Evidence map›Paper›PMID 20864607›Full record

ArticleChest2011

Elevated pulmonary artery pressure is a risk factor for primary graft dysfunction following lung transplantation for idiopathic pulmonary fibrosis.

Adam Fang, Sean Studer, Steven M Kawut, Vivek N Ahya, James Lee, Keith Wille, Vibha Lama, Lorraine Ware, Jonathan Orens, Ann Weinacker and 9 more

Open access · bronzeAbstract readComparative StudyMulticenter Study
In one paragraph

Article in Chest, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
7.4field-weighted citation impact, top 3% of its field
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

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 99 citations in OpenAlex.

  1. Pooled it
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  15. Article
  16. Primary graft dysfunction: what we know.Journal of thoracic disease · 2021
    Review
  17. Article
  18. Article
  19. Early Graft Dysfunction after Lung Transplantation.Current pulmonology reports · 2018
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 10 institutions in 1 country.

Adam FangDivision of Pulmonary and Critical Care Medicine, University of Pittsburgh, Pittsburgh PA.
Sean StuderDivision of Pulmonary and Critical Care Medicine, Newark Beth Israel Medical Center, Newark, NJ.
Steven M KawutDivision of Pulmonary, Allergy, and Critical Care Medicine, University of Pennsylvania School of Medicine, Philadelphia PA; Department of Biostatistics and Epidemiology, University of Pennsylvania School of Medicine, Philadelphia PA.
Vivek N AhyaDivision of Pulmonary, Allergy, and Critical Care Medicine, University of Pennsylvania School of Medicine, Philadelphia PA.
James LeeDivision of Pulmonary, Allergy, and Critical Care Medicine, University of Pennsylvania School of Medicine, Philadelphia PA.
Keith WilleDivision of Pulmonary and Critical Care Medicine, University of Alabama at Birmingham, Birmingham AL.
Vibha LamaDivision of Pulmonary, Allergy, and Critical Care Medicine, University of Michigan, Nashville TN.
Lorraine WareDivision of Pulmonary, Allergy, and Critical Care Medicine, Vanderbilt University, Nashville TN.
Jonathan OrensDivision of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Johns Hopkins University Hospital, Baltimore MD.
Ann WeinackerDivision of Pulmonary and Critical Care Medicine, Stanford University, Durham NC.
Scott M PalmerDivision of Pulmonary, Allergy, and Critical Care Medicine, Duke University, Durham NC.
Maria CrespoDivision of Pulmonary and Critical Care Medicine, University of Pittsburgh, Pittsburgh PA.
David J LedererDivision of Pulmonary and Critical Care Medicine, Columbia University College of Physicians and Surgeons, New York, NY.
Clifford S DeutschmanDepartment of Anesthesia and Critical Care, University of Pennsylvania School of Medicine, Philadelphia, PA.
Benjamin A KohlDepartment of Anesthesia and Critical Care, University of Pennsylvania School of Medicine, Philadelphia, PA.
Scarlett BellamyDepartment of Biostatistics and Epidemiology, University of Pennsylvania School of Medicine, Philadelphia PA.
Ejigayehu DemissieDivision of Pulmonary, Allergy, and Critical Care Medicine, University of Pennsylvania School of Medicine, Philadelphia PA; Department of Biostatistics and Epidemiology, University of Pennsylvania School of Medicine, Philadelphia PA.
Jason D ChristieDivision of Pulmonary, Allergy, and Critical Care Medicine, University of Pennsylvania School of Medicine, Philadelphia PA; Department of Biostatistics and Epidemiology, University of Pennsylvania School of Medicine, Philadelphia PA. Electronic address: jchristi@mail.med.upenn.edu.
Lung Transplant Outcomes Group
University of Pennsylvania · USUniversity of Pittsburgh · USColumbia University · USDuke University · USJohns Hopkins University · USNewark Beth Israel Medical Center · USStanford University · USUniversity of Alabama at Birmingham · USUniversity of Michigan–Ann Arbor · USVanderbilt University · US

Funding

Clinical Risk Factors for Primary Graft DysfunctionR01HL087115 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI CHRISTIE, JASON D · 2007 to 2017
$7.1M
Biomarker Profiles in the Diagnosis/Prognosis of ARDSU01HL081332 · NHLBI · VANDERBILT UNIVERSITY · PI WARE, LORRAINE B · 2005 to 2008
$6.0M
Genetics of primary graft dysfunctionR01HL081619 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI CHRISTIE, JASON D · 2007 to 2011
$3.9M
RISK FACTORS &BIOMARKERS OF OX STRESS IN GRAFT FAILUREK23HL004243 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI CHRISTIE, JASON D · 2000 to 2004
$652k
Neurohormonal Activation in Pulmonary HypertensionK23HL067771 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI KAWUT, STEVEN M · 2001 to 2005
$641k
NHLBI NIH HHS HL04243NHLBI NIH HHS HL081332NHLBI NIH HHS HL081619NHLBI NIH HHS HL087115NHLBI NIH HHS HL67771NHLBI NIH HHS K23 HL067771NHLBI NIH HHS R01 HL081619NHLBI NIH HHS R01 HL087115NHLBI NIH HHS U01 HL081332
6 · The paper itself

Abstract

backgroundIdiopathic pulmonary fibrosis (IPF) is often associated with elevations in pulmonary artery pressures. Although primary pulmonary arterial hypertension (PAH) has been associated with primary graft dysfunction (PGD), the role of secondary PAH in mediating PGD risk in patients with IPF is incompletely understood. The purpose of this study was to evaluate the relationship between mean pulmonary artery pressure (mPAP) and PGD among patients with IPF.

methodsWe performed a multicenter prospective cohort study of 126 lung transplant procedures performed for IPF between March 2002 and August 2007. The primary outcome was grade 3 PGD at 72 h after lung transplant. The mPAP was measured as the initial reading following insertion of the right-sided heart catheter during lung transplant. Multivariable logistic regression was used to adjust for confounding variables.

resultsThe mPAP for patients with PGD was 38.5 ± 16.3 mm Hg vs 29.6 ± 11.5 mm Hg for patients without PGD (mean difference, 8.9 mm Hg [95% CI, 3.6-14.2]; P = .001). The increase in odds of PGD associated with each 10-mm Hg increase in mPAP was 1.64 (95% CI, 1.18-2.26; P = .003). In multivariable models, this relationship was independent of confounding by other clinical variables, although the use of cardiopulmonary bypass partially attenuated the relationship.

conclusionsHigher mPAP in patients with IPF is associated with the development of PGD.

Indexed as

Lung TransplantationAdultFemaleFollow-Up StudiesHumansHypertension, PulmonaryIdiopathic Pulmonary FibrosisIncidenceMaleMiddle AgedPrimary Graft DysfunctionProspective StudiesPulmonary ArteryPulmonary Wedge PressureRisk Factors

Identifiers

PMID20864607
PMCPMC3071272
OpenAlexW2120817888

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.