Evidence map›Paper›PMID 30070010›Full record

ArticlePediatric transplantation2018

ABO-incompatible deceased donor pediatric liver transplantation: Novel titer-based management protocol and outcomes.

Krupa R Mysore, Ryan W Himes, Abbas Rana, Jun Teruya, Moreshwar S Desai, Poyyapakkam R Srivaths, Kimberly Zaruca, Andrea Calvert, Danielle Guffey, Charles G Minard and 8 more

Abstract read
In one paragraph

Article in Pediatric transplantation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Strategies for ABO Incompatible Liver Transplantation.Journal of clinical and experimental hepatology
    Review
  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

18 authors at 2 institutions in 1 country.

Krupa R MysoreSection of Pediatric Gastroenterology, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.
Ryan W HimesSection of Pediatric Gastroenterology, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.ORCID 0000-0002-0116-2613
Abbas RanaMichael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
Jun TeruyaDepartment of Pathology, Transfusion Medicine, Baylor College of Medicine, Houston, Texas.
Moreshwar S DesaiSection of Pediatric Critical Care, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.
Poyyapakkam R SrivathsSection of Pediatric Nephrology, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.
Kimberly ZarucaMichael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
Andrea CalvertDepartment of Pharmacy, Texas Children's Hospital, Houston, Texas.
Danielle GuffeyDan L. Duncan Institute for Clinical and Translational Research, Baylor College of Medicine, Houston, Texas.
Charles G MinardDan L. Duncan Institute for Clinical and Translational Research, Baylor College of Medicine, Houston, Texas.
Eda MoritaDepartment of Pathology, Transfusion Medicine, Baylor College of Medicine, Houston, Texas.
Lisa HenschDepartment of Pathology, Transfusion Medicine, Baylor College of Medicine, Houston, Texas.
Michael LososDepartment of Pathology, Transfusion Medicine, Baylor College of Medicine, Houston, Texas.
Vadim KostousovDepartment of Pathology, Transfusion Medicine, Baylor College of Medicine, Houston, Texas.
Shiu-Ki Rocky HuiDepartment of Pathology, Transfusion Medicine, Baylor College of Medicine, Houston, Texas.
Jordan S OrangeSection of Pediatric Allergy & Immunology, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.
John A GossMichael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas.
Sarah K NicholasSection of Pediatric Allergy & Immunology, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas.
Baylor College of Medicine · USTexas Children's Hospital · US

Funding

Research Training in Pediatrics GastroenterolgyT32DK007664 · NIDDK · BAYLOR COLLEGE OF MEDICINE · PI DOUGLAS G BURRIN · 1991 to 2026
$8.4M
Cade R Alpard Foundation for Pediatric Liver DiseaseNIDDK NIH HHS T32 DK007664NIH HHS T 32DK007664
6 · The paper itself

Abstract

ABO-ILT have re-emerged as an alternate option for select patients awaiting transplant. However, treatment protocols for children undergoing deceased donor ABO-ILT are not standardized. We implemented a novel IS protocol for children undergoing deceased donor ABO-ILT based on pretransplant IH titers. Children with high pretransplant IH titers (≥1:32) underwent an enhanced IS protocol including plasmapheresis, rituximab, IVIG, and mycophenolate, while children with IH titers ≤1:16 received steroids and tacrolimus. We retrospectively assessed our outcomes of ABO-ILT with ABO-compatible recipients of similar age and diagnosis over a 2-year period. Ten children with median age of 8.9 months underwent ABO-ILT, 4 of 10 patients underwent enhanced IS due to high IH titers. Rates of complications (rejection, infections, biliary, and vascular) at both 1 year and up to 3 years post-transplant were comparable between the groups. Patients with ABO-ILT had good graft function with 100% survival at a median follow-up of 3.3 years. In conclusion, IS tailored to pretransplant IH titers in pediatric deceased donor ABO-ILT is feasible and can achieve outcomes similar to ABO-CLT at 1 and 3 years post-transplantation.

Indexed as

ABO Blood-Group SystemBlood Group IncompatibilityChildChild, PreschoolClinical ProtocolsDrug Therapy, CombinationFemaleFollow-Up StudiesGraft RejectionHumansImmunosuppressive AgentsInfantLiver TransplantationMalePostoperative ComplicationsRetrospective StudiesABO Blood-Group SystemImmunosuppressive AgentsABO incompatibledeceased donorimmunosuppressionisohemagglutininliver transplantpediatricplasmapheresis

Identifiers

PMID30070010
PMCPMC6197909
OpenAlexW2885164584

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.