Evidence map›Paper›PMID 26616578›Full record

ArticleJournal of cardiac failure2016

The Impact of Donor and Recipient Renal Dysfunction on Cardiac Allograft Survival: Insights Into Reno-Cardiac Interactions.

Olga Laur, Meredith A Brisco, Alexander J Kula, Susan J Cheng, Abeel A Mangi, Lavanya Bellumkonda, Daniel L Jacoby, Steven Coca, W H Wilson Tang, Chirag R Parikh and 1 more

Open access · greenAbstract read
In one paragraph

Article in Journal of cardiac failure, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

2 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Olga LaurDepartment of Internal Medicine and the Program of Applied Translational Research, Yale University School of Medicine, New Haven, Connecticut, United States.
Meredith A BriscoDepartment of Medicine, Cardiology Division, Medical University of South Carolina, Charleston, South Carolina, United States.
Alexander J KulaDepartment of Internal Medicine and the Program of Applied Translational Research, Yale University School of Medicine, New Haven, Connecticut, United States.
Susan J ChengDepartment of Internal Medicine and the Program of Applied Translational Research, Yale University School of Medicine, New Haven, Connecticut, United States.
Abeel A MangiDepartment of Internal Medicine and the Program of Applied Translational Research, Yale University School of Medicine, New Haven, Connecticut, United States.
Lavanya BellumkondaDepartment of Internal Medicine and the Program of Applied Translational Research, Yale University School of Medicine, New Haven, Connecticut, United States.
Daniel L JacobyDepartment of Internal Medicine and the Program of Applied Translational Research, Yale University School of Medicine, New Haven, Connecticut, United States.
Steven CocaDepartment of Internal Medicine and the Program of Applied Translational Research, Yale University School of Medicine, New Haven, Connecticut, United States.
W H Wilson TangDepartment of Medicine, Cardiovascular Division, Cleveland Clinic Foundation, Cleveland, Ohio, United States.
Chirag R ParikhDepartment of Internal Medicine and the Program of Applied Translational Research, Yale University School of Medicine, New Haven, Connecticut, United States.
Jeffrey M TestaniDepartment of Internal Medicine and the Program of Applied Translational Research, Yale University School of Medicine, New Haven, Connecticut, United States. Electronic address: jeffrey.testani@yale.edu.
Yale University · USCleveland Clinic · USMedical University of South Carolina · US

Funding

Mentoring Program for Translational and Patient Oriented Research in AKIK24DK090203 · NIDDK · YALE UNIVERSITY · PI PARIKH, CHIRAG R · 2012 to 2016
$896k
Cardio-renal phenotype and prognosis in chronic heart failureK23HL114868 · NHLBI · YALE UNIVERSITY · PI TESTANI, JEFFREY M · 2012 to 2017
$845k
Determining Mechanisms of Renal Dysfunction after Left Ventricular Assist DeviceK23HL128933 · NHLBI · TEMPLE UNIV OF THE COMMONWEALTH · PI BRISCO-BACIK, MEREDITH ANN · 2015 to 2019
$831k
NHLBI NIH HHS K23 HL114868NHLBI NIH HHS K23 HL128933NHLBI NIH HHS L30 HL115790NIDDK NIH HHS K24 DK090203
6 · The paper itself

Abstract

backgroundRenal dysfunction (RD) is a potent risk factor for death in patients with cardiovascular disease. This relationship may be causal; experimentally induced RD produces findings such as myocardial necrosis and apoptosis in animals. Cardiac transplantation provides an opportunity to investigate this hypothesis in humans. METHODS AND

resultsCardiac transplantations from the United Network for Organ Sharing registry were studied (n = 23,056). RD was defined as an estimated glomerular filtration rate <60 mL/min/1.73 m(2). RD was present in 17.9% of donors and 39.4% of recipients. Unlike multiple donor characteristics, such as older age, hypertension, or diabetes, donor RD was not associated with recipient death or retransplantation (age-adjusted hazard ratio [HR] = 1.00, 95% confidence interval [CI] 0.94-1.07, P = .92). Moreover, in recipients with RD the highest risk for death or retransplantation occurred immediately posttransplant (0-30 day HR = 1.8, 95% CI 1.54-2.02, P < .001) with subsequent attenuation of the risk over time (30-365 day HR = 0.92, 95% CI 0.77-1.09, P = .33).

conclusionsThe risk for adverse recipient outcomes associated with RD does not appear to be transferrable from donor to recipient via the cardiac allograft, and the risk associated with recipient RD is greatest immediately following transplant. These observations suggest that the risk for adverse outcomes associated with RD is likely primarily driven by nonmyocardial factors.

Indexed as

Tissue DonorsAdultAllograftsGraft SurvivalHeart FailureHeart TransplantationHumansMaleMiddle AgedRenal InsufficiencyReoperationRisk AssessmentRisk FactorsYoung Adultcardiac transplantationcardio-renal syndromerenal dysfunctionReno-cardiac syndrome

Identifiers

PMID26616578
PMCPMC4904299
OpenAlexW2192275588

What OpenQuestion holds

Textmetadata
LicenceTDM
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.