Evidence map›Paper›PMID 22193388›Full record

Trial reportJournal of the American Society of Nephrology : JASN2012

Correction of postkidney transplant anemia reduces progression of allograft nephropathy.

Gabriel Choukroun, Nassim Kamar, Bertrand Dussol, Isabelle Etienne, Elisabeth Cassuto-Viguier, Olivier Toupance, François Glowacki, Bruno Moulin, Yvon Lebranchu, Guy Touchard and 6 more

2 registry-linked trialsOpen access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Society of Nephrology : JASN, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 58 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 6 pooled it
4.8field-weighted citation impact, top 5% 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.

NCT00396435 phase4completednot on this map

Multicenter, Prospective, Randomised, Open-label Study, Evaluating the Effect of Two Levels of Haemoglobin on Quality of Life and Speed of Progression of Renal Insufficiency on Renal Transplanted Patients With Chronic Graft Dysfunction (CGD)

TypeinterventionalSponsorCentre Hospitalier Universitaire, AmiensRan2004 to 2010Enrolled128ConditionsAnaemia, Renal Transplantation, Kidney FailureArmsNeorecormon
NCT01817699 phase4terminatednot on this mapstarted 2013, after this paper: background citation

A Factorial Randomized Controlled Trial of Correcting Anemia and Native Vitamin D Supplementation in Kidney Transplant Recipients

TypeinterventionalSponsorCANDLE-KIT Trial Study GroupRan2013 to 2018Enrolled161ConditionsKidney Transplantation, Anemia, Vitamin D Deficiency, Renal Insufficiency, ChronicArmsHigh Hb target, cholecalciferol
3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 6 syntheses or guidelines pooled it, 127 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Assessing the Validity of Surrogate Outcomes for ESRD: A Meta-Analysis.Journal of the American Society of Nephrology : JASN · 2015
    Pooled it
  6. Pooled it
  7. Trial
  8. The effect of maintaining high hemoglobin levels on long-term kidney function in kidney transplant recipients: a randomized controlled trial.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2019
    Trial
  9. Article
  10. KDIGO 2026 Clinical Practice Guideline for Anemia in Chronic Kidney Disease (CKD): a commentary from the European Renal Best Practice (ERBP).Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026
    Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Article
  19. Kidney Transplantation Improves Health-Related Quality of Life in Older Recipients.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Article
  20. Adverse Drug Events after Kidney Transplantation.Journal of personalized medicine · 2023
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 2 institutions in 1 country.

Gabriel ChoukrounNephrology, Dialysis, Transplantation and Intensive Care Department, Centre Hospitalier Universitaire (CHU) Amiens, Hôpital Sud, ERI-12 Institut National de la Santé et de la Recherche Médicale, Jules Verne University, 80054 Amiens Cedex 1, France. choukroun.gabriel@chu-amiens.fr
Nassim Kamar
Bertrand Dussol
Isabelle Etienne
Elisabeth Cassuto-Viguier
Olivier Toupance
François Glowacki
Bruno Moulin
Yvon Lebranchu
Guy Touchard
Maïté Jaureguy
Nicolas Pallet
Yannick Le Meur
Lionel Rostaing
Frank Martinez
CAPRIT study Investigators
Hôpital Necker-Enfants Malades · FRCentre Hospitalier Universitaire Amiens-Picardie · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Retrospective studies suggest that chronic allograft nephropathy might progress more rapidly in patients with post-transplant anemia, but whether correction of anemia improves renal outcomes is unknown. An open-label, multicenter, randomized controlled trial investigated the effect of epoetin-β to normalize hemoglobin values (13.0-15.0 g/dl, n=63) compared with partial correction of anemia (10.5-11.5 g/dl, n=62) on progression of nephropathy in transplant recipients with hemoglobin <11.5 g/dl and an estimated creatinine clearance (eCrCl) <50 ml/min per 1.73 m(2). After 2 years, the mean hemoglobin was 12.9 and 11.3 g/dl in the normalization and partial correction groups, respectively (P<0.001). From baseline to year 2, the eCrCl decreased by a mean 2.4 ml/min per 1.73 m(2) in the normalization group compared with 5.9 ml/min per 1.73 m(2) in the partial correction group (P=0.03). Furthermore, fewer patients in the normalization group progressed to ESRD (3 versus 13, P<0.01). Cumulative death-censored graft survival was 95% and 80% in the normalization and partial correction groups, respectively (P<0.01). Complete correction was associated with a significant improvement in quality of life at 6 and 12 months. The number of cardiovascular events was low and similar between groups. In conclusion, this prospective study suggests that targeting hemoglobin values ≥13 g/dl reduces progression of chronic allograft nephropathy in kidney transplant recipients.

Indexed as

AdultAgedAnemiaAntihypertensive AgentsDisease ProgressionErythropoietinFemaleGlomerular Filtration RateHemoglobinsHumansImmunosuppressive AgentsKidney DiseasesKidney Failure, ChronicKidney TransplantationMaleMiddle AgedAntihypertensive Agentsepoetin betaErythropoietinHemoglobinsImmunosuppressive AgentsRecombinant Proteins

Identifiers

PMID22193388
PMCPMC3269184
OpenAlexW2146741965

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.