Preview

Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH)

Advanced search

Epidemiology of dyslipidemia in post-kidney transplant patients: a multicenter retrospective cohort study (EDIS-PTP 2025). Rationale and study design

https://doi.org/10.20340/vmi-rvz.2025.6.TX.1

Abstract

Background. Dyslipidemia is a major risk factor for cardiovascular events after kidney transplantation. Insufficient data are available in the Russian literature on the prevalence of dyslipidemia in kidney transplant patients and the effectiveness of lipid-lowering therapy regimens.

Study objective: to determine the incidence of dyslipidemia in kidney transplant patients, the frequency of lipid-lowering therapy, and its effectiveness.

Subject and methods. This multicenter retrospective cohort study included four sequential stages: Stages I and II – selection of kidney transplant patients based on inclusion and exclusion criteria; Stages III and IV – identification of a group of patients with and without dyslipidemia from the total number of patients included in the study. During Phase IV, the following will be performed: demographic and general clinical characteristics of patients, characterization based on the presence of risk factors for cardiovascular events; identification of patients on and without lipid-lowering therapy; patients with the following lipid metabolism parameters: LDL-C ≥1.4 mmol/L and TG ≥1.7 mmol/L; LDL-C <1.4 mmol/L and TG <1.7 mmol/L; LDL-C ≥1.4 mmol/L and TG <1.7 mmol/L; and LDL-C <1.4 mmol/L and TG ≥1.7 mmol/L; analysis of the frequency of prescription of lipid-lowering therapy and its effectiveness. 

About the Authors

O. O. Kordonova
A.I. Burnazyan Federal Medical Biophysical Center
Russian Federation

Ol'ga O. Kordonova. Physician, Surgical Department No. 2, Surgery and Transplantation Center

Marshal Novikov St., 23, Moscow, 123098


Competing Interests:

The authors declare no competing interests.  



K. K. Gubarev
A.I. Burnazyan Federal Medical Biophysical Center
Russian Federation

Konstantin K. Gubarev. Dr. Sci. (Med.), Surgeon, Surgical Department No. 2

Marshal Novikov St., 23, Moscow, 123098


Competing Interests:

The authors declare no competing interests.  



S. E. Voskanyan
A.I. Burnazyan Federal Medical Biophysical Center
Russian Federation

Sergey E. Voskanyan. Corresponding Member of the Russian Academy of Sciences, Professor, Doctor of Medical Sciences, Deputy Chief Physician for Surgical Care, Head of the Surgery and Transplantation Center

Marshal Novikov St., 23, Moscow, 123098


Competing Interests:

The authors declare no competing interests.  



D. S. Svetlakov
A.I. Burnazyan Federal Medical Biophysical Center
Russian Federation

Dar'ya S. Svetlakov. Surgeon, Surgery and Transplantation Center

Marshal Novikov St., 23, Moscow, 123098


Competing Interests:

The authors declare no competing interests.  



I. R. Khayrullin
A.I. Burnazyan Federal Medical Biophysical Center
Russian Federation

Il'yas R. Khayrullin. Postgraduate Student, Department of Therapy

Marshal Novikov St., 23, Moscow, 123098


Competing Interests:

The authors declare no competing interests.  



А. K. Abalyan
Stavropol Regional Clinical Hospital
Russian Federation

Anatoliy K. Abalyan. Cand. Sci. (Med.), Surgeon, Surgical Department of Organ Transplantation

Semashko St., 1, Stavropol, 355030


Competing Interests:

The authors declare no competing interests.  



I. A. Petizheva
Stavropol Regional Clinical Hospital
Russian Federation

Irina A. Petizheva. Nephrologist, Surgical Department of Organ Transplantation

Semashko St., 1, Stavropol, 355030


Competing Interests:

The authors declare no competing interests.  



S. V. Shchekaturov
Russian Scientific Center of Surgery named after Academician B.V. Petrovsky
Russian Federation

Stanislav V. Shchekaturov. Head of the Kidney Transplantation Department

Abrikosovsky Lane, 2, Building 1, Moscow, 119435


Competing Interests:

The authors declare no competing interests.  



Yu. N. V'yunkova
Russian Scientific Center of Surgery named after Academician B.V. Petrovsky
Russian Federation

Yuliya N. V'yunkova. Pediatrician, Kidney Transplantation Department

Abrikosovsky Lane, 2, Building 1, Moscow, 119435


Competing Interests:

The authors declare no competing interests.  



Zh. I. Kurakina
Russian Scientific Center of Surgery named after Academician B.V. Petrovsky
Russian Federation

Zhanna I. Kurakina. Nephrologist, Kidney Transplant Department

Abrikosovsky Lane, 2, Building 1, Moscow, 119435


Competing Interests:

The authors declare no competing interests.  



R. Yu. Nagovitsyna
Federal Scientific Clinical Center of the Federal Medical and Biological Agency of Russia
Russian Federation

Rimma Yu. Nagovitsyna. Nephrologist, Surgical Department of Transplantation and Organ Donation

Kolomenskaya St., 26, Krasnoyarsk, 660037


Competing Interests:

The authors declare no competing interests.  



M. F. Kuchkarov
Federal Scientific Clinical Center of the Federal Medical and Biological Agency of Russia
Russian Federation

Marat F. Kuchkarov. Head of the Surgical Department of Transplantation and Organ Donation

Kolomenskaya St., 26, Krasnoyarsk, 660037


Competing Interests:

The authors declare no competing interests.  



A. A. Selyutin
Orenburg Regional Clinical Center for Surgery and Traumatology
Russian Federation

Aleksandr A. Selyutin. Head of the Surgical Department of Kidney Transplantation

Postnikova St., 11, Orenburg, 460000


Competing Interests:

The authors declare no competing interests.  



D. O. Kolodvinova
Orenburg Regional Clinical Center for Surgery and Traumatology
Russian Federation

Dar'ya O. Kolodvinova. Nephrologist, Surgical Department of Kidney Transplantation

Postnikova St., 11, Orenburg, 460000


Competing Interests:

The authors declare no competing interests.  



References

1. Landreneau K, Lee K, Landreneau MD. Quality of life in patients undergoing hemodialysis and renal transplantation--a meta-analytic review. Nephrol Nurs J. 2010 Jan-Feb;37(1):37-44. PMID: 20333902.

2. Iannuzzo G, Cuomo G, Di Lorenzo A, Tripaldella M, Mallardo V, Iaccarino Idelson P, Sagnelli C, Sica A, Creta M, Baltar J, Crocetto F, Bresciani A, Gentile M, Calogero A, Giallauria F. Dyslipidemia in Transplant Patients: Which Therapy? J Clin Med. 2022 Jul 14;11(14):4080. https://doi.org/10.3390/jcm11144080 PMID: 35887846; PMCID: PMC9318180.

3. Клинические рекомендации. Нарушения липидного обмена. 2023. Текст: электронный. Министерство здравоохранения Российской Федерации: официальный сайт. URL: https://cr.minzdrav.gov.ru/preview-cr/752_1 (дата обращения: 24.11.2025). Clinical guidelines. Lipid metabolism disorders. 2023. Text: electronic. Ministry of Health of the Russian Federation: official website. URL: https://cr.minzdrav.gov.ru/preview-cr/752_1 (date accessed: 24.11.2025) (In Russ.)

4. Gansevoort RT, Correa-Rotter R, Hemmelgarn BR, Jafar TH, Heerspink HJ, Mann JF, Matsushita K, Wen CP. Chronic kidney disease and cardiovascular risk: epidemiology, mechanisms, and prevention. Lancet. 2013 Jul 27;382(9889):339-52. https://doi.org/10.1016/S0140-6736(13)60595-4 Epub 2013 May 31. PMID: 23727170.

5. Mansell H, Stewart SA, Shoker A. Validity of cardiovascular risk prediction models in kidney transplant recipients. Scientific World Journal. 2014;2014:750579. https://doi.org/10.1155/2014/750579. Epub 2014 Apr 8. PMID: 24977223; PMCID: PMC3996891.

6. Visseren FLJ, Mach F, Smulders YM, Carballo D, Koskinas KC, Bäck M, Benetos A, Biffi A, Boavida JM, Capodanno D, Cosyns B, Crawford C, Davos CH, Desormais I, Di Angelantonio E, Franco OH, Halvorsen S, Hobbs FDR, Hollander M, Jankowska EA, Michal M, Sacco S, Sattar N, Tokgozoglu L, Tonstad S, Tsioufis KP, van Dis I, van Gelder IC, Wanner C, Williams B; ESC National Cardiac Societies; ESC Scientific Document Group. 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice. Eur Heart J. 2021 Sep 7;42(34):3227-3337. https://doi.org/10.1093/eurheartj/ehab484. Erratum in: Eur Heart J. 2022 Nov 7;43(42):4468. https://doi.org/10.1093/eurheartj/ehac458 PMID: 34458905.

7. Devine PA, Courtney AE, Maxwell AP. Cardiovascular risk in renal transplant recipients. J Nephrol. 2019 Jun;32(3):389-399. https://doi.org/10.1007/s40620-018-0549-4 Epub 2018 Nov 7. PMID: 30406606; PMCID: PMC6482292.

8. Lentine KL, Brennan DC, Schnitzler MA. Incidence and predictors of myocardial infarction after kidney transplantation. J Am Soc Nephrol. 2005 Feb;16(2):496-506. https://doi.org/10.1681/ASN.2004070580 Epub 2004 Dec 22. PMID: 15615820.

9. Methven S, Steenkamp R, Fraser S. UK Renal Registry 19th Annual Report: Chapter 5 Survival and Causes of Death in UK Adult Patients on Renal Replacement Therapy in 2015: National and Centre-specific Analyses. Nephron. 2017;137 Suppl 1:117-150. https://doi.org/10.1159/000481367 Epub 2017 Sep 29. PMID: 28930724.

10. Saran R, Robinson B, Abbott KC, Agodoa LYC, Bhave N, Bragg-Gresham J, Balkrishnan R, Dietrich X, Eckard A, Eggers PW, Gaipov A, Gillen D, Gipson D, Hailpern SM, Hall YN, Han Y, He K, Herman W, Heung M, Hirth RA, Hutton D, Jacobsen SJ, Jin Y, Kalantar-Zadeh K, Kapke A, Kovesdy CP, Lavallee D, Leslie J, McCullough K, Modi Z, Molnar MZ, Montez-Rath M, Moradi H, Morgenstern H, Mukhopadhyay P, Nallamothu B, Nguyen DV, Norris KC, O'Hare AM, Obi Y, Park C, Pearson J, Pisoni R, Potukuchi PK, Rao P, Repeck K, Rhee CM, Schrager J, Schaubel DE, Selewski DT, Shaw SF, Shi JM, Shieu M, Sim JJ, Soohoo M, Steffick D, Streja E, Sumida K, Tamura MK, Tilea A, Tong L, Wang D, Wang M, Woodside KJ, Xin X, Yin M, You AS, Zhou H, Shahinian V. US Renal Data System 2017 Annual Data Report: Epidemiology of Kidney Disease in the United States. Am J Kidney Dis. 2018 Mar;71(3 Suppl 1):A7. https://doi.org/10.1053/j.ajkd.2018.01.002 Erratum in: Am J Kidney Dis. 2018 Apr;71(4):501. https://doi.org/10.1053/j.ajkd.2018.03.001 PMID: 29477157; PMCID: PMC6593155.

11. DAWBER TR, MOORE FE, MANN GV. Coronary heart disease in the Framingham study. Am J Public Health Nations Health. 1957 Apr;47(4 Pt 2):4-24. https://doi.org/10.2105/ajph.47.4_pt_2.4 PMID: 13411327; PMCID: PMC1550985.

12. Pan L, Yang Z, Wu Y, Yin RX, Liao Y, Wang J, Gao B, Zhang L; China National Survey of Chronic Kidney Disease Working Group. The prevalence, awareness, treatment and control of dyslipidemia among adults in China. Atherosclerosis. 2016 May;248:2-9. https://doi.org/10.1016/j.atherosclerosis.2016.02.006 Epub 2016 Feb 27. PMID: 26978581.

13. Pinto AS, Chedid MF, Guerra LT, Cabeleira DD, Kruel CD. DIETARY MANAGEMENT FOR DYSLIPIDEMIA IN LIVER TRANSPLANT RECIPIENTS. Arq Bras Cir Dig. 2016 Nov-Dec;29(4):246-251. https://doi.org/10.1590/0102-6720201600040008 PMID: 28076479; PMCID: PMC5225864.14. Wang J, Guo R, Liu S, et al. Molecular mechanisms of FK506-induced hypertension in solid organ transplantation patients. Chin Med J (Engl). 2014;127(20):3645-3650.

14. Кордонова О.О., Губарев К.К., Фролова Н.Ф., Светлакова Д.С., Восканян С.Э., Артюхина Л.Ю. Терапия дислипидемии с применением инклисирана в серии случаев пациентов после трансплантации почки и печени. Клиническая нефрология. 2024;2. Kordonova O.O., Gubarev K.K., Frolova N.F., Svetlakova D.S., Voskanyan S.E., Artyukhina L.Yu. Therapy of dyslipidemia using inclisiran in a case series of patients after kidney and liver transplantation. Clinical Nephrology. 2024;2. (In Russ.) https://doi.org/https://dx.doi.org/10.18565/nephrology.2024.2.13-23

15. Кордонова О.О., Губарев К.К., Восканян С.Э., Праскурничий Е.А., Светлакова Д.С., Рудаков В.С., Фролова Н.Ф., Виноградов В.Е., Усатюк С.С. Эффективность терапии дислипидемии с применением препарата инклисиран в серии клинических наблюдений пациентов с трансплантированной почкой. Клиническая нефрология. 2025;3. Kordonova O.O., Gubarev K.K., Voskanyan S.E., Praskurnichy E.A., Svetlakova D.S., Rudakov V.S., Frolova N.F., Vinogradov V.E., Usatyuk S.S. Efficiency of dyslipidemia therapy using inclisiran in a series of clinical observations of patients with a transplanted kidney. Clinical Nephrology 2025;3. (In Russ.) https://doi.org/https://dx.doi.org/10.18565/nephrology.2025.3.13-35

16. Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease. Kidney Int. 2024 Apr;105(4S):S117-S314. https://doi.org/10.1016/j.kint.2023.10.018 PMID: 38490803.

17. Mach F, Koskinas KC, Roeters van Lennep JE, Tokgözoğlu L, Badimon L, Baigent C, Benn M, Binder CJ, Catapano AL, De Backer GG, Delgado V, Fabin N, Ference BA, Graham IM, Landmesser U, Laufs U, Mihaylova B, Nordestgaard BG, Richter DJ, Sabatine MS; ESC/EAS Scientific Document Group. 2025 Focused Update of the 2019 ESC/EAS Guidelines for the management of dyslipidaemias. Eur Heart J. 2025 Nov 7;46(42):4359-4378. https://doi.org/10.1093/eurheartj/ehaf190 PMID: 40878289.

18. Grundy SM, Stone NJ, Bailey AL, Beam C, Birtcher KK, Blumenthal RS, Braun LT, de Ferranti S, Faiella-Tommasino J, Forman DE, Goldberg R, Heidenreich PA, Hlatky MA, Jones DW, Lloyd-Jones D, Lopez-Pajares N, Ndumele CE, Orringer CE, Peralta CA, Saseen JJ, Smith SC Jr, Sperling L, Virani SS, Yeboah J. 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol. 2019 Jun 25;73(24):3168-3209. https://doi.org/10.1016/j.jacc.2018.11.002. Epub 2018 Nov 10. Erratum in: J Am Coll Cardiol. 2019 Jun 25;73(24):3234-3237. https://doi.org/10.1016/j.jacc.2019.05.012 PMID: 30423391.

19. Moore R, Thomas D, Morgan E, Wheeler D, Griffin P, Salaman J, Rees A. Abnormal lipid and lipoprotein profiles following renal transplantation. Transplant Proc. 1993 Feb;25(1 Pt 2):1060-1. PMID: 8442042.

20. Gaston RS, Kasiske BL, Fieberg AM, Leduc R, Cosio FC, Gourishankar S, Halloran P, Hunsicker L, Rush D, Matas AJ. Use of cardioprotective medications in kidney transplant recipients. Am J Transplant. 2009 Aug;9(8):1811-5. https://doi.org/10.1111/j.1600-6143.2009.02696.x Epub 2009 Jun 10. PMID: 19519808.

21. Markell MS, Armenti V, Danovitch G, Sumrani N. Hyperlipidemia and glucose intolerance in the post-renal transplant patient. J Am Soc Nephrol. 1994 Feb;4(8 Suppl):S37-47. https://doi.org/10.1681/ASN.V48s37 PMID: 8193294.

22. Gitto S, Villa E. Non-Alcoholic Fatty Liver Disease and Metabolic Syndrome after Liver Transplant. Int J Mol Sci. 2016 Apr 2;17(4):490. https://doi.org/10.3390/ijms17040490 PMID: 27049380; PMCID: PMC4848946.


Review

For citations:


Kordonova O.O., Gubarev K.K., Voskanyan S.E., Svetlakov D.S., Khayrullin I.R., Abalyan А.K., Petizheva I.A., Shchekaturov S.V., V'yunkova Yu.N., Kurakina Zh.I., Nagovitsyna R.Yu., Kuchkarov M.F., Selyutin A.A., Kolodvinova D.O. Epidemiology of dyslipidemia in post-kidney transplant patients: a multicenter retrospective cohort study (EDIS-PTP 2025). Rationale and study design. Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2025;15(6):223–230. (In Russ.) https://doi.org/10.20340/vmi-rvz.2025.6.TX.1

Views: 178

JATS XML


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2226-762X (Print)
ISSN 2782-1579 (Online)