Evidence map›Paper›PMID 30472740›Full record

ArticleClinical transplantation2019

Risk of adverse maternal and fetal outcomes during pregnancy in living kidney donors: A matched cohort study.

Scott Davis, James Dylewski, Pratik B Shah, John Holmen, Zhiying You, Michel Chonchol, Jessica Kendrick

Abstract read
In one paragraph

Article in Clinical transplantation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 24% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pregnancy after living kidney donation, a systematic review of the available evidence, and a review of the current guidance.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2022
    Pooled it
  2. Donor medicine: An emerging field in nephrology.World journal of nephrology · 2026
    Review
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  12. Combined detection of ACL and β2-GP1 in diagnosis of adverse pregnancy.American journal of translational research · 2021
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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

7 authors at 2 institutions in 1 country.

Scott DavisDivision of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, Colorado.ORCID 0000-0001-5320-4435
James DylewskiDivision of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, Colorado.
Pratik B ShahDivision of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, Colorado.
John HolmenHomer Warner Center, Intermountain Health Care, Salt Lake City, Utah.
Zhiying YouDivision of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, Colorado.
Michel ChoncholDivision of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, Colorado.
Jessica KendrickDivision of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, Colorado.ORCID 0000-0001-8756-6637
University of Colorado Denver · USIntermountain Healthcare · US

Funding

TRAINING IN RENAL &ELECTROLYTE DISEASE &HYPERTENSIONT32DK007135 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI JOHNSON, RICHARD JOSEPH, KENDRICK, JESSICA B · 1986 to 2024
$5.3M
Bicarbonate Administration In CKDR01HL132868 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI KENDRICK, JESSICA B · 2017 to 2020
$1.7M
NHLBI NIH HHS R01 HL132868NIDDK NIH HHS T32 DK007135
6 · The paper itself

Abstract

backgroundWe examined the risk of adverse pregnancy outcomes in primiparous kidney donors compared to matched controls.

methodsFifty-nine women with a history of kidney donation prior to their first pregnancy with normal renal function and no history of kidney disease, diabetes or chronic hypertension were matched 1:4 by age (within 2 years) and race to women with two kidneys using data from an integrated healthcare delivery system. Adverse pregnancy outcomes were defined as preterm delivery (delivery <37 weeks), delivery via cesarean section, gestational hypertension, preeclampsia/eclampsia, gestational diabetes, length of stay in the hospital >3 days, infant death/transfer to acute facility and low birthweight (<2500 g).

resultsLiving kidney donors did not have a higher risk of adverse outcomes compared to matched controls. There was a trend toward an increased risk of preeclampsia/eclampsia in kidney donors but it did not reach statistical significance (Odds ratio [OR]: 2.96, 95% CI: 0.98-8.94, P = 0.06). However, in kidney donors ≤30 years of age, there was a fourfold increased risk of preeclampsia/eclampsia (OR: 4.09, 95% CI: 1.07-15.59, P = 0.04).

conclusionOverall, the risk of pregnancy-associated complications following kidney donation is small but potential female kidney donors should be counseled on the possible increased risk of preeclampsia.

Indexed as

Infant, Low Birth WeightKidney TransplantationAdultCase-Control StudiesCohort StudiesFemaleFollow-Up StudiesHumansIncidenceInfantInfant MortalityInfant, NewbornLiving DonorsPre-EclampsiaPregnancyPregnancy Complicationsgestational hypertensionkidney donationpreeclampsiapregnancypreterm delivery

Identifiers

PMID30472740
PMCPMC6342653
OpenAlexW2901919570

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.