Evidence map›Paper›PMID 30604151›Full record

ArticleJournal of nephrology2019

How safe are organs from deceased donors with neoplasia? The results of the Italian Transplantation Network.

Albino Eccher, Letizia Lombardini, Ilaria Girolami, Francesca Puoti, Gianluigi Zaza, Giovanni Gambaro, Amedeo Carraro, Giovanni Valotto, Luca Cima, Luca Novelli and 6 more

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In one paragraph

Article in Journal of nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  5. Donors With Previous Malignancy: When Is It Safe to Proceed With Organ Transplantation?Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Review
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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

16 authors at 7 institutions in 2 countries.

Albino EccherDepartment of Pathology and Diagnostics, Pathology Unit, University and Hospital Trust of Verona, P.le Stefani n. 1, 37126, Verona, Italy. albino.eccher@aovr.veneto.it.
Letizia LombardiniNational Health Institute, Rome, Italy.
Ilaria GirolamiDepartment of Pathology and Diagnostics, Pathology Unit, University and Hospital Trust of Verona, P.le Stefani n. 1, 37126, Verona, Italy.
Francesca PuotiNational Health Institute, Rome, Italy.
Gianluigi ZazaRenal Unit, University and Hospital Trust of Verona, Verona, Italy.
Giovanni GambaroRenal Unit, University and Hospital Trust of Verona, Verona, Italy.
Amedeo CarraroGeneral Surgery and Liver Transplant Unit, University and Hospital Trust of Verona, Verona, Italy.
Giovanni ValottoDepartment of Pathology and Diagnostics, Pathology Unit, University and Hospital Trust of Verona, P.le Stefani n. 1, 37126, Verona, Italy.
Luca CimaSurgical Pathology Unit, Santa Chiara Hospital, Trento, Italy.
Luca NovelliInstitute of Histopathology and Molecular Diagnosis, Careggi University Hospital, Florence, Italy.
Desley NeilUniversity Hospital Birmingham, Birmingham, UK.
Umberto MontinGeneral Surgery and Liver Transplant Unit, University and Hospital Trust of Verona, Verona, Italy.
Aldo ScarpaDepartment of Pathology and Diagnostics, Pathology Unit, University and Hospital Trust of Verona, P.le Stefani n. 1, 37126, Verona, Italy.
Matteo BrunelliDepartment of Pathology and Diagnostics, Pathology Unit, University and Hospital Trust of Verona, P.le Stefani n. 1, 37126, Verona, Italy.
Alessandro Nanni CostaNational Health Institute, Rome, Italy.
Antonia D'ErricoPathology Unit, S. Orsola-Malpighi University Hospital of Bologna, Bologna, Italy.
University of Verona · ITHealth City Institute · ITAzienda Ospedaliero-Universitaria Careggi · ITFetal Medicine Foundation · GBNIHR Surgical Reconstruction and Microbiology Research Centre · GBOspedale Santa Chiara · ITPoliclinico S.Orsola-Malpighi · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Guidelines for donor selection have changed to expand the donor pool, considering potential donors affected by a neoplasm. Aim of this retrospective study is to look at the use of organs from donors with a current or history of neoplasm within the Italian Transplant Network. Data, collected and validated by Italian National Health Institute for the time interval 2006-2015, have been reviewed retrospectively by mean of multivariable pivot tables. Donors with neoplasia represented about 5% of all donors, resulting in about 4% of all transplants. Donors presented a benign neoplasm in 29.08% of cases, a malignancy with variable risk of transmission in 69.75% while in 1.34% the nature of neoplasm could not be assessed. Considering all procedures, rate of transmission of a malignancy was 0.03% (10 cases) of all 29858 transplants of the time interval. Notably, cases of transmission were not from donors of this pool, but from donors that, according to our protocols, had no elements of suspect at time of donation. As recipient safety is always the priority and as guidelines have set exclusion criteria for donors with some specific types of malignancy, these results show that use of this type of donors is safe and improve organ pool. Furthermore represent basis for improvement and standardization of donor assessment protocols suggesting that efforts in data collection systems, to produce complete and homogeneous data, are mandatory.

Indexed as

Donor SelectionOrgan TransplantationAdolescentAdultAgedAged, 80 and overChildChild, PreschoolFemaleHumansItalyMaleMiddle AgedNeoplasmsPatient SafetyRetrospective StudiesDonor evaluationDonor with malignancyNeoplastic transmissionRisk assessmentTransplantation

Identifiers

PMID30604151
OpenAlexW2907649029

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.