Evidence map›Paper›PMID 19352589›Full record

Trial reportClinical and experimental nephrology2009

Negative effects of anemia on quality of life and its improvement by complete correction of anemia by administration of recombinant human erythropoietin in posttransplant patients.

Noritaka Kawada, Toshiki Moriyama, Naotsugu Ichimaru, Ryoichi Imamura, Isao Matsui, Yoshitsugu Takabatake, Yasuyuki Nagasawa, Yoshitaka Isaka, Yasuyuki Kojima, Yukito Kokado and 3 more

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Clinical and experimental nephrology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Correction of postkidney transplant anemia reduces progression of allograft nephropathy.Journal of the American Society of Nephrology : JASN · 2012
    Trial
  4. Article
  5. Navigating Anemia Therapy in CKD With Hypoxia-Inducible Factor Activators: A Review.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2026
    Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. The Janus faces of ESAs: caveat Chimaera!International urology and nephrology · 2013
    Review
  11. Review
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Noritaka KawadaDepartment of Nephrology, Osaka University Graduate School of Medicine, Osaka, Japan.
Toshiki MoriyamaHealth Care Center, Osaka University, 1-17 Machikaneyama-cho, Toyonaka, Osaka, 560-0043, Japan. moriyama@wellness.hss.osaka-u.ac.jp.
Naotsugu IchimaruDepartment of Urology, Osaka University Graduate School of Medicine, Osaka, Japan.
Ryoichi ImamuraDepartment of Urology, Osaka University Graduate School of Medicine, Osaka, Japan.
Isao MatsuiDepartment of Nephrology, Osaka University Graduate School of Medicine, Osaka, Japan.
Yoshitsugu TakabatakeDepartment of Nephrology, Osaka University Graduate School of Medicine, Osaka, Japan.
Yasuyuki NagasawaDepartment of Nephrology, Osaka University Graduate School of Medicine, Osaka, Japan.
Yoshitaka IsakaDepartment of Advanced Technology for Transplantation, Osaka University Graduate School of Medicine, Osaka, Japan.
Yasuyuki KojimaTakahashi Clinic, Tokyo, Japan.
Yukito KokadoSoryukai Inoue Hospital, Suita, Japan.
Hiromi RakugiDepartment of Nephrology, Osaka University Graduate School of Medicine, Osaka, Japan.
Enyu ImaiDepartment of Nephrology, Osaka University Graduate School of Medicine, Osaka, Japan.
Shiro TakaharaDepartment of Advanced Technology for Transplantation, Osaka University Graduate School of Medicine, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnemia is a common complication in posttransplant patients (posttransplant anemia: PTA). We tested the hypothesis that targeting hemoglobin (Hb) over 13.3 g/dl by administration of recombinant human erythropoietin (rHuEPO-ad) has positive impact on quality of life (QOL).

methodsTwenty-four patients, whose initial Hb and estimated glomerular filtration rate (eGFR) were 10.5 +/- 0.2 g/dl and 48.5 +/- 2.7 ml/(min 1.73 m2), respectively, were enrolled in the present study. Physical and mental QOL in these patients before and after rHuEPO-ad were acquired and summarized as physical summary sore (PSC) and mental summary sore (MSC), respectively, by the 36-item Short Form (SF-36), an international questionnaire for analysis of QOL.

resultsBefore rHuEPO-ad, posttransplant patients had preserved MSC (54.1 +/- 2.3) but impaired PSC (32.6 +/- 3.2). rHuEPO-ad for 6 months increased their Hb to 13.7 +/- 0.3 g/dl. This was accompanied by improvement of PSC (49.1 +/- 2.1: P < 0.01 versus before rHuEPO-ad). MSC was preserved during rHuEPO-ad (54.4 +/- 1.6: NS versus before rHuEPO-ad). There was inverse correlation between initial PSC or MSC and responses of these parameters to rHuEPO-ad (PSC, P = 0.007; MSC, P = 0.009). Patients whose initial PSC was lower than 39.6 or whose initial MSC was lower than 39.4 were expected to improve their PSC or MSC by more than 10 by rHuEPO-ad.

conclusionsAnemia in posttransplant patients has negative impacts on their QOL. Scoring mental and physical QOL by SF-36 in posttransplant patients is useful to identify groups of patients whose QOL could be improved by rHuEPO-ad.

Indexed as

Quality of LifeAdultAnemiaBiomarkersCreatineErythropoietinFemaleGlomerular Filtration RateHematinicsHemoglobinsHumansKidney TransplantationMaleMiddle AgedPatient SelectionProspective StudiesBiomarkersCreatineErythropoietinHematinicsHemoglobinsRecombinant Proteins

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.