Evidence map›Paper›PMID 27712016›Full record

ArticlePediatric transplantation2016

Post-transplant blood transfusions and pediatric renal allograft outcomes.

Priya Verghese, Kristen Gillingham, Arthur Matas, Srinath Chinnakotla, Blanche Chavers

Open access · greenAbstract read
In one paragraph

Article in Pediatric transplantation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

12 citing papers in PubMed, 18 citations in OpenAlex.

  1. Observational
  2. Anemia after kidney transplantation.Pediatric nephrology (Berlin, Germany) · 2023
    Article
  3. Review
  4. Article
  5. Review
  6. Post-Transplantation Early Blood Transfusion and Kidney Allograft Outcomes: A Single-Center Observational Study.Transplant international : official journal of the European Society for Organ Transplantation · 2022
    Observational
  7. Article
  8. Article
  9. Article
  10. Article
  11. Observational
  12. 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

5 authors at 3 institutions in 1 country.

Priya VergheseDivision of Pediatric Nephrology, Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA. pverghes@umn.edu.
Kristen GillinghamDivision of Transplant Surgery, Department of Surgery, University of Minnesota, Minneapolis, MN, USA.
Arthur MatasDivision of Transplant Surgery, Department of Surgery, University of Minnesota, Minneapolis, MN, USA.
Srinath ChinnakotlaDivision of Transplant Surgery, Department of Surgery, University of Minnesota, Minneapolis, MN, USA.
Blanche ChaversDivision of Pediatric Nephrology, Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA.
Minnesota Gastroenterology · USUniversity of Minnesota · USUniversity of Minnesota Medical Center · US

Funding

Viral Infections and Posttransplant MorbidityP01DK013083 · NIDDK · UNIVERSITY OF MINNESOTA TWIN CITIES · PI MATAS, ARTHUR J · 1986 to 2013
$14.9M
NIDDK NIH HHS P01 DK013083
6 · The paper itself

Abstract

The association of blood transfusions with GS after pediatric KTx is unclear. We retrospectively analyzed blood transfusions post-KTx and subsequent outcomes. Between 1984 and 2013, 482 children (<18 years of age) underwent KTx at our center. Recipient demographics, outcomes and transfusion data were collected. Cox regression with post-KTx blood transfusion as a time-dependent covariate was performed to model the impact of blood transfusion on outcomes. Of the 208 (44%) that were transfused, 39% had transfusion <1 month post-KTx; 48% >12 months. Transfused and non-transfused recipients were not significantly different. In univariate and multivariate analyses, there was no difference between transfused and non-transfused recipient patient survival, antibody-mediated and ACR, and DSA free survival. Transfusions <1 month post-KTx did not impact DCGS (P=NS). Patients transfused >12 months post-KTx had significantly lower 12 month eGFR (compared to non-transfused) and worse subsequent DCGS. Post-KTx blood transfusions have increased in pediatric KTx over time but have no negative association with rejection or DSA production. DCGS is unaffected by transfusion within first month. Transfusions after the first year occur in patients with more advanced chronic kidney disease and are associated with significantly worse DCGS.

Indexed as

Kidney TransplantationAdolescentBlood TransfusionChildChild, PreschoolDelayed Graft FunctionFemaleGlomerular Filtration RateGraft SurvivalHumansImmunosuppression TherapyMalePostoperative ComplicationsProportional Hazards ModelsRenal InsufficiencyRetrospective Studiesanemiablood transfusionsdonor-specific antibodiesgraft survivalsensitizationtransfusions

Identifiers

PMID27712016
PMCPMC5117431
OpenAlexW2529363510

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.