Evidence map›Paper›PMID 24372990›Full record

ArticlePediatric transplantation2014

Clinical predictors of autoimmune and severe atopic disease in pediatric heart transplant recipients.

Jessica H Mouledoux, Erin L Albers, Zengqi Lu, Benjamin R Saville, Daniel J Moore, Debra A Dodd

Abstract read
In one paragraph

Article in Pediatric transplantation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

5 citing papers in PubMed, 19 citations in OpenAlex.

  1. Eosinophilic Gastrointestinal Disease After Pediatric Organ and Bone Marrow Transplantation.JGH open : an open access journal of gastroenterology and hepatology · 2026
    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

6 authors at 3 institutions in 1 country.

Jessica H MouledouxDivision of Pediatric Cardiology, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA.
Erin L Albers
Zengqi Lu
Benjamin R Saville
Daniel J Moore
Debra A Dodd
Vanderbilt University Medical Center · USMonroe Carell Jr. Children's Hospital · USUniversity of Washington · US

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Developmental Determinants of Cardiovascular DiseaseT32HL105334 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BALDWIN, H SCOTT · 2011 to 2021
$4.3M
Harnessing B lymphocytes as Antigen-Specific Regulators of Islet ToleranceK08DK090146 · NIDDK · VANDERBILT UNIVERSITY · PI MOORE, DANIEL J. · 2011 to 2013
$434k
NCATS NIH HHS UL1TR000011NCATS NIH HHS UL1 TR000445NHLBI NIH HHS T32 HL105334NHLBI NIH HHS T32HL 105334NIDDK NIH HHS 1K08DK090146NIDDK NIH HHS K08 DK090146
6 · The paper itself

Abstract

Autoimmune and allergic diseases cause morbidity and diminished quality of life in pediatric organ transplant recipients. We hypothesize that younger age at transplantation and immunosuppression regimen play a role in the development of immune-mediated disease following heart transplant. A single institution retrospective review identified all patients undergoing heart transplant at ≤18 yr of age from 1987 to 2010 who survived ≥1 yr. Using medical record and database review, patients were evaluated for development of autoimmune or severe allergic disease. Of 129 patients who met criteria, seven patients (5.4%) with autoimmune or severe atopic disease were identified. Immune-mediated diseases included inflammatory bowel disease (n = 3), eosinophilic esophagitis/colitis (n = 4), and chronic bullous disease of childhood (n = 1). Patients <1 yr of age at transplant were at greater risk of developing autoimmune disease than patients 1-18 yr at transplant (OR = 9.3, 95% CI 1.1-79.2, p = 0.02). All affected patients underwent thymectomy at <1 yr of age (7/71 vs. 0/58, p = 0.02). In our experience, heart transplantation in infancy is associated with the development of immune-mediated gastrointestinal and dermatologic diseases. Further study is needed to determine risk factors for the development of immune-mediated disease to identify best practices to decrease incidence.

Indexed as

Heart TransplantationAdolescentAutoimmune DiseasesChildChild, PreschoolFemaleHeart FailureHumansHypersensitivity, ImmediateImmunosuppressive AgentsInfantInfant, NewbornMaleMolecular Sequence DataRetrospective StudiesRisk FactorsImmunosuppressive Agentsatopic diseaseautoimmune diseaseimmunosuppressioninfant heart transplantationpediatric heart transplantationthymectomy

Identifiers

PMID24372990
PMCPMC3988248
OpenAlexW2012462624

What OpenQuestion holds

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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.