“…1 Chronic renal dysfunction (CRD) among OLT recipients shows a cumulative incidence of 20% within 3 years and a fourfold increased risk of death. [2][3][4] CRD among OLT recipients has multifactorial origins: female sex, renal disease pretransplantation, primary graft dysfunction, perioperative acute renal damage, recipient age, hepatitis C, hypertension, diabetes mellitus. The prescription of CNIs seems to be the only modifiable risk factor.…”