Evidence map›Paper›PMID 29075676›Full record

ArticlePathogens & immunity2017

Direct-Acting Antivirals in Kidney Transplant Patients: Successful Hepatitis C Treatment and Short-Term Reduction in Urinary Protein/Creatinine Ratios.

Michael R Goetsch, Ashutosh Tamhane, Mohit Varshney, Anuj Kapil, Edgar T Overton, Graham C Towns, Ricardo A Franco

Abstract read
In one paragraph

Article in Pathogens & immunity, 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
–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

7 citing papers in PubMed.

  1. Trial
  2. UAB-UCSD O'Brien Center for Acute Kidney Injury Research.American journal of physiology. Renal physiology · 2021
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Hepatitis C virus infection in kidney transplantation-changing paradigms with novel agents.Hemodialysis international. International Symposium on Home Hemodialysis · 2018
    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

7 authors.

Michael R GoetschSchool of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
Ashutosh TamhaneDepartment of Medicine, Division of Infectious Diseases, University of Alabama School of Medicine, Birmingham, Alabama.
Mohit VarshneyDepartment of Medicine, Division of Infectious Diseases, University of Alabama School of Medicine, Birmingham, Alabama.
Anuj KapilDepartment of Medicine, Division of Infectious Diseases, University of Alabama School of Medicine, Birmingham, Alabama.
Edgar T OvertonDepartment of Medicine, Division of Infectious Diseases, University of Alabama School of Medicine, Birmingham, Alabama.
Graham C TownsDepartment of Medicine, Division of Nephrology, University of Alabama School of Medicine, Birmingham, Alabama.
Ricardo A FrancoDepartment of Medicine, Division of Infectious Diseases, University of Alabama School of Medicine, Birmingham, Alabama.

Funding

Virology CoreP30AI027767 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI OLAF KUTSCH · 1988 to 2026
$84.1M
UAB-UCSD O'Brien Core Center for Acute Kidney Injury ResearchP30DK079337 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI AGARWAL, ANUPAM · 2008 to 2022
$18.3M
NIAID NIH HHS P30 AI027767NIDDK NIH HHS P30 DK079337
6 · The paper itself

Abstract

backgroundThe role of Hepatitis C Virus (HCV) clearance in kidney graft survival is unknown. We examined short-term trends of protein/creatinine (P/C) ratios in HCV-infected kidney transplant recipients treated with direct-acting antivirals (DAAs).

methodsThis is a retrospective study of 19 kidney transplant patients with HCV infection treated with DAAs at the University of Alabama at Birmingham between January 2013 and June 2016. Markers of glomerular damage were assessed using average urinary protein/creatinine (P/C) ratios measured pretreatment and posttreatment. Treatment efficacy was defined as sustained virologic response at 12 weeks post-HCV treatment (SVR12).

resultsThe median age of the 19 patients included was 59 years (Q1 = 58, Q3 = 64). Of these patients, 68% were African American, 32% were White and 63% were male. The median time between kidney transplant and initiation of DAA therapy was 2.25 years (Q1 = 0.79, Q3 = 3.79). Posttreatment P/C ratios (median = 0.127, Q1=0.090, Q3 = 0.220) were significantly lower (

conclusionsIn this preliminary study, there was a statistically significant decrease in P/C ratios associated with HCV clearance, suggesting a potential role for DAAs in improving kidney graft survival. Larger cohort studies will be needed to assess the clinical and long-term benefits of DAAs in this population.

Indexed as

direct-acting antiviralshepatitis Ckidney transplantprotein creatinine ratios

Identifiers

PMID29075676
PMCPMC5654569

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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.