Evidence map›Paper›PMID 30255137›Full record

ArticleTransplantation direct2018

Outcomes of Adult Intestinal Transplant Recipients Requiring Dialysis and Renal Transplantation.

Chethan M Puttarajappa, Sundaram Hariharan, Abhinav Humar, Yuvika Paliwal, Xiaotian Gao, Ruy J Cruz, Armando J Ganoza, Douglas Landsittel, Manoj Bhattarai, Hiroshi Sogawa

Open access · goldAbstract read
In one paragraph

Article in Transplantation direct, 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
0.8field-weighted citation impact, top 28% 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, 10 citations in OpenAlex.

  1. Review
  2. 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

10 authors at 1 institution in 1 country.

Chethan M PuttarajappaDepartment of Medicine, Renal-Electrolyte Division, University of Pittsburgh, Pittsburgh, PA.
Sundaram HariharanDepartment of Medicine, Renal-Electrolyte Division, University of Pittsburgh, Pittsburgh, PA.
Abhinav HumarDepartment of Surgery, Thomas E. Starzl Transplantation Institute, University of Pittsburgh, Pittsburgh, PA.
Yuvika PaliwalDepartments of Medicine, Biostatistics, and Clinical and Translational Science, University of Pittsburgh, Pittsburgh, PA.
Xiaotian GaoDepartments of Medicine, Biostatistics, and Clinical and Translational Science, University of Pittsburgh, Pittsburgh, PA.
Ruy J CruzDepartment of Surgery, Thomas E. Starzl Transplantation Institute, University of Pittsburgh, Pittsburgh, PA.
Armando J GanozaDepartment of Surgery, Thomas E. Starzl Transplantation Institute, University of Pittsburgh, Pittsburgh, PA.
Douglas LandsittelDepartments of Medicine, Biostatistics, and Clinical and Translational Science, University of Pittsburgh, Pittsburgh, PA.
Manoj BhattaraiDepartment of Medicine, Renal-Electrolyte Division, University of Pittsburgh, Pittsburgh, PA.
Hiroshi SogawaDepartment of Surgery, Thomas E. Starzl Transplantation Institute, University of Pittsburgh, Pittsburgh, PA.
University of Pittsburgh · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData on dialysis and renal transplantation (RT) after intestinal transplantation (IT) are sparse. Whether changes in immunosuppression and surgical techniques have modified these outcomes is unknown.

methodsTwo hundred eighty-eight adult intestinal transplants performed between 1990 and 2014 at the University of Pittsburgh were analyzed for incidence, risk factors and outcomes after dialysis and RT. Cohort was divided into 3 eras based on immunosuppression and surgical technique (1990-1994, 1995-2001, and 2001-2014). Receiving RT, or dialysis for 90 days or longer was considered as end-stage renal disease (ESRD).

resultsDuring a median follow-up of 5.7 years, 71 (24.7%) patients required dialysis, 38 (13.2%) required long-term dialysis and 17 (6%) received RT after IT. One-, 3-, and 5-year ESRD risk was 2%, 7%, and 14%, respectively. No significant era-based differences were noted. Higher baseline creatinine (hazard ratio [HR], 3.40 per unit increase,

conclusionsIn intestinal transplant recipients, renal failure requiring dialysis or RT is high and is associated with increased mortality. Additionally, the outcomes for kidney after IT are suboptimal due to death with a functioning graft.

Identifiers

PMID30255137
PMCPMC6092176
OpenAlexW2884823383

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.