Evidence map›Paper›PMID 31276804›Full record

Trial reportJournal of cardiac failure2019

Pediatric Heart Transplantation: Transitioning to Adult Care (TRANSIT): Feasibility of a Pilot Randomized Controlled Trial.

Kathleen L Grady, Adin-Cristian Andrei, Tamara Shankel, Richard Chinnock, Shelley D Miyamoto, Amrut V Ambardekar, Allen Anderson, Linda Addonizio, Farhana Latif, Debra Lefkowitz and 9 more

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of cardiac failure, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
6.5field-weighted citation impact, top 4% 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, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 10 institutions in 1 country.

Kathleen L GradyDepartment of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL. Electronic address: kgrady@nm.org.
Adin-Cristian AndreiDepartment of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL.
Tamara ShankelDepartment of Medicine, Loma Linda University Children's Hospital, Loma Linda, CA.
Richard ChinnockDepartment of Medicine, Loma Linda University Children's Hospital, Loma Linda, CA.
Shelley D MiyamotoDepartment of Medicine, Children's Hospital Colorado, Aurora, CO.
Amrut V AmbardekarDepartment of Medicine, University of Colorado, Aurora, CO.
Allen AndersonDepartment of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
Linda AddonizioDepartment of Medicine, Columbia University Medical Center, New York, NY.
Farhana LatifDepartment of Medicine, Columbia University Medical Center, New York, NY.
Debra LefkowitzDepartment of Psychiatry, The Children's Hospital of Philadelphia, Philadelphia, PA.
Lee R GoldbergDepartment of Medicine, University of Pennsylvania, Philadelphia, PA.
Seth A HollanderDepartment of Medicine, Stanford University, Palo Alto, CA.
Michael PhamDepartment of Medicine, Stanford University, Palo Alto, CA.
Kathleen Van't HofDepartment of Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL.
Jill Weissberg-BenchellDepartment of Psychiatry, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL.
Clyde YancyDepartment of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
Menghan LiuDepartment of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL.
Nichole MelodyPharmacy Department, Northwestern Memorial Hospital, Chicago, IL.
Elfriede PahlDepartment of Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL.
Northwestern University · USLurie Children's Hospital · USColumbia University Irving Medical Center · USLoma Linda University Children's Hospital · USStanford University · USChildren's Hospital Colorado · USChildren's Hospital of Philadelphia · USNorthwestern Memorial Hospital · USUniversity of Colorado Anschutz Medical Campus · USUniversity of Pennsylvania · US

Funding

Pediatric Heart Tranplantation: Transitioning to Adult CareR34HL111492 · NHLBI · LURIE CHILDREN'S HOSPITAL OF CHICAGO · PI GRADY, KATHLEEN L, PAHL, ELFRIEDE · 2013 to 2015
$726k
NHLBI NIH HHS R34 HL111492
6 · The paper itself

Abstract

backgroundYoung-adult heart transplant recipients transferring to adult care are at risk for poor health outcomes. We conducted a pilot randomized controlled trial to determine the feasibility of and to test a transition intervention for young adults who underwent heart transplantation as children and then transferred to adult care.

methodsParticipants were randomized to the transition intervention (4 months long, focused on heart-transplant knowledge, self-care, self-advocacy, and social support) or usual care. Self-report questionnaires and medical records data were collected at baseline and 3 and 6 months after the initial adult clinic visit. Longitudinal analyses comparing outcomes over time were performed using generalized estimating equations and linear mixed models.

resultsTransfer to adult care was successful and feasible (ie, excellent participation rates). The average patient standard deviation of mean tacrolimus levels was similar over time in both study arms and < 2.5, indicating adequate adherence. There were no between-group or within-group differences in percentage of tacrolimus bioassays within target range (> 50%). Average overall adherence to treatment was similarly good in both groups. Rates of appointment keeping through 6 months after transfer declined over time in both groups.

conclusionsThe feasibility of the study was demonstrated. Our transition intervention did not improve outcomes.

Indexed as

AdolescentFeasibility StudiesFemaleHeart FailureHeart TransplantationHumansImmunosuppressive AgentsMalePatient TransferPilot ProjectsProspective StudiesSelf CareYoung AdultImmunosuppressive AgentsHeart transplantationTransition program

Identifiers

PMID31276804
PMCPMC6904510
OpenAlexW2955803511

What OpenQuestion holds

Textmetadata
LicenceTDM
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.