Evidence map›Paper›PMID 24345281›Full record

Trial reportClinical transplantation2014

Clinical outcomes among renal transplant recipients with pre-transplant weakly reactive donor-specific antibodies.

Peter S Yoo, Alexander Bonnel, Malek Kamoun, Matthew H Levine

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Clinical transplantation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 48% 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

4 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
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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

4 authors at 2 institutions in 1 country.

Peter S YooDepartment of Surgery, Section of Transplantation and Immunology, Yale University School of Medicine, New Haven, CT, USA.
Alexander Bonnel
Malek Kamoun
Matthew H Levine
University of Pennsylvania · USYale University · US

Funding

Histone/Protein Deacetylase Inhibitors Minimize Renal Ischemia-Reperfusion InjuryK08DK092282 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI LEVINE, MATTHEW HOWARD · 2011 to 2015
$768k
NIDDK NIH HHS 1K08DK092282-01NIDDK NIH HHS K08 DK092282
6 · The paper itself

Abstract

backgroundAlloantibody can lead to antibody-mediated rejection and graft loss in renal transplantation, necessitating an assessment of cross-match compatibility. Within the past decade, more specific solid phase assays of alloantibody have been widely adopted, allowing virtual cross-matching based on unacceptable antigens, the threshold of which is determined by individual centers.

methodsWe examined the clinical outcomes of 482 patients transplanted 2007-2009 in a single center, focusing on 30 patients with weakly reactive donor-specific antibody (DSA) determined prospectively prior to renal transplant.

resultsCompared with patients without DSA, patients with weakly reactive DSA do not have increased rates of antibody-mediated rejection, cellular rejection, or graft loss despite conventional immunosuppression utilization.

conclusionsUsing the screening methodology and immunosuppression regimen, we have applied to the patients with weak DSA allows them to be transplanted with equivalent outcomes as those without DSA, despite the overall higher risk characteristics of the patients in the weak DSA group.

Indexed as

Kidney TransplantationTissue DonorsAdultFemaleFlow CytometryFollow-Up StudiesGraft RejectionGraft SurvivalHistocompatibility TestingHumansIsoantibodiesKidney Failure, ChronicMaleMiddle AgedProspective StudiesRetrospective StudiesIsoantibodiesantibodycross-matchkidneyrejectionrenaltransplant

Identifiers

PMID24345281
PMCPMC4142489
OpenAlexW1981154656

What OpenQuestion holds

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LicenceTDM
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.