Evidence map›Paper›PMID 28852496›Full record

ArticleClinical kidney journal2017

Effect of kidney donor hepatitis C virus serostatus on renal transplant recipient and allograft outcomes.

Jordana B Cohen, Kevin C Eddinger, Brittany Shelton, Jayme E Locke, Kimberly A Forde, Deirdre Sawinski

Abstract read
In one paragraph

Article in Clinical kidney journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Article
  2. Viral hepatitis: Past, present, and future.World journal of gastroenterology · 2022
    Review
  3. Article
  4. Review
  5. Article
  6. Mortality and Kidney Transplantation Outcomes Among Hepatitis C Virus-Seropositive Maintenance Dialysis Patients: A Retrospective Cohort Study.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2019
    Article
  7. Article
  8. Review
  9. Observational
  10. Article
  11. 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

6 authors.

Jordana B CohenDepartment of Medicine, Renal Electrolyte and Hypertension Division, University of Pennsylvania, Philadelphia, PA, USA.
Kevin C EddingerDepartment of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Brittany SheltonComprehensive Transplant Institute, University of Alabama at Birmingham, Birmingham, AL, USA.
Jayme E LockeComprehensive Transplant Institute, University of Alabama at Birmingham, Birmingham, AL, USA.
Kimberly A FordeDepartment of Medicine, Division of Gastroenterology, University of Pennsylvania, Philadelphia, PA, USA.
Deirdre SawinskiDepartment of Medicine, Renal Electrolyte and Hypertension Division, University of Pennsylvania, Philadelphia, PA, USA.

Funding

Management of hypertension in obesity: Antihypertensive class effects, blood pressure control, and renal and cardiac outcomesK23HL133843 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI COHEN, JORDANA B. · 2016 to 2020
$945k
Gender and hormonal influences on liver fibrosis after transplant for hepatitis CK23DK090209 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI FORDE, KIMBERLY AUTUMN · 2012 to 2016
$911k
Long-term outcomes among living kidney donors with isolated medical abnormalitiesK23DK103918 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LOCKE, JAYME ELIZABETH · 2015 to 2019
$899k
NHLBI NIH HHS K23 HL133843NIDDK NIH HHS K23 DK090209NIDDK NIH HHS K23 DK103918
6 · The paper itself

Abstract

backgroundHepatitis C virus (HCV) infection is common in dialysis patients and renal transplant recipients and has been associated with diminished patient and allograft survival. HCV-positive (HCV+) kidneys have been used in HCV-positive (HCV+) recipients as a means of facilitating transplantation and expanding the organ donor pool; however, the effect of donor HCV serostatus in the modern era is unknown.

methodsUsing national transplant registry data, we created a propensity score-matched cohort of HCV+ recipients who received HCV-positive donor kidneys compared to those transplanted with HCV-negative kidneys.

resultsTransplantation with an HCV+ kidney was associated with an increased risk of death {hazard ratio [HR] 1.43 [95% confidence interval (CI) 1.18-1.76]; P < 0.001} and allograft loss [HR 1.39 (95% CI 1.16-1.67); P < 0.001] compared with their propensity score-matched counterparts. However, HCV+ kidneys were not associated with an increased risk of acute rejection [odds ratio 1.16 (95% CI 0.84-1.61); P = 0.35].

conclusionsWhile use of HCV+ donor kidneys can shorten the wait for renal transplantation and maximize organ utility for all candidates on the waiting list, potential recipients should be counseled about the increased risks associated with HCV+ kidney.

Indexed as

donorshepatitis Chepatitis C–positivekidney transplantation

Identifiers

PMID28852496
PMCPMC5569958

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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.