allograft type and histology at time-zero biopsy [DRTx/suboptimal histology (n = 194. Hence, the coder would assign 996. Several risk factors to develop graft thrombosis depending on donors and recipients are well known. 11 is a billable diagnosis. 6 Bone transplant status. Medical Necessity Aetna considers the ImmuKnow Assay, also known as the Transplantation Immune Cell Function Assay (Cylex, Inc. Rates of Death and Graft Loss after Kidney Transplantation in the United States, 1996–2018, According to Years after Transplantation. Complications of surgical and medical care, not elsewhere classified. Abstract. Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis, each. The graft failure rate did not differ in pregnant women as compared to nonpregnant allograft recipients at follow-up of 10 years (19% versus 21%) . 65, 66 In literature, PVAN is deemed as the cause of graft failure in 5%–15% of graft losses. 100), and the first date. There is a lack of data comparing transplant recipients with a failing graft to nontransplant controls with chronic kidney disease (CKD). (should be performed on every allograft renal biopsy specimen)Antibody mediated rejection (AMR) poses a significant and continued challenge for long term graft survival in kidney transplantation. Posttransplantation diabetes mellitus (PTDM) is an important metabolic complication after KT that causes graft failure and cardiovascular complications in kidney transplantation (KT) recipients. 4 Among the 458 patients studied, with 315 in the native kidney arm and 143 in the transplant kidney arm, the complication rate was 28. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 19 - other international versions of ICD-10 T86. This is the American ICD-10-CM version of Z94. BK virus nephropathy (BKVN) was first described in a renal transplant recipient (RTR) presenting with transplant ureteric stenosis and was named after the initials of the patient. 19. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 0 [convert to ICD-9-CM] Kidney transplant status. We included first time, kidney transplant recipients aged ≥ 18 years who were transplanted between July 1, 2008, to May 31, 2019. 10528 Background: Renal transplant (RT) recipients are at an increased risk of developing renal cell carcinoma (RCC), mainly due to iatrogenic immunosuppression and changes in immune surveillance. doi: 10. 0 - other international. code to identify other transplant complications, such as:; graft-versus-host disease (D89. Prompt recognition and evaluation of allograft. 1 mg/dL), but his BKV still positive with BKV load in the urine and plasma were recently detected at 1. A right inguinal hernia with ureteral incarceration was observed. According to data from the OPTN, for individuals receiving primary kidney transplants between 2008 and 2015, the 1-, 3- and 5-year survival rates were 97. 80 at 3, 12, and 24 months after transplan -Corticosteroid withdrawal has been successfully done in low and moderate risk kidney transplant recipients, but may result in higher incidence of BPAR with similar patient and allograft survival. 19, p = 0. 8 (1-11. The 2024 edition of ICD-10-CM Z94. We report a case of safe and successful treatment of cutaneous squamous cell carcinoma (SCC) with pembrolizumab in a kidney allograft recipient on immunosuppressive therapy with sirolimus and prednisone. 1 may differ. The enhancement of. It can appear in a systemic form, with hemolytic microangiopathic anemia, thrombocytopenia, and renal failure, or in a localized form, with progressive. The Banff Classification of Allograft Pathology is an international consensus classification for the reporting of biopsies from solid organ transplants. 13 [convert to ICD-9-CM] Kidney transplant infection. Among 2500 kidney transplant recipients who received kidney allograft at the Clinical hospital center Zagreb, 22 patients had IDD. Z94. 1%, 92. More than half a century has passed since the first successful kidney transplantation was performed. 12 [convert to ICD-9-CM]. 83–1. 19 is a billable diagnosis code used to specify a medical diagnosis of other complication of kidney transplant. Methods Patients who underwent kidney transplantation in Rabin Medical Center (RMC) were included in the study. History of kidney transplant; History of renal transplant. 78 mins (range of 52 to 111) versus 222 mins (range of 74 to 326). 19 may differ. When a new kidney is placed in a person's body, the body sees the transplanted organ as a threat and tries to attack it. Transplantation physicians began to focus on late allograft changes, including chronic rejection, 17-19 which portends serious risks of allograft loss and death among recipients of kidney, heart. ICD-10-CM Codes. "Other complication of kidney transplant. Since the development of calcineurin inhibitors (CNIs) in the 1980s, the rate of early acute rejection in kidney transplant recipients has dramatically declined leading to excellent short-term outcomes, but long-term graft survival has increased only slightly (). 3%, respectively. Therefore, there is a significant number of patients living with a functioning kidney allograft. The patient presented with acute onset of fevers, dysuria, haematuria and diarrhoea with. The provider does not remove a kidney (nephrectomy) from the recipient. This retrospective study on kidney transplantation was conducted from January 1, 2018, to December 31,. According to. There are many non- and immune risk factors affecting renal allograft in recipients with APS.