Evidence map›Paper›PMID 31200654›Full record

ArticleBMC nephrology2019

Treatment with intravenous immunoglobulins and methylprednisolone may significantly decrease loss of renal function in chronic-active antibody-mediated rejection.

Kasia A Sablik, Marian C Clahsen-van Groningen, Caspar W N Looman, Jeffrey Damman, Madelon van Agteren, Michiel G H Betjes

Open access · goldAbstract read
In one paragraph

Article in BMC nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.0field-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, 22 citations in OpenAlex.

  1. Article
  2. Use of Immunoglobulin Replacement Therapy in Clinical Practice: A Review.Journal of immunotherapy and precision oncology · 2025
    Review
  3. Observational
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Therapies for Chronic Allograft Rejection.Frontiers in pharmacology · 2021
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
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 1 institution in 1 country.

Kasia A SablikErasmus Medical Center, Department of Nephrology & Transplantation, room Na2105, P.O. Box 2040, 3000, CA, Rotterdam, The Netherlands. k.sablik@erasmusmc.nl.ORCID 0000-0002-2752-9735
Marian C Clahsen-van GroningenDepartment of Pathology, Erasmus Medical Center, Rotterdam, The Netherlands.
Caspar W N LoomanDepartment of Biostatistics, Erasmus Medical Center, Rotterdam, The Netherlands.
Jeffrey DammanDepartment of Pathology, Erasmus Medical Center, Rotterdam, The Netherlands.
Madelon van AgterenErasmus Medical Center, Department of Nephrology & Transplantation, room Na2105, P.O. Box 2040, 3000, CA, Rotterdam, The Netherlands.
Michiel G H BetjesErasmus Medical Center, Department of Nephrology & Transplantation, room Na2105, P.O. Box 2040, 3000, CA, Rotterdam, The Netherlands.
Erasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic-active antibody mediated rejection (c-aABMR) is a major contributor to long-term kidney allograft loss. We conducted a retrospective analysis to establish the efficacy of treatment with intravenous immunoglobulins (IVIG) and pulse methylprednisolone (MP) of patients with c-aABMR.

methodsSixty-nine patients, in the period 2005-2017, with the diagnosis (suspicious for) c-aABMR that were treated with IVIG and MP were included. Patients were administered three doses of 1 g intravenous MP combined with a single dose of IVIG (1 g/kg body weight). Primary outcome was the decline in allograft function one year post treatment. Responders to IVIG-MP therapy were defined by an eGFR one year after treatment which was at least 25% above the projected allograft function.

resultsPatients showed an average decline in eGFR of 9.8 ml/min/1.73m

conclusionsMore than 60% of patients with c-aABMR with a progressive decline in eGFR respond favorably to treatment with IVIG-MP resulting in a significant improvement of graft survival (Sablik, Am J Transplant 18, 2018).

Indexed as

Kidney Failure, ChronicPostoperative ComplicationsAdultGlomerular Filtration RateGlucocorticoidsGraft SurvivalHumansImmunoglobulins, IntravenousImmunologic FactorsKidney TransplantationMaleMethylprednisoloneMiddle AgedNetherlandsOutcome Assessment, Health CareGlucocorticoidsImmunoglobulins, IntravenousImmunologic FactorsMethylprednisoloneC-aABMRIVIGMPRenal allograft rejectionTransplantationTreatment

Identifiers

PMID31200654
PMCPMC6567552
OpenAlexW2952912094

What OpenQuestion holds

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LicenceCC BY
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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.