Evidence map›Paper›PMID 30353487›Full record

ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2019

Single-center analysis of infectious complications in older adults during the first year after kidney transplantation.

Marion Hemmersbach-Miller, Barbara D Alexander, Debra L Sudan, Carl Pieper, Kenneth E Schmader

Abstract read
In one paragraph

Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

7 citing papers in PubMed, 16 citations in OpenAlex.

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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

5 authors at 3 institutions in 1 country.

Marion Hemmersbach-MillerDivision of Infectious Diseases, Duke University Medical Center, Box 102359, Durham, NC, 27710, USA. marion.hemmersbach@dm.duke.edu.ORCID http://orcid.org/0000-0001-6041-6815
Barbara D AlexanderDivision of Infectious Diseases, Duke University Medical Center, Box 102359, Durham, NC, 27710, USA.
Debra L SudanDivision of Abdominal Transplant Surgery, Duke University Medical Center, Durham, NC, USA.
Carl PieperDepartment of Biostatistics and Bioinformatics, Duke University, Durham, NC, USA.
Kenneth E SchmaderDivision of Geriatrics, Duke University Medical Center, Durham, NC, USA.
Duke Medical Center · USDuke University · USDurham VA Health Care System · US

Funding

Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI Sarah B. Peskoe · 2006 to 2026
$24.6M
Transplant Infectious Diseases Interdisciplinary Research Training Grant (TIDIRTGT32AI100851 · NIAID · DUKE UNIVERSITY · PI ALEXANDER, BARBARA D · 2013 to 2022
$1.8M
National Institute of Allergy and Infectious Diseases 5T32AI100851National Institute on Aging P30AG028716NIAID NIH HHS T32 AI100851NIA NIH HHS P30 AG028716
6 · The paper itself

Abstract

Infections are among the top three causes of death of older adults in the first year after kidney transplantation (KT). Our aim was to describe infectious complications among KT recipients aged ≥ 65 during the first 12 months post-transplant. Single-center retrospective cohort study. Ninety-one KTs had been performed in patients ≥ 65 years of age between 2011 and 2015. 92.3% of the patients developed at least one infection. Infectious episodes increased the risk of future infection by 10% (p = 0.0018) with each infection portending a greater risk. At a patient level, viral (71.4%) and bacterial (70.2%) infections predominated. Urinary tract infections were the most frequent complication (30.3%), followed by cytomegalovirus infections (22.7%). Infections were the main reason for readmission. 7.7% of the patients developed rejection; and overall 3.3% lost their graft. Mortality at 1 year was 9.9%. Older KT recipients have a high incidence of infectious complications the first year after KT. Infections were the number one reason for readmission, and an infection episode predicted future infections for the individual patient. Despite these complications, the majority of older KT recipients were alive with a functioning graft at 1 year.

Indexed as

AgedCytomegalovirus InfectionsFemaleGraft RejectionHumansIncidenceKidney TransplantationMaleMiddle AgedRetrospective StudiesUrinary Tract InfectionsAgedEpidemiologyInfectionKidney transplantation

Identifiers

PMID30353487
PMCPMC6318042
OpenAlexW2898402391

What OpenQuestion holds

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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.