Evidence map›Paper›PMID 25762442›Full record

Observational studyAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2015

Associations of deceased donor kidney injury with kidney discard and function after transplantation.

I E Hall, B Schröppel, M D Doshi, J Ficek, F L Weng, R D Hasz, H Thiessen-Philbrook, P P Reese, C R Parikh

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07645599 (Microvasculature Ultrasound Super-resolution in Transplant Delayed Graft Function), which is not on this map. Cited by 61 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT07645599 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Microvasculature Ultrasound Super-resolution in Transplant Delayed Graft Function

Typeobservational_patient_registrySponsorRoderick TanRan2026 to 2028Enrolled40ConditionsEnd Stage Chronic Renal Failure, Renal Transplant, Microvascular Changes, Microvascular CirculationArmsUltrasound contrast agent (Contrast-enhanced ultrasound), Optison (Perflutren Protein-Type A Microspheres Injectable Suspension), Lumason® contrast agent, DEFINITY®
3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Optimizing the Use of Deceased Donor Kidneys at Risk of Discard: A Clinical Practice Guideline.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Guideline
  2. Kidney Transplantation From Donors With Acute Kidney Injury: Are the Concerns Justified? A Systematic Review and Meta-Analysis.Transplant international : official journal of the European Society for Organ Transplantation · 2023
    Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Dynamic Risk Prediction of Graft Failure after Deceased Donor Kidney Transplant.Clinical journal of the American Society of Nephrology : CJASN · 2026
    Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Observational
  16. Deceased donor kidneys from higher distressed communities are significantly less likely to be utilized for transplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2023
    Article
  17. Article
  18. Kidney utilization in the Netherlands - do we optimally use our donor organs?Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2023
    Review
  19. Deceased-Donor Acute Kidney Injury and Acute Rejection in Kidney Transplant Recipients: A Multicenter Cohort.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2023
    Article
  20. Article

1 more citing papers are in PubMed but not listed here.

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

9 authors.

I E HallProgram of Applied Translational Research, Department of Medicine, Yale University School of Medicine, New Haven, CT.
B SchröppelSection of Nephrology, Department of Internal Medicine 1, University Hospital, Ulm, Germany.
M D DoshiWayne State University, Detroit, MI.
J FicekProgram of Applied Translational Research, Department of Medicine, Yale University School of Medicine, New Haven, CT.
F L WengBarnabas Health, Livingston, NJ.
R D HaszGift of Life Institute, Philadelphia, PA.
H Thiessen-PhilbrookDivision of Nephrology, Department of Medicine, Western University, London, Ontario, Canada.
P P ReeseUniversity of Pennsylvania, Philadelphia, PA.
C R ParikhProgram of Applied Translational Research, Department of Medicine, Yale University School of Medicine, New Haven, CT.

Funding

Renal Physiology and Phenotyping CoreP30DK079310 · NIDDK · YALE UNIVERSITY · PI PARIKH, CHIRAG R · 2008 to 2022
$16.8M
Novel Kidney Injury Tools in Deceased Organ Donation to Predict Graft OutcomesR01DK093770 · NIDDK · YALE UNIVERSITY · PI Chirag R Parikh · 2012 to 2026
$9.5M
PATHOPHYSIOLOGY OF ACUTE AND CHRONIC RENAL DISEASET32DK007276 · NIDDK · YALE UNIVERSITY · PI ARONSON, PETER S., CANTLEY, LLOYD G · 1986 to 2022
$9.3M
Mentoring Program for Translational and Patient Oriented Research in AKIK24DK090203 · NIDDK · YALE UNIVERSITY · PI PARIKH, CHIRAG R · 2012 to 2016
$896k
NIDDK NIH HHS K24 DK090203NIDDK NIH HHS K24DK090203NIDDK NIH HHS P30 DK079310NIDDK NIH HHS R01 DK093770NIDDK NIH HHS R01DK-93770NIDDK NIH HHS T32 DK007276PHS HHS 234-2005-37011C
6 · The paper itself

Abstract

Deceased donor kidneys with acute kidney injury (AKI) are often discarded due to fear of poor outcomes. We performed a multicenter study to determine associations of AKI (increasing admission-to-terminal serum creatinine by AKI Network stages) with kidney discard, delayed graft function (DGF) and 6-month estimated glomerular filtration rate (eGFR). In 1632 donors, kidney discard risk increased for AKI stages 1, 2 and 3 (compared to no AKI) with adjusted relative risks of 1.28 (1.08-1.52), 1.82 (1.45-2.30) and 2.74 (2.0-3.75), respectively. Adjusted relative risk for DGF also increased by donor AKI stage: 1.27 (1.09-1.49), 1.70 (1.37-2.12) and 2.25 (1.74-2.91), respectively. Six-month eGFR, however, was similar across AKI categories but was lower for recipients with DGF (48 [interquartile range: 31-61] vs. 58 [45-75] ml/min/1.73m(2) for no DGF, p < 0.001). There was significant favorable interaction between donor AKI and DGF such that 6-month eGFR was progressively better for DGF kidneys with increasing donor AKI (46 [29-60], 49 [32-64], 52 [36-59] and 58 [39-71] ml/min/1.73m(2) for no AKI, stage 1, 2 and 3, respectively; interaction p = 0.05). Donor AKI is associated with kidney discard and DGF, but given acceptable 6-month allograft function, clinicians should consider cautious expansion into this donor pool.

Indexed as

Kidney TransplantationTissue DonorsAcute Kidney InjuryAdultAllograftsBiopsyCohort StudiesDelayed Graft FunctionFemaleGlomerular Filtration RateGraft RejectionHumansIncidenceKidneyKidney Function TestsMaledeceaseddelayed graft function (DGF)donors and donationkidney failure/injuryorgan acceptance

Identifiers

PMID25762442
PMCPMC4563988

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Registered trials

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.