Evidence map›Paper›PMID 25791727›Full record

ArticleJournal of the American Society of Nephrology : JASN2015

A National Study of Outcomes among HIV-Infected Kidney Transplant Recipients.

Jayme E Locke, Shikha Mehta, Rhiannon D Reed, Paul MacLennan, Allan Massie, Anoma Nellore, Christine Durand, Dorry L Segev

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Journal of the American Society of Nephrology : JASN, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04530630 (The Efficacy, Safety, and Tolerability of Switching to a Bictegravir), which is not on this map. Cited by 57 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 2 pooled it
11.3field-weighted citation impact, top 1% 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.

NCT04530630 phase4completednot on this mapstarted 2020, after this paper: background citation

The Efficacy, Safety, and Tolerability of Switching to a Bictegravir (BIC)/Emtricitabine(FTC)/Tenofovir Alafenamide (TAF) Regimen in Virally Suppressed Human Immunodeficiency Viruses (HIV)-Positive Patients Post-Renal Transplant

TypeinterventionalSponsorWeill Medical College of Cornell UniversityRan2020 to 2024Enrolled20ConditionsHIV Infections, Renal Transplant RejectionArmsBIC/F/TAF 50Mg-200Mg-25Mg Tablet
3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 2 syntheses or guidelines pooled it, 135 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pretransplant CD4 Count Influences Immune Reconstitution and Risk of Infectious Complications in Human Immunodeficiency Virus-Infected Kidney Allograft Recipients.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2016
    Trial
  4. Article
  5. Article
  6. Article
  7. Safety of Kidney Transplantation from Donors with HIV.The New England journal of medicine · 2024
    Observational
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Early steps to kidney transplantation among persons with HIV and end-stage renal disease in ESRD network 6.Transplant infectious disease : an official journal of the Transplantation Society · 2022
    Article
  16. Review
  17. A prospective multicenter pilot study of HIV-positive deceased donor to HIV-positive recipient kidney transplantation: HOPE in action.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    Article
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Jayme E LockeComprehensive Transplant Institute, University of Alabama at Birmingham, Birmingham, Alabama; jlocke@uabmc.edu.
Shikha MehtaComprehensive Transplant Institute, University of Alabama at Birmingham, Birmingham, Alabama;
Rhiannon D ReedComprehensive Transplant Institute, University of Alabama at Birmingham, Birmingham, Alabama;
Paul MacLennanComprehensive Transplant Institute, University of Alabama at Birmingham, Birmingham, Alabama;
Allan MassieDepartments of Surgery and Epidemiology, Johns Hopkins University, Baltimore, Maryland; and.
Anoma NelloreComprehensive Transplant Institute, University of Alabama at Birmingham, Birmingham, Alabama;
Christine DurandDepartment of Medicine, Division of Infectious Diseases, Johns Hopkins University, Baltimore, Maryland.
Dorry L SegevDepartments of Surgery and Epidemiology, Johns Hopkins University, Baltimore, Maryland; and.
University of Alabama at Birmingham · USJohns Hopkins University · USJohns Hopkins Medicine · US

Funding

Patient Oriented Research in Kidney Disease and Transplant SurgeryK24DK101828 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI SEGEV, DORRY L. · 2014 to 2018
$922k
NIDDK NIH HHS K24 DK101828NIDDK NIH HHS K24-DK101828
6 · The paper itself

Abstract

Kidney transplantation is a viable treatment for select patients with HIV and ESRD, but data are lacking regarding long-term outcomes and comparisons with appropriately matched HIV-negative patients. We analyzed data from the Scientific Registry of Transplant Recipients (SRTR; 2002-2011): 510 adult kidney transplant recipients with HIV (median follow-up, 3.8 years) matched 1:10 to HIV-negative controls. Compared with HIV-negative controls, HIV-infected recipients had significantly lower 5-year (75.3% versus 69.2%) and 10-year (54.4% versus 49.8%) post-transplant graft survival (GS) (hazard ratio [HR], 1.37; 95% confidence interval [95% CI], 1.15 to 1.64; P<0.001) that persisted when censoring for death (HR, 1.43; 95% CI, 1.12 to 1.84; P=0.005). However, compared with HIV-negative/hepatitis C virus (HCV)-negative controls, HIV monoinfected recipients had similar 5-year and 10-year GS, whereas HIV/HCV coinfected recipients had worse GS (5-year: 64.0% versus 52.0%, P=0.02; 10-year: 36.2% versus 27.0%, P=0.004 [HR, 1.38; 95% CI, 1.08 to 1.77; P=0.01]). Patient survival (PS) among HIV-infected recipients was 83.5% at 5 years and 51.6% at 10 years and was significantly lower than PS among HIV-negative controls (HR, 1.34; 95% CI, 1.08 to 1.68; P<0.01). However, PS was similar for HIV monoinfected recipients and HIV-negative/HCV-negative controls at both times. HIV/HCV coinfected recipients had worse PS compared with HIV-negative/HCV-infected controls (5-year: 67.0% versus 78.6%, P=0.007; 10-year: 29.3% versus 56.23%, P=0.002 [HR, 1.57; 95% CI, 1.11 to 2.22; P=0.01]). In conclusion, HIV-negative and HIV monoinfected kidney transplant recipients had similar GS and PS, whereas HIV/HCV coinfected recipients had worse outcomes. Although encouraging, these results suggest caution in transplanting coinfected patients.

Indexed as

Graft SurvivalCase-Control StudiesCoinfectionFemaleFollow-Up StudiesHepatitis CHIV InfectionsHumansKidney Failure, ChronicKidney TransplantationMaleMiddle AgedPatient SelectionSurvival RateUnited StateshepatitisHIV nephropathykidney transplantationoutcomes

Identifiers

PMID25791727
PMCPMC4552118
OpenAlexW2154479838

What OpenQuestion holds

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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.