Evidence map›Paper›PMID 30498765›Full record

ArticleTransplantation direct2018

Hypothermic Oxygenated Machine Perfusion of the Human Donor Pancreas.

Marjolein Leemkuil, Grietje Lier, Marten A Engelse, Rutger J Ploeg, Eelco J P de Koning, Nils A 't Hart, Christina Krikke, Henri G D Leuvenink

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 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
7.1field-weighted citation impact, top 2% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. [Machine perfusion in transplantation surgery].Chirurgie (Heidelberg, Germany) · 2024
    Review
  9. Article
  10. Article
  11. Sterile Pancreas Inflammation during Preservation and after Transplantation.International journal of molecular sciences · 2023
    Review
  12. Review
  13. First World Consensus Conference on pancreas transplantation: Part II - recommendations.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    Article
  14. Article
  15. Hypothermic oxygenated machine perfusion of the human pancreas for clinical islet isolation: a prospective feasibility study.Transplant international : official journal of the European Society for Organ Transplantation · 2021
    Article
  16. Ischemia-Reperfusion Injuries Assessment during Pancreas Preservation.International journal of molecular sciences · 2021
    Review
  17. Review
  18. Article
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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

8 authors at 4 institutions in 2 countries.

Marjolein LeemkuilDepartments of Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Grietje LierDepartments of Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Marten A EngelseDepartment of Internal Medicine, Leiden University Medical Center, Leiden, The Netherlands.
Rutger J PloegNuffield Department of Surgical Sciences, University of Oxford, Oxford, United Kingdom.
Eelco J P de KoningDepartment of Internal Medicine, Leiden University Medical Center, Leiden, The Netherlands.
Nils A 't HartDepartment of Pathology, University Medical Center Groningen, Groningen, The Netherlands.
Christina KrikkeDepartments of Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Henri G D LeuveninkDepartments of Surgery, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
University Medical Center Groningen · NLLeiden University Medical Center · NLUniversity of Groningen · NLUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransplantation of beta cells by pancreas or islet transplantation is the treatment of choice for a selected group of patients suffering from type 1 diabetes mellitus. Pancreata are frequently not accepted for transplantation, because of the relatively high vulnerability of these organs to ischemic injury. In this study, we evaluated the effects of hypothermic machine perfusion (HMP) on the quality of human pancreas grafts.

methodsFive pancreata derived from donation after circulatory death (DCD) and 5 from donation after brain death (DBD) donors were preserved by oxygenated HMP. Hypothermic machine perfusion was performed for 6 hours at 25 mm Hg by separate perfusion of the mesenteric superior artery and the splenic artery. Results were compared with those of 10 pancreata preserved by static cold storage.

resultsDuring HMP, homogeneous perfusion of the pancreas could be achieved. Adenosine 5'-triphosphate concentration increased 6,8-fold in DCD and 2,6-fold in DBD pancreata. No signs of cellular injury, edema or formation of reactive oxygen species were observed. Islets of Langerhans with good viability and in vitro function could be isolated after HMP.

conclusionsOxygenated HMP is a feasible and safe preservation method for the human pancreas that increases tissue viability.

Identifiers

PMID30498765
PMCPMC6233671
OpenAlexW2890717267

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.