Evidence map›Paper›PMID 21695450›Full record

Trial reportPediatric nephrology (Berlin, Germany)2011

Early steroid withdrawal in pediatric renal transplant: five years of follow-up.

Angela Delucchi, Marcela Valenzuela, Ana M Lillo, Jose Luis Guerrero, Francisco Cano, Marta Azocar, Pedro Zambrano, Paulina Salas, Viola Pinto, Mario Ferrario and 2 more

Open access · greenAbstract readClinical TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Pediatric nephrology (Berlin, Germany), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 7% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Bone Disease in CKD in Children.Calcified tissue international · 2021
    Review
  4. Review
  5. Review
  6. Observational
  7. Biologics in renal transplantation.Pediatric nephrology (Berlin, Germany) · 2015
    Review
  8. Article
  9. Review
  10. Steroid withdrawal in renal transplantation.Pediatric nephrology (Berlin, Germany) · 2013
    Review
  11. Review
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

12 authors at 4 institutions in 2 countries.

Angela DelucchiDivision of Pediatrics, Luis Calvo Mackenna Children's Hospital, Antonio Varas 360, Santiago, Chile. madelucchi@gmail.com
Marcela Valenzuela
Ana M Lillo
Jose Luis Guerrero
Francisco Cano
Marta Azocar
Pedro Zambrano
Paulina Salas
Viola Pinto
Mario Ferrario
Jorge Rodríguez
Gabriel Cavada
Boston Children's Hospital · USHospital Luis Calvo Mackenna · CLHospital Regional de Concepción · CLUniversity of Chile · CL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This prospective, comparative trial investigated the impact on mean change in height standard deviation score (SDS), acute rejection rate, and renal function of early steroid withdrawal in 96 recipients with 5 years of follow-up. Recipients under basiliximab induction and steroid withdrawal (SW: TAC/MMF; n = 55) were compared with a matched steroid control group (SC: TAC/MMF/STEROID, n = 41). SW received steroids until Day 6, SC decreased to 10 mg/m(2) within 2 months post-transplant. Five years after SW, the longitudinal growth (SDS) gain was 1.4 ± 0.4 vs. 1.1 ± 0.3 for SC group (p < 0.02). Height benefits in prepubertal and pubertal status in both groups were demonstrated in the delta growth trends (mixed model; p < 0.01). Biopsy-proven acute rejection in SW was 11% and 17.5%, SC (p: ns). Mean eGFR (ml/min/1.73 m(2)) at 5 years post-transplant was SW 80.6 ± 27.8 vs. 82.6 ± 25.1 for SC (p: ns). The death-censored graft survival rate at 1 and 5 years was 99 and 90% for SW; 98 and 96% for SC (p = ns). PTLD incidence in SW 3.3 vs. 2.5% in SC (p: ns). Five years post-transplant, early steroid withdrawal showed positive impacts on growth, stable renal function without increased acute rejection risk, and PTLD incidence.

Indexed as

Body HeightKidney TransplantationAdolescentAdrenal Cortex HormonesAntibodies, MonoclonalBasiliximabChildChild, PreschoolFemaleFollow-Up StudiesGraft RejectionHumansImmunosuppressive AgentsMaleRecombinant Fusion ProteinsAdrenal Cortex HormonesAntibodies, MonoclonalBasiliximabImmunosuppressive AgentsRecombinant Fusion Proteins

Identifiers

PMID21695450
OpenAlexW2010753498

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.