Evidence map›Paper›PMID 30899871›Full record

ArticleKidney international reports2019

Eculizumab Use for Kidney Transplantation in Patients With a Diagnosis of Atypical Hemolytic Uremic Syndrome.

Andrew M Siedlecki, Nicole Isbel, Johan Vande Walle, Jennifer James Eggleston, David J Cohen, Global aHUS Registry

Open access · goldAbstract read
In one paragraph

Article in Kidney international reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 8% 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

52 citing papers in PubMed, 2 syntheses or guidelines pooled it, 84 citations in OpenAlex.

  1. Pooled it
  2. Interventions for atypical haemolytic uraemic syndrome.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Article
  4. Review
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  6. Review
  7. Review
  8. Review
  9. Article
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  11. Article
  12. Late Onset Thrombotic Microangiopathy in Kidney Transplants; Poor Outcome Despite Eculizumab Treatment.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Article
  13. Article
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  15. Article
  16. Article
  17. Kidney international reports · 2024
    Article
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  20. 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

6 authors at 5 institutions in 3 countries.

Andrew M SiedleckiBrigham and Women's Hospital, Boston, Massachusetts, USA.
Nicole IsbelThe University of Queensland and Princess Alexandra Hospital, Brisbane, Australia.
Johan Vande WalleGhent University Hospital, Ghent, Belgium.
Jennifer James EgglestonPAREXEL International, Waltham, Massachusetts, USA.
David J CohenColumbia University Medical Center, New York, New York, USA.
Global aHUS Registry
Brigham and Women's Hospital · USColumbia University Irving Medical Center · USGhent University Hospital · BEPAREXEL International (United States) · USThe University of Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRecurrence of atypical hemolytic uremic syndrome (aHUS) in renal allografts is common, leading to dialysis and graft failure. Pretransplant versus posttransplant initiation of eculizumab treatment in patients with aHUS has not been rigorously investigated. We hypothesized eculizumab pretransplant would reduce dialysis incidence posttransplant.

methodsOf patients enrolled in the Global aHUS Registry (

resultsWithin 5 years of transplantation, 47 patients required dialysis; the risk of dialysis after transplantation was significantly increased in group 2b (hazard ratio [HR] 4.6; confidence interval [CI] 1.7-12.4) but not 2a (HR 2.3; CI 0.9-6.2). Graft function within 6 months of transplantation was significantly better in group 1 (median estimated glomerular filtration rate of 60.6 ml/min per 1.73 m

conclusionsOutcomes for transplant patients with aHUS treated with eculizumab were improved compared with previous reports of patients with aHUS not treated with eculizumab. Our findings suggest delayed aHUS diagnosis and therefore treatment is associated with an increased risk of dialysis posttransplantation and reduced allograft function.

Indexed as

atypical hemolytic uremic syndromedialysiseculizumabkidney observational studytransplantation

Identifiers

PMID30899871
PMCPMC6409407
OpenAlexW2902241490

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.