Evidence map›Paper›PMID 25363471›Full record

ReviewTransplant international : official journal of the European Society for Organ Transplantation2015

Thymoglobulin induction in heart transplantation: patient selection and implications for maintenance immunosuppression.

Andreas Zuckermann, Uwe Schulz, Tobias Deuse, Arjang Ruhpawar, Jan D Schmitto, Andres Beiras-Fernandez, Stephan Hirt, Martin Schweiger, Laurenz Kopp-Fernandes, Markus J Barten

Open access · hybridAbstract readReview
In one paragraph

Review in Transplant international : official journal of the European Society for Organ Transplantation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Kidney disease in non-kidney solid organ transplantation.World journal of transplantation · 2022
    Review
  8. Article
  9. Extracorporeal Photopheresis With Low-Dose Immunosuppression in High-Risk Heart Transplant Patients-A Pilot Study.Transplant international : official journal of the European Society for Organ Transplantation · 2022
    Article
  10. Article
  11. Review
  12. Review
  13. Clinical phenomapping and outcomes after heart transplantation.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2018
    Article
  14. Article
  15. Review
  16. Review
  17. Desensitization Strategies Pre- and Post-Cardiac Transplantation.Current treatment options in cardiovascular medicine · 2016
    Article
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

10 authors at 8 institutions in 3 countries.

Andreas ZuckermannDepartment of Cardiac Surgery, Medical University of Vienna, Vienna, Austria.
Uwe Schulz
Tobias Deuse
Arjang Ruhpawar
Jan D Schmitto
Andres Beiras-Fernandez
Stephan Hirt
Martin Schweiger
Laurenz Kopp-Fernandes
Markus J Barten
University Medical Center Hamburg-Eppendorf · DEGoethe University Frankfurt · DEMedical University of Vienna · ATMedizinische Hochschule Hannover · DERuhr University Bochum · DEUniversity Children's Hospital Zurich · CHUniversity Hospital Heidelberg · DEUniversity of Regensburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical data relating to rabbit antithymocyte globulin (rATG) induction in heart transplantation are far less extensive than for other immunosuppressants, or indeed for rATG in other indications. This was highlighted by the low grade of evidence and the lack of detailed recommendations for prescribing rATG in the International Society for Heart and Lung Transplantation (ISHLT) guidelines. The heart transplant population includes an increasing frequency of patients on mechanical circulatory support (MCS), often with ongoing infection and/or presensitization, who are at high immunological risk but also vulnerable to infectious complications. The number of patients with renal impairment is also growing due to lengthening waiting times, intensifying the need for strategies that minimize calcineurin inhibitor (CNI) toxicity. Additionally, the importance of donor-specific antibodies (DSA) in predicting graft failure is influencing immunosuppressive regimens. In light of these developments, and in view of the lack of evidence-based prescribing criteria, experts from Germany, Austria, and Switzerland convened to identify indications for rATG induction in heart transplantation and to develop an algorithm for its use based on patient characteristics.

Indexed as

Heart TransplantationImmune ToleranceAnimalsAntilymphocyte SerumGraft RejectionHumansImmunosuppression TherapyImmunosuppressive AgentsRabbitsAntilymphocyte SerumImmunosuppressive Agentsthymoglobulinantithymocyte globulinheart transplantationrabbit antithymocyte globulinThymoglobulin

Identifiers

PMID25363471
PMCPMC4359038
OpenAlexW2091851863

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.