Evidence map›Paper›PMID 25759566›Full record

ArticleDrug design, development and therapy2015

Advantageous effects of immunosuppression with tacrolimus in comparison with cyclosporine A regarding renal function in patients after heart transplantation.

Matthias Helmschrott, Rasmus Rivinius, Arjang Ruhparwar, Bastian Schmack, Christian Erbel, Christian A Gleissner, Mohammadreza Akhavanpoor, Lutz Frankenstein, Philipp Ehlermann, Tom Bruckner and 2 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in Drug design, development and therapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.7field-weighted citation impact, top 11% 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

15 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Heart Transplantation.Journal of clinical medicine · 2024
    Review
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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

12 authors at 1 institution in 1 country.

Matthias HelmschrottDepartment of Cardiology, Angiology, Pneumology, University of Heidelberg, Heidelberg, Germany.
Rasmus RiviniusDepartment of Cardiology, Angiology, Pneumology, University of Heidelberg, Heidelberg, Germany.
Arjang RuhparwarDepartment of Cardiac Surgery, University of Heidelberg, Heidelberg, Germany.
Bastian SchmackDepartment of Cardiac Surgery, University of Heidelberg, Heidelberg, Germany.
Christian ErbelDepartment of Cardiology, Angiology, Pneumology, University of Heidelberg, Heidelberg, Germany.
Christian A GleissnerDepartment of Cardiology, Angiology, Pneumology, University of Heidelberg, Heidelberg, Germany.
Mohammadreza AkhavanpoorDepartment of Cardiology, Angiology, Pneumology, University of Heidelberg, Heidelberg, Germany.
Lutz FrankensteinDepartment of Cardiology, Angiology, Pneumology, University of Heidelberg, Heidelberg, Germany.
Philipp EhlermannDepartment of Cardiology, Angiology, Pneumology, University of Heidelberg, Heidelberg, Germany.
Tom BrucknerInstitute for Medical Biometry and Informatics, University of Heidelberg, Heidelberg, Germany.
Hugo A KatusDepartment of Cardiology, Angiology, Pneumology, University of Heidelberg, Heidelberg, Germany.
Andreas O DoeschDepartment of Cardiology, Angiology, Pneumology, University of Heidelberg, Heidelberg, Germany.
Heidelberg University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNephrotoxicity is a serious adverse effect of calcineurin inhibitor therapy in patients after heart transplantation (HTX).

aimIn this retrospective registry study, renal function within the first 2 years after HTX in patients receiving de novo calcineurin inhibitor treatment, that is, cyclosporine A (CSA) or tacrolimus (TAC), was analyzed. In a consecutive subgroup analysis, renal function in patients receiving conventional tacrolimus (CTAC) was compared with that of patients receiving extended-release tacrolimus (ETAC).

methodsData from 150 HTX patients at Heidelberg Heart Transplantation Center were retrospectively analyzed. All patients were continuously receiving the primarily applied calcineurin inhibitor during the first 2 years after HTX and received follow-up care according to center practice.

resultsWithin the first 2 years after HTX, serum creatinine increased significantly in patients receiving CSA (P<0.0001), whereas in patients receiving TAC, change of serum creatinine was not statistically significant (P=not statistically significant [ns]). McNemar's test detected a significant accumulation of patients with deterioration of renal function in the first half year after HTX among patients receiving CSA (P=0.0004). In patients receiving TAC, no significant accumulation of patients with deterioration of renal function during the first 2 years after HTX was detectable (all P=ns). Direct comparison of patients receiving CTAC versus those receiving ETAC detected no significant differences regarding renal function between patients primarily receiving CTAC or ETAC treatment during study period (all P=ns).

conclusionCSA is associated with a more pronounced deterioration of renal function, especially in the first 6 months after HTX, in comparison with patients receiving TAC as baseline immunosuppressive therapy.

Indexed as

AdultCyclosporineFemaleHeart TransplantationHumansImmunosuppression TherapyImmunosuppressive AgentsKidneyKidney Function TestsMaleMiddle AgedRetrospective StudiesTacrolimusTransplantation ImmunologyCyclosporineImmunosuppressive AgentsTacrolimusextended-release tacrolimusheart transplantationrenal function

Identifiers

PMID25759566
PMCPMC4346008
OpenAlexW2022770039

What OpenQuestion holds

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Registered trials

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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.