Evidence map›Paper›PMID 30165691›Full record

ArticleNephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association2020

The association of calcium oxalate deposition in kidney allografts with graft and patient survival.

Ragnar Palsson, Anil K Chandraker, Gary C Curhan, Helmut G Rennke, Gearoid M McMahon, Sushrut S Waikar

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

20 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
  2. Article
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  5. Delayed Graft Function After Kidney Transplantation: The Role of Residual Diuresis and Waste Products, as Oxalic Acid and Its Precursors.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Article
  6. Sel1-like proteins and peptides are the majorAmerican journal of physiology. Cell physiology · 2023
    Article
  7. Article
  8. Oxalate homeostasis.Nature reviews. Nephrology · 2023
    Review
  9. Article
  10. Article
  11. Posttransplant recurrence of calcium oxalate crystals in patients with primary hyperoxaluria: Incidence, risk factors, and effect on renal allograft function.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2022
    Article
  12. High Plasma Oxalate Levels Early After Kidney Transplantation Are Associated With Impaired Long-Term Outcomes.Transplant international : official journal of the European Society for Organ Transplantation · 2022
    Article
  13. Pilot study of reloxaliase in patients with severe enteric hyperoxaluria and hyperoxalemia.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2021
    Article
  14. Article
  15. Review
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  19. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Ragnar PalssonRenal Division, Brigham and Women's Hospital, Boston, MA, USA.
Anil K ChandrakerRenal Division, Brigham and Women's Hospital, Boston, MA, USA.
Gary C CurhanRenal Division, Brigham and Women's Hospital, Boston, MA, USA.
Helmut G RennkeRenal Pathology Service, Brigham and Women's Hospital, Boston, MA, USA.
Gearoid M McMahonRenal Division, Brigham and Women's Hospital, Boston, MA, USA.
Sushrut S WaikarRenal Division, Brigham and Women's Hospital, Boston, MA, USA.
Brigham and Women's Hospital · US

Funding

Oxalate and the Progression and Complications of CKDR01DK103784 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI WAIKAR, SUSHRUT S. · 2015 to 2018
$1.6M
NIDDK NIH HHS R01 DK103784
6 · The paper itself

Abstract

backgroundWhether calcium oxalate (CaOx) deposition in kidney allografts following transplantation (Tx) adversely affects patient outcomes is uncertain, as are its associated risk factors.

methodsWe performed a retrospective cohort study of patients who had kidney allograft biopsies performed within 3 months of Tx at Brigham and Women's Hospital and examined the association of CaOx deposition with the composite outcome of death or graft failure within 5 years.

resultsBiopsies from 67 of 346 patients (19.4%) had CaOx deposition. In a multivariable logistic regression model, higher serum creatinine [odds ratio (OR) = 1.28 per mg/dL, 95% confidence interval (CI) 1.15-1.43], longer time on dialysis (OR = 1.11 per additional year, 95% CI 1.01-1.23) and diabetes (OR = 2.26, 95% CI 1.09-4.66) were found to be independently associated with CaOx deposition. CaOx deposition was strongly associated with delayed graft function (DGF; OR = 11.31, 95% CI 5.97-21.40), and with increased hazard of the composite outcome after adjusting for black recipient race, donor type, time on dialysis before Tx, diabetes and borderline or acute rejection (hazard ratio 1.90, 95% CI 1.13-3.20).

conclusionsCaOx deposition is common in allografts with poor function and portends worse outcomes up to 5 years after Tx. The extent to which CaOx deposition may contribute to versus result from DGF, however, cannot be determined based on our retrospective and observational data. Future studies should examine whether reducing plasma and urine oxalate prevents CaOx deposition in the newly transplanted kidney and whether this has an effect on clinical outcomes.

Indexed as

Graft SurvivalAllograftsCalcium OxalateFemaleGraft RejectionHumansKidney DiseasesKidney TransplantationMaleMiddle AgedPrognosisRetrospective StudiesRisk FactorsSurvival RateTime FactorsCalcium Oxalatebiopsycalcium oxalategraft survivalkidney transplantationrenal insufficiency

Identifiers

PMID30165691
PMCPMC7849934
OpenAlexW2889195042

What OpenQuestion holds

Textmetadata
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.