Evidence map›Paper›PMID 26385862›Full record

ArticlePediatric nephrology (Berlin, Germany)2016

Anemia in children following renal transplantation-results from the ESPN/ERA-EDTA Registry.

Leah A Krischock, Karlijn J van Stralen, Enrico Verrina, E Jane Tizard, Marjolein Bonthuis, György Reusz, Farida K Hussain, Augustina Jankauskiene, Gregor Novljan, Brankica Spasojević-Dimitrijeva and 5 more

Registry-linked trialOpen access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04292418 (Predictors of Rejection in Pediatric Kidney Transplantation), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.9field-weighted citation impact, top 15% 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.

NCT04292418 unknown statusnot on this mapstarted 2020, after this paper: background citation

Predictors of Rejection in Pediatric Kidney Transplantation

TypeobservationalSponsorAssiut UniversityRan2020 to 2021Enrolled70ConditionsRejection Acute RenalArmsTacrolimus capsule , mycophenolic acid
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 23 citations in OpenAlex.

  1. [Incidence and associated factors of anemia within six months after kidney transplantation in pediatric recipients].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2026
    Article
  2. Article
  3. Anemia after kidney transplantation.Pediatric nephrology (Berlin, Germany) · 2023
    Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Cardiovascular risks in chronic kidney disease pediatric patients.Experimental and therapeutic medicine · 2017
    Article
  11. Article
  12. Article
  13. Lessons learned from the ESPN/ERA-EDTA Registry.Pediatric nephrology (Berlin, Germany) · 2016
    Review
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

15 authors at 10 institutions in 12 countries.

Leah A KrischockDepartment of Paediatric Nephrology, Sydney Children's Hospital, Sydney, Australia.
Karlijn J van StralenESPN/ERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, PO Box 22700, Amsterdam, The Netherlands. k.j.vanstralen@amc.uva.lnl.
Enrico VerrinaG Gaslini Hospital, Genova, Italy.
E Jane TizardBristol Royal Hospital for Children, Bristol, UK.
Marjolein BonthuisESPN/ERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, PO Box 22700, Amsterdam, The Netherlands.
György ReuszSemmelweis University Budapest, Budapest, Hungary.
Farida K HussainNottingham University Hospitals, Nottingham, UK.
Augustina JankauskieneVilnius University, Vilnius, Lithuania.
Gregor NovljanChildren's Hospital University Medical Center, Ljubljana, Slovenia.
Brankica Spasojević-DimitrijevaUniversity Children Hospital, Belgrade, Serbia.
Ludmila PodrackaDepartment of Pediatrics, Faculty of Medicine, Slovak Medical University (SMU), Bratislava, Slovak Republic.
Vera ZallerMedical University of Vienna, Vienna, Austria.
Kitty J JagerESPN/ERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, PO Box 22700, Amsterdam, The Netherlands.
Franz SchaeferUniversity of Heidelberg Center for Pediatrics and Adolescent Medicine, Heidelberg, Germany.
ESPN/ERA-EDTA Registry
Heidelberg University · DEIstituto Giannina Gaslini · ITSemmelweis University · HUSlovak Medical University · SKSydney Children's Hospital · AUBristol Royal Hospital for Children · GBLjubljana University Medical Centre · SIMedical University of Vienna · ATNottingham University Hospitals NHS Trust · GBUniversity of Ljubljana · SI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOur aim was to determine the prevalence of sub-target hemoglobin (Hb) levels in children with a renal allograft and to identify potential determinants associated with these Hb levels.

methodsData from 3669 children with a functioning renal allograft, aged <18 years between 1 January 2000 and 31 December 2012, from 20 European countries were retrieved from the ESPN/ERA-EDTA Registry, providing 16,170 Hb measurements.

resultsAccording to the NKF/KDOQI classification and the UK-NICE guidelines, 49.8 and 7.8% of the patients, respectively, were anemic. Hb levels were strongly associated with graft function, with Hb levels of 12.6 g/dl in children with chronic kidney disease (CKD) stage 1, declining to 10.7 g/dl in children with CKD stage 5 (P < 0.001). Higher Hb levels were associated with the use of tacrolimus compared to ciclosporin (0.14 g/dl; 95% confidence interval 0.02-0.27; P = 0.002). Low Hb levels were associated with an increased risk of graft failure (P = 0.01) or combined graft failure and death (P < 0.01), but not with death alone (not significant).

conclusionsAnemia is present in a significant proportion of European pediatric kidney transplant recipients and is associated with renal allograft dysfunction and type of immunosuppressants used. In our patient cohort, higher Hb levels were associated with better graft and patient survival and less hypertension.

Indexed as

AdolescentAnemiaChildChild, PreschoolEuropeFemaleHemoglobinsHumansImmunosuppressive AgentsKidney Failure, ChronicKidney TransplantationMalePrevalenceRegistriesRisk FactorsHemoglobinsImmunosuppressive AgentsAnemiaGraft survivalHb levelImmunosuppressive therapyPediatricsTransplantation

Identifiers

PMID26385862
OpenAlexW1951727318

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.