Evidence map›Paper›PMID 30584654›Full record

ReviewClinical and experimental nephrology2019

Kidney transplantation for treatment of end-stage kidney disease after haematopoietic stem cell transplantation: case series and literature review.

Akihiro Tsuchimoto, Kosuke Masutani, Kazuya Omoto, Masayoshi Okumi, Yasuhiro Okabe, Takehiro Nishiki, Morihito Ota, Toshiaki Nakano, Kazuhiko Tsuruya, Takanari Kitazono and 4 more

Abstract readMulticenter StudyReview
PubMed Publisher
In one paragraph

Review in Clinical and experimental nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 31% 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

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
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

14 authors at 5 institutions in 1 country.

Akihiro TsuchimotoDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Kosuke MasutaniDivision of Nephrology and Rheumatology, Department of Internal Medicine, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.
Kazuya OmotoDepartment of Urology, Tokyo Women's Medical University, 8-1 Kawata-machi, Shinjuku-ku, Tokyo, 162-8666, Japan.
Masayoshi OkumiDepartment of Urology, Tokyo Women's Medical University, 8-1 Kawata-machi, Shinjuku-ku, Tokyo, 162-8666, Japan.
Yasuhiro OkabeDepartment of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Takehiro NishikiDepartment of Surgery, Fukuoka Red Cross Hospital, Fukuoka, Japan.
Morihito OtaDepartment of Surgery, Tomishiro Central Hospital, Okinawa, Japan.
Toshiaki NakanoDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Kazuhiko TsuruyaDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Takanari KitazonoDepartment of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Masafumi NakamuraDepartment of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Hideki IshidaDepartment of Urology, Tokyo Women's Medical University, 8-1 Kawata-machi, Shinjuku-ku, Tokyo, 162-8666, Japan.
Kazunari TanabeDepartment of Urology, Tokyo Women's Medical University, 8-1 Kawata-machi, Shinjuku-ku, Tokyo, 162-8666, Japan. tanabe@twmu.ac.jp.
Japan Academic Consortium of Kidney Transplantation (JACK) Investigators
Kyushu University · JPTokyo Women's Medical University · JPFukuoka University · JPJapanese Red Cross Fukuoka Hospital · JPTomishiro Central Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe safety of kidney transplantation (KT) for end-stage kidney disease (ESKD) after haematopoietic stem cell transplantation (HSCT) for haematological disease has not been investigated thoroughly.

methodsIn this retrospective multicentre study, we investigated the clinical courses of six ESKD patients that received KT after HSCT for various haematological diseases. Data for six such patients were obtained from three institutions in our consortium.

resultsTwo patients with chronic myeloid leukaemia, one with refractory aplastic anaemia and another one with acute lymphocytic leukaemia received bone marrow transplantation. One patients with acute lymphocytic leukaemia received umbilical cord blood transplantation, and one with mantle cell lymphoma received peripheral blood stem cell transplantation. The patients developed ESKD at a median of 133 months after HSCT. Two patients who received KT and HSCT from the same donor were temporarily treated with immunosuppressive drugs. The other patients received KT and HSCT from different donors and were treated with antibody induction using our standard regimens. For one patient with ABO-incompatible transplantation, we added rituximab, splenectomy, and plasmapheresis. In the observational period at a median of 51 months after KT, only one patient experienced acute T-cell-mediated rejection. Four patients underwent hospitalization because of infection and fully recovered. No patient experienced recurrence of their original haematological disease. All patients survived throughout the observational periods, and graft functions were preserved.

conclusionsDespite the high infection frequency, survival rates and graft functions were extremely good in patients compared with previous studies. Therefore, current management contributed to favourable outcomes of these patients.

Indexed as

Hematopoietic Stem Cell TransplantationKidney TransplantationAdolescentAdultAllograftsChildFemaleGraft vs Host DiseaseHematologic DiseasesHumansImmunosuppression TherapyImmunosuppressive AgentsInfectionsKidney Failure, ChronicMaleMiddle AgedImmunosuppressive AgentsBone marrow transplantationGVHDInfectionLeukemiaMalignancyRejection

Identifiers

PMID30584654
OpenAlexW2906679072

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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.