SUBJECT CONSULTANT REVIEW

Title of the article

Renin Angiotensin system blockade in kidney transplantation: a systematic review of the evidence.

Authors

Hiremath S, Fergusson D, Doucette S, Mulay AV, Knoll GA.

Journal
Am J Transplant. 2007 Oct;7(10):2350-60.
Subject Consultant
B. Watschinger
Score (1 to 3 stars)
**
Comments
This systematic review of randomized trials (n = 21 trials with 1549 patients) determining the effect of ACE-inhibitor or ARB use following kidney transplantation concludes that ACE-inhibitors or ARBs result in clinically important reductions in proteinuria, hematocrit and glomerular filtration rate. Data to determine the effect on patient or graft survival, however were not sufficient.