Evidence map›Paper›PMID 26888476›Full record

ArticleJournal of the American Society of Nephrology : JASN2016

Renal Function Profile in White Kidney Donors: The First 4 Decades.

Hassan N Ibrahim, Robert N Foley, Scott A Reule, Richard Spong, Aleksandra Kukla, Naim Issa, Danielle M Berglund, Gretchen K Sieger, Arthur J Matas

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Journal of the American Society of Nephrology : JASN, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06886087 (Prospective Study to Assess the Risks of Perinephric Fat Thickness on Adverse Renal Outcomes Post Donor Nephrectomy - ProActive Study), which is not on this map. Cited by 55 papers.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed
13.9field-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.

NCT06886087 recruitingnot on this mapstarted 2025, after this paper: background citation

Prospective Study to Assess the Risks of Perinephric Fat Thickness on Adverse Renal Outcomes Post Donor Nephrectomy - ProActive Study

TypeobservationalSponsorMayo ClinicRan2025 to 2028Enrolled100ConditionsLiving Kidney Donation, Hypertension, Nephrectomy
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 124 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Consequences of low estimated glomerular filtration rate either before or early after kidney donation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2024
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. External Validation of the Toulouse-Rangueil Predictive Model to Estimate Donor Renal Function After Living Donor Nephrectomy.Transplant international : official journal of the European Society for Organ Transplantation · 2023
    Article
  16. Review
  17. Article
  18. Prostanoid receptors in hyperfiltration-mediated glomerular injury: Novel agonists and antagonists reveal opposing roles for EP2 and EP4 receptors.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2022
    Article
  19. Article
  20. Increased risk of ischaemic heart disease after kidney donation.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2022
    Article
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 at 1 institution in 1 country.

Hassan N IbrahimDivision of Renal Diseases and Hypertension, and ibrah007@umn.edu.
Robert N FoleyDivision of Renal Diseases and Hypertension, and.
Scott A ReuleDivision of Renal Diseases and Hypertension, and.
Richard SpongDivision of Renal Diseases and Hypertension, and.
Aleksandra KuklaDivision of Renal Diseases and Hypertension, and.
Naim IssaDivision of Renal Diseases and Hypertension, and.
Danielle M BerglundDepartment of Surgery, University of Minnesota, Minneapolis, Minnesota.
Gretchen K SiegerDepartment of Surgery, University of Minnesota, Minneapolis, Minnesota.
Arthur J MatasDepartment of Surgery, University of Minnesota, Minneapolis, Minnesota.
University of Minnesota · US

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
Viral Infections and Posttransplant MorbidityP01DK013083 · NIDDK · UNIVERSITY OF MINNESOTA TWIN CITIES · PI NEVINS, THOMAS E · 1986 to 2013
$14.9M
NCATS NIH HHS UL1 TR000114NIDDK NIH HHS P01 DK013083
6 · The paper itself

Abstract

Previous studies reported the risk of ESRD after kidney donation, but not the renal outcomes that precede ESRD. Here, we estimated the risk of proteinuria, reduced GFR, and ESRD in 3956 white kidney donors, assessed the contribution of postdonation hypertension and diabetes to these outcomes, and developed a risk calculator. After a mean±SD follow-up of 16.6±11.9 years, 215 (6.1%) donors developed proteinuria. Men had a higher risk of proteinuria (hazard ratio [HR], 1.56; 95% confidence interval [95% CI], 1.18 to 2.05; P<0.001) as did those with higher body mass index (HR, 1.10; 95% CI, 1.06 to 1.13; P<0.001). In all, 1410 (36%) donors reached an eGFR<60 ml/min per 1.73 m(2), and 112 (2.8%) donors had either an eGFR<30 ml/min per 1.73 m(2) or ESRD (28 donors developed ESRD). An eGFR<30 ml/min per 1.73 m(2) or ESRD associated with older age (HR, 1.07; 95% CI, 1.05 to 1.09; P<0.001), higher body mass index (HR, 1.08; 95% CI, 1.04 to 1.13; P<0.001), and higher systolic BP (HR, 1.02; 95% CI, 1.00 to 1.04; P=0.01) at donation. Postdonation diabetes and hypertension associated with a fourfold higher risk of proteinuria and a >2-fold higher risk of ESRD. Models predicting proteinuria and reduced eGFR performed well (C-index 0.77-1.00). In conclusion, severe reduction in GFR and ESRD after kidney donation were uncommon and were highly associated with postdonation diabetes and hypertension. Furthermore, information available before donation may predict long-term renal outcomes in white living kidney donors.

Indexed as

Living DonorsNephrectomyWhite PeopleAdultFemaleGlomerular Filtration RateHumansHypertensionKidneyKidney Failure, ChronicMalePostoperative ComplicationsProteinuriaRisk AssessmentTime Factorskidney donationoutcomesrenal dysfunction

Identifiers

PMID26888476
PMCPMC5004661
OpenAlexW2277824173

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.