Evidence map›Paper›PMID 21297552›Full record

ArticleTransplantation2011

The 5-year outcome of ABO-incompatible kidney transplantation with rituximab induction.

Shohei Fuchinoue, Yasuo Ishii, Tokihiko Sawada, Toru Murakami, Kazuhiro Iwadoh, Akihito Sannomiya, Ichiro Koyama, Keiichi Kubota, Tamotsu Tojimbara, Ichiro Nakajima and 1 more

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Article in Transplantation, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
8.8field-weighted citation impact, top 1% 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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 128 citations in OpenAlex.

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  20. Current progress in ABO-incompatible kidney transplantation.Kidney research and clinical practice · 2015
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Shohei FuchinoueDepartment of Surgery, Kidney Center, Tokyo Women's Medical University, Tokyo, Japan.
Yasuo Ishii
Tokihiko Sawada
Toru Murakami
Kazuhiro Iwadoh
Akihito Sannomiya
Ichiro Koyama
Keiichi Kubota
Tamotsu Tojimbara
Ichiro Nakajima
Satoshi Teraoka
Tokyo Women's Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2002, we introduced the anti-CD20 chimeric antibody, rituximab, for ABO-incompatible kidney transplantation (ABO-IKT). Here, we report the 5-year outcome obtained using rituximab as part of the preoperative regimen for ABO-IKT.

methodsBetween January 2002 and December 2008, 408 patients underwent living-related kidney transplantation at our department. The patients were divided into three groups: group A (n=280), ABO-compatible kidney transplantation (ABO-CKT); group B (n=63), ABO-IKT without rituximab induction; and group C (n=50), ABO-IKT with rituximab induction. Basic immunosuppression was the same in all three groups except for the use of rituximab, which was administered at 100 mg (n=6), 200 mg (n=26), and 500 to 1000 mg (n=18).

resultsThe graft survival rates in groups A, B, and C were 99.2%, 96.8%, and 100% at 1 year, 93.8%, 94.9%, and 100% at 3 years, and 88.4%, 90.3%, and 100% at 5 years after transplantation, respectively. Serum creatinine levels in the three groups were not different at 1, 3, and 5 years after transplantation. The numbers of episodes of acute antibody-mediated rejection in groups A, B, and C were 7 (2.5%), 10 (15.9%), and 2 (4.0%), respectively (P=0.651), and acute cellular rejection was observed in 40 (14.3%), 6 (9.5%), and 2 (4.0%) patients, respectively (P=0.0957). There was no increased risk of cytomegalovirus infection in group C.

conclusionsIn the long term, inclusion of rituximab in the preoperative regimen yielded an even better outcome than that of ABO-CKT and rituximab-untreated ABO-IKT, without any increase in the risk of infection.

Indexed as

Blood Group AntigensBlood Group IncompatibilityAdultAntibodies, Monoclonal, Murine-DerivedCytomegalovirus InfectionsFemaleGraft RejectionGraft SurvivalHistocompatibility TestingHumansImmunosuppressive AgentsJapanKaplan-Meier EstimateKidney TransplantationLiving DonorsMaleAntibodies, Monoclonal, Murine-DerivedBlood Group AntigensImmunosuppressive AgentsRituximab

Identifiers

PMID21297552
OpenAlexW2324499989

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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.