ArticleChinese medical journal2019
Comparison of nighttime and daytime operation on outcomes of kidney transplant with deceased donors: a retrospective analysis.
Article in Chinese medical journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 15 citations in OpenAlex.
- Safety and early outcomes of nighttime lung transplantation with a surgical multidisciplinary team in a low-volume center.Journal of thoracic disease · 2025Article
- Circadian immune system in solid organ transplantation: a review article.Frontiers in immunology · 2025Review
- Does Timepoint of Surgical Procedure Affect the Outcome in Simultaneous Pancreas-Kidney Transplantation? A Retrospective Single-Center Analysis over 20 Years.Journal of clinical medicine · 2024Article
- Circadian rhythms in solid organ transplantation.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2024Review
- Controlled Hypothermic Storage for Lung Preservation: Leaving the Ice Age Behind.Transplant international : official journal of the European Society for Organ Transplantation · 2024Review
- Lung transplantation following controlled hypothermic storage with a portable lung preservation device: first multicenter European experience.Frontiers in cardiovascular medicine · 2024Article
- Time-of-day discrepancy for the long-term surgical outcome of patients with aortic dissection.Interdisciplinary cardiovascular and thoracic surgery · 2023Article
- Is night-time surgical procedure for renal graft at higher risk than during the day? A single center study cohort of 179 patients.Immunity, inflammation and disease · 2022Article
- Day-Time Declamping Is Associated with Better Outcomes in Kidney Transplantation: The Circarein Study.Journal of clinical medicine · 2021Article
- Will surgeries performed at night lead to worse outcomes? Findings from a trauma center in Riyadh.Medicine · 2020Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundKidney transplant is always emergent operations and frequently need to be performed at nighttime to reduce cold ischemia time (CIT). Previous studies have revealed that fatigue and sleep deprivation can result in adverse consequences of medical procedures. This study aimed to evaluate whether nighttime operation has adverse impact on kidney transplant.
methodsA retrospective analysis of recipients accepted kidney transplant from deceased donors in one center from 2014 to 2016 was performed. Daytime transplant was defined as operation started after 8 AM or ended before 8 PM and nighttime operation was defined as operation ended after 8 PM or started before 8 AM. The incidences of complications such as delayed graft function, acute rejection, surgical complications and nosocomial infections were compared between 2 groups. Student's t-test was used to analyze continuous variables such as serum creatinine (Scr) at 1-year of post-transplant. The Chi-square test was used to analyze categorical variables. Differences in recipients and graft survival were analyzed using Kaplan-Meier methodology and log-rank tests.
resultsAmong the 443 recipients, 233 (52.6%) were classified into the daytime group and the others 210 (47.4%) were in the nighttime group. The 1-year survival rate of recipients was similar for the recipients in the daytime and nighttime groups (95.3% vs. 95.2%, P = 0.981). Although the 1-year graft survival rate in the nighttime group was slightly superior to that in the daytime group, the difference was not significant (92.4% vs. 88.4%, P = 0.164). Furthermore, Scr and incidence of complications were also not significantly different between the 2 groups.
conclusionsOur results suggested that operation time of kidney transplant with short CIT has no significant impact on the outcome of kidney transplant. Nighttime operation of kidney transplant with short CIT could be postponed to the following day to alleviate the burden on medical staffs and avoid the potential risk.
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