Evidence map›Paper›PMID 29393541›Full record

ArticleClinical transplantation2018

The association of discharge decisions after deceased donor kidney transplantation with the risk of early readmission: Results from the deceased donor study.

Meera Nair Harhay, Yaqi Jia, Heather Thiessen-Philbrook, Behdad Besharatian, Ramnika Gumber, Francis L Weng, Isaac E Hall, Mona Doshi, Bernd Schroppel, Chirag R Parikh and 1 more

Abstract readMulticenter Study
In one paragraph

Article in Clinical transplantation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Deceased-Donor Acute Kidney Injury and Acute Rejection in Kidney Transplant Recipients: A Multicenter Cohort.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2023
    Article
  2. Article
  3. Article
  4. Association Between Weight Loss Before Deceased Donor Kidney Transplantation and Posttransplantation Outcomes.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2019
    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

11 authors.

Meera Nair HarhayDivision of Nephrology & Hypertension, Drexel University College of Medicine, Philadelphia, PA, USA.ORCID 0000-0001-6500-2814
Yaqi JiaYale University, New Haven, CT, USA.
Heather Thiessen-PhilbrookYale University, New Haven, CT, USA.
Behdad BesharatianDivision of Nephrology, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Ramnika GumberDivision of Nephrology, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Francis L WengRobert Wood Johnson Barnabas Health, Livingston, NJ, USA.
Isaac E HallUniversity of Utah, Salt Lake City, UT, USA.
Mona DoshiWayne State University, Detroit, MI, USA.
Bernd SchroppelMt. Sinai Health System, New York, NY, USA.
Chirag R ParikhYale University, New Haven, CT, USA.
Peter P ReeseDivision of Nephrology, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.ORCID 0000-0003-1440-069X

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Novel Kidney Injury Tools in Deceased Organ Donation to Predict Graft OutcomesR01DK093770 · NIDDK · YALE UNIVERSITY · PI Chirag R Parikh · 2012 to 2026
$9.5M
Mentoring Program for Translational and Patient Oriented Research in AKIK24DK090203 · NIDDK · YALE UNIVERSITY · PI PARIKH, CHIRAG R · 2012 to 2016
$896k
Patterns and Implications of Functional Decline Among Kidney Transplant CandidatesK23DK105207 · NIDDK · DREXEL UNIVERSITY · PI HARHAY, MEERA NAIR · 2015 to 2019
$861k
NCATS NIH HHS UL1 TR001863NIDDK NIH HHS K23 DK105207NIDDK NIH HHS K24 DK090203NIDDK NIH HHS R01 DK093770
6 · The paper itself

Abstract

backgroundKidney transplant (KT) recipients experience high rates of early (≤30 days) hospital readmission (EHR) after KT, and existing studies provide limited data on modifiable discharge factors that may mitigate EHR risk.

methodsWe performed a retrospective cohort study of 468 adult deceased donor KT recipients transplanted between 4/2010 and 11/2013 at 5 United States transplant centers. We fit multivariable mixed effects models to assess the association of two potentially modifiable discharge factors with the probability of EHR after KT: (i) weekend discharge and (ii) days to first scheduled follow-up.

resultsAmong 468 KT recipients, 38% (n = 178) experienced EHR after KT. In fully adjusted analyses, compared to weekday discharges, KT recipients discharged on the weekend had a 29% lower risk of EHR (adjusted odds ratio [aOR] 0.71, 95% confidence interval [CI] 0.41-0.94). Compared to follow-up within 2 days of discharge, KT recipients with follow-up within 3 to 6 days had a 28% higher probability of EHR (aOR 1.28, 95% CI 1.13-1.45).

conclusionsThese findings suggest that clinical decisions related to the timing of discharge and follow-up modify EHR risk after KT, independent of traditional risk factors.

Indexed as

AdultCadaverCohort StudiesFemaleFollow-Up StudiesGlomerular Filtration RateGraft RejectionGraft SurvivalHumansKidney Failure, ChronicKidney Function TestsKidney TransplantationMaleMiddle AgedPatient DischargePatient Readmissionhospitalizationkidneyreadmission

Identifiers

PMID29393541
PMCPMC5924427

What OpenQuestion holds

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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.