Evidence map›Paper›PMID 29677075›Full record

ArticleTransplantation2018

Measured Glomerular Filtration Rate After Kidney Donation: No Evidence of Accelerated Decay.

Danielle M Berglund, Lei Zhang, Arthur J Matas, Hassan N Ibrahim

Abstract read
In one paragraph

Article in Transplantation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Donor medicine: An emerging field in nephrology.World journal of nephrology · 2026
    Review
  2. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Danielle M BerglundInformatics Services for Research and Reporting, Fairview Health Services, Minneapolis, MN.
Lei ZhangBiostatistical Design and Analysis Center, University of Minnesota, Minneapolis, MN.
Arthur J MatasDepartment of Surgery, University of Minnesota, Minneapolis, MN.
Hassan N IbrahimDivision of Renal Diseases and Hypertension, Houston Methodist Hospital, Houston, TX.

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
Viral Infections and Posttransplant MorbidityP01DK013083 · NIDDK · UNIVERSITY OF MINNESOTA TWIN CITIES · PI MATAS, ARTHUR J · 1986 to 2013
$14.9M
Clinical Center - Outcomes of Live Organ DonorsU01AI069550 · NIAID · UNIVERSITY OF MINNESOTA · PI MATAS, ARTHUR J · 2006 to 2010
$3.1M
NCATS NIH HHS UL1 TR000114NIAID NIH HHS U01 AI069550NIDDK NIH HHS P01 DK013083
6 · The paper itself

Abstract

backgroundThe rate of measured glomerular filtration rate (GFR) change in kidney donor years after donation has not been adequately addressed. Whether this change is accelerated in the setting of 1 kidney is also understudied.

methodsTwo hundred fourteen randomly selected donors underwent serial GFR measurements of nonradioactive iohexol. Estimated GFR at each visit was calculated using the Chronic Kidney Disease Epidemiology Collaboration and Modification of Diet in Renal Disease study equations.

resultsGlomerular filtration rate visits were 4.8 ± 1.3 years apart and the second occurring 16.9 ± 9.1 years after donation. Most (97.7%) were white, 60.8% female, and 78.5% were related to their recipient. Most, 84.6%, had a GFR of 60 mL/min per 1.73 m or higher, 14.0% had a GFR between 45 and 60 mL/min per 1.73 m, and 1.4% had a GFR less than 45 mL/min per 1.73 m. Between visits 1 and 2, 56.5% had a GFR decline, 36.0% increase, and in 7.5%, there was no change. Overall, GFR declined at a rate of -0.42 mL/min per 1.73 m per year. Of GFR estimating models, only Chronic Kidney Disease Epidemiology Collaboration-Creatinine equation produced a slope that was steeper than measured GFR.

conclusionsNearly 2 decades postdonation GFR declined at a rate similar to that seen in the general population, and in one third, GFR continues to increase.

Indexed as

Glomerular Filtration RateAdultAgingContrast MediaCreatinineFemaleHumansIohexolKidneyLiving DonorsLongitudinal StudiesMaleMiddle AgedNephrectomyRandom AllocationRenal EliminationContrast MediaCreatinineIohexol

Identifiers

PMID29677075
PMCPMC6153046

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Registered trials

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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.