Evidence map›Paper›PMID 29880364›Full record

ArticleTransplantation proceedings2018

Racial and Ethnic Differences in Graft Loss Among Female Liver Transplant Recipients.

S Dave, J L Dodge, N A Terrault, M Sarkar

Open access · greenAbstract read
In one paragraph

Article in Transplantation proceedings, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 33% 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

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. The intersection of race and ethnicity, gender, and primary diagnosis on lung transplantation outcomes.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2023
    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

4 authors at 1 institution in 1 country.

S DaveDepartment of Medicine, University of California-San Francisco, San Francisco, California, USA.
J L DodgeDepartment of Surgery, Division of Transplant, University of California-San Francisco, San Francisco, California, USA.
N A TerraultDivision of Gastroenterology and Hepatology, University of California-San Francisco, San Francisco, California, USA; Department of Surgery, Division of Transplant, University of California-San Francisco, San Francisco, California, USA.
M SarkarDivision of Gastroenterology and Hepatology, University of California-San Francisco, San Francisco, California, USA. Electronic address: monika.sarkar@ucsf.edu.
University of California, San Francisco · US

Funding

UCSF Liver Core CenterP30DK026743 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Holger Willenbring · 1986 to 2026
$30.7M
Androgens and Nonalcoholic Steatohepatitis: The Role of Male Sex Hormones in Women with NASHK23DK111944 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SARKAR, MONIKA · 2017 to 2021
$1.2M
NIDDK NIH HHS K23 DK111944NIDDK NIH HHS P30 DK026743
6 · The paper itself

Abstract

backgroundRacial differences in post-liver transplantation (LT) outcomes are identified in predominantly male cohorts. Despite known sex differences in a spectrum of liver-related outcomes, it is not known how race influences graft outcomes in women.

methodsUsing the Scientific Registry of Transplant Recipients, we examined race and ethnicity and graft loss (death or retransplant) in women transplanted from 2002 to 2012. Covariates included recipient and donor characteristics, socioeconomics, and medical comorbidities.

resultsThe eligible cohort (n = 15,860) included 11,051 Caucasians, 2171 Hispanics, 1876 African Americans (AAs), and 762 Asian women with median follow-up of 3.1 years. Five-year graft survival was lower in AA women (60%) compared with Caucasians (71%), Hispanics (70%), and Asians (73%) (P < .001). Graft loss was 45% higher among AA women <40 years at transplant compared with AA women aged 50 to 59 (hazard ratio 1.45, 95% confidence interval 1.17-1.81) and aged 60 to 69 years (hazard ratio 1.33, 95% confidence interval 1.03-1.71), and risk increased after age 60 among Caucasians (P < .001 for race-age interactions). Increased graft loss among young AA women was limited to the first 2 years post-LT (P = .002).

conclusionYounger AA women are at particularly high risk for graft loss, which predominates in the first 2 years post-LT. Prospective studies of immunosuppression adherence and pharmacokinetics, particularly in relation to patient age, may help to explain the mechanisms underlying the higher rates of graft loss in younger AA women.

Indexed as

Graft SurvivalAdultAgedBlack or African AmericanCohort StudiesEthnicityFemaleHispanic or LatinoHumansLiver TransplantationMiddle AgedProportional Hazards ModelsRegistriesRetrospective StudiesTransplant RecipientsWhite People

Identifiers

PMID29880364
PMCPMC6545290
OpenAlexW2808287445

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.