Evidence map›Paper›PMID 28371243›Full record

ArticlePediatric transplantation2017

Infection rates in tacrolimus versus cyclosporine-treated pediatric kidney transplant recipients on a rapid discontinuation of prednisone protocol: 1-year analysis.

Sarah J Kizilbash, Michelle N Rheault, Ananta Bangdiwala, Arthur Matas, Srinath Chinnakotla, Blanche M Chavers

Abstract readComparative Study
In one paragraph

Article in Pediatric transplantation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
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  7. Long-Term Outcomes of Kidney Transplantation in Children.Pediatric clinics of North America · 2019
    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

6 authors at 1 institution in 1 country.

Sarah J KizilbashDepartment of Pediatric Nephrology, University of Minnesota, Minneapolis, MN, USA.ORCID http://orcid.org/0000-0001-5824-7856
Michelle N RheaultDepartment of Pediatric Nephrology, University of Minnesota, Minneapolis, MN, USA.
Ananta BangdiwalaBiostatistics and Bioinformatics Core, Masonic Cancer Center, University of Minnesota, Minneapolis, MN, USA.
Arthur MatasDepartment of Transplant Surgery, University of Minnesota, Minneapolis, MN, USA.
Srinath ChinnakotlaDepartment of Transplant Surgery, University of Minnesota, Minneapolis, MN, USA.
Blanche M ChaversDepartment of Pediatric Nephrology, University of Minnesota, Minneapolis, MN, USA.
University of Minnesota · 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

AR is lower in pKTx recipients on Tac vs CsA. Data comparing infection outcomes for children treated with these agents are limited. We retrospectively studied infection outcomes in 96 pKTx recipients on a RDP. PS, DCGS, AR, and infection-free survival were assessed using Kaplan-Meier/log-rank tests and proportional hazards models. There were no differences in 1-year PS, DCGS, or AR between Tac and CsA recipients. After adjusting for AR, the hazard of CMV viremia was 4.0 times higher (95%CI: 1.04, 15.5; P = .044) and that of BK viremia was 3.8 times higher (95%CI: 1.5, 10.2; P = .007) in Tac recipients. The incidence of EBV viremia was similar between the groups (P = .56). PostTx lymphoproliferative disease was only observed in Tac recipients (3%). There was no difference in the incidence of pneumonia, urinary tract, or Clostridium difficile infections between Tac and CsA recipients. Among KTx recipients on RDP, the hazards of CMV and BK viremia within 1 year post-KTx were significantly higher in Tac recipients compared to CsA. Regular assessment for infections and lower Tac trough levels may be warranted in Tac recipients.

Indexed as

Kidney TransplantationAdolescentBacterial InfectionsChildChild, PreschoolCyclosporineDrug Administration ScheduleDrug Therapy, CombinationFemaleGraft RejectionHumansImmunocompromised HostImmunosuppressive AgentsIncidenceKaplan-Meier EstimateMaleCyclosporineImmunosuppressive AgentsPrednisoneTacrolimuscyclosporinecytomegaloviruskidney transplantpediatricssteroid avoidancetacrolimus

Identifiers

PMID28371243
PMCPMC5423828
OpenAlexW2603491395

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.