Evidence map›Paper›PMID 25250647›Full record

Trial reportTransplantation2015

Effect of N-acetylcysteine pretreatment of deceased organ donors on renal allograft function: a randomized controlled trial.

Jean-Christophe Orban, Hervé Quintard, Elisabeth Cassuto, Patrick Jambou, Corine Samat-Long, Carole Ichai

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Transplantation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Antioxidants for adults with chronic kidney disease.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Trial
  3. Trial
  4. Steroid pretreatment of organ donors does not impact on early rejection and long-term kidney allograft survival: Results from a multicenter randomized, controlled trial.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2019
    Trial
  5. Article
  6. Review
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  10. Endogenous memory T cells with donor-reactivity: early post-transplant mediators of acute graft injury in unsensitized recipients.Transplant international : official journal of the European Society for Organ Transplantation · 2021
    Review
  11. Renoprotective effect of N-acetylcysteine depends upon the severity of the ischemia reperfusion injury.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2021
    Article
  12. Review
  13. Article
  14. Early Graft Function in Deceased Donor Renal Recipients: Role of N-Acetylcysteine.Iranian journal of pharmaceutical research : IJPR · 2020
    Article
  15. Review
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  17. Review
  18. 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 4 institutions in 1 country.

Jean-Christophe Orban1 Medico-Surgical Intensive Care Unit, Saint-Roch University Hospital, University of Medicine, Nice, France. 2 Nephrology and renal transplantation Unit, Archet University hospital of Nice, Nice, France. 3 Coordination of Procurement and Transplantation Unit, Cimiez University hospital of Nice, Nice, France.
Hervé Quintard
Elisabeth Cassuto
Patrick Jambou
Corine Samat-Long
Carole Ichai
Hôpital Saint Roch · FRCentre Hospitalier Universitaire de Nice · FRHôpital l'Archet · FRInstitut de Chimie de Nice · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntioxidant donor pretreatment is one of the pharmacologic strategy proposed to prevent renal ischemia-reperfusion injuries and delayed graft function (DGF). The aim of the study was to investigate whether a donor pretreatment with N-acetylcysteine (NAC) reduces the incidence of DGF in adult human kidney transplant recipients.

methodsIn this randomized, open-label, monocenter trial, 160 deceased heart-beating donors were allowed to perform 236 renal transplantations from September 2005 to December 2010. Donors were randomized to receive, in a single-blind controlled fashion, 600 mg of intravenous NAC 1 hr before and 2 hr after cerebral angiography performed to confirm brain death. Primary endpoint was DGF defined by the need for at least one dialysis session within the first week or a serum creatinine level greater than 200 μmol/L at day 7 after kidney transplantation.

resultsThe incidence of DGF was similar between donors pretreated with or without NAC (39/118; 33% vs. 30/118; 25.4%; P = 0.19). Requirement for at least one dialysis session was not different between the NAC and No NAC groups (17/118; 14.4% vs. 14/118; 11.8%, P = 0.56). The two groups had comparable serum creatinine levels, estimated glomerular filtration rates, and daily urine output at days 1, 7, 15, and 30 after kidney transplantation as well as at hospital discharge. No difference in recipient mortality nor in 1-year kidney graft survival was observed.

conclusionDonor pretreatment with NAC does not improve delayed graft function after kidney transplantation.

Indexed as

Tissue DonorsAcetylcysteineAdministration, IntravenousAdultAllograftsAntioxidantsBiomarkersBrain DeathCerebral AngiographyCreatinineDelayed Graft FunctionDrug Administration ScheduleFemaleFranceGlomerular Filtration RateGraft SurvivalAcetylcysteineAntioxidantsBiomarkersCreatinine

Identifiers

PMID25250647
PMCPMC4376274
OpenAlexW2015719606

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.