Evidence map›Paper›PMID 31373185›Full record

ArticleJournal of Korean medical science2019

Post-Transplant Lymphoproliferative Diseases in Pediatric Kidney Allograft Recipients with Epstein-Barr Virus Viremia.

Hyesun Hyun, Eujin Park, Myunghyun Cho, Sang Il Min, Jongwon Ha, Hyoung Jin Kang, Hee Young Shin, Il Soo Ha, Hae Il Cheong, Yo Han Ahn and 1 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Journal of Korean medical science, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

8 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Heliyon · 2023
    Article
  5. Non-Hodgkin lymphoma after pediatric kidney transplantation.Pediatric nephrology (Berlin, Germany) · 2022
    Article
  6. Review
  7. Review
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 1 country.

Hyesun HyunDepartment of Pediatrics, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.ORCID https://orcid.org/0000-0001-8525-1471
Eujin ParkDepartment of Pediatrics, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-4413-468X
Myunghyun ChoDepartment of Pediatrics, Seoul National University Children's Hospital, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-3237-3173
Sang Il MinDepartment of Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-0688-0278
Jongwon HaDepartment of Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-2285-3517
Hyoung Jin KangDepartment of Pediatrics, Seoul National University College of Medicine, Seoul National University Cancer Research Institute, Seoul, Korea.ORCID https://orcid.org/0000-0003-1009-6002
Hee Young ShinDepartment of Pediatrics, Seoul National University College of Medicine, Seoul National University Cancer Research Institute, Seoul, Korea.ORCID https://orcid.org/0000-0003-2091-1947
Il Soo HaDepartment of Pediatrics, Seoul National University Children's Hospital, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-5428-6209
Hae Il CheongDepartment of Pediatrics, Seoul National University Children's Hospital, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-7556-1265
Yo Han AhnDepartment of Pediatrics, Seoul National University Bundang Hospital, Seongnam, Korea. kanghg@snu.ac.kr.ORCID https://orcid.org/0000-0002-8185-4408
Hee Gyung KangDepartment of Pediatrics, Seoul National University Children's Hospital, Seoul National University College of Medicine, Seoul, Korea. yhahn@snub.org.ORCID https://orcid.org/0000-0001-8323-5320
Seoul National University · KRSeoul National University Children's Hospital · KRHallym University Kangnam Sacred Heart Hospital · KRSeoul National University Bundang Hospital · KRSeoul National University Hospital · KRThe Catholic University of Korea St. Vincent's Hospital · KR

Funding

Ministry of Health and Welfare HI12C0014
6 · The paper itself

Abstract

backgroundPost-transplant lymphoproliferative disease (PTLD) is one of the major complications of organ transplantation, especially in children with Epstein-Barr virus (EBV) viremia (EV). We performed a retrospective study to evaluate risk factors for PTLD in children with EV.

methodsAmong 199 pediatric kidney transplantation (KT) recipients at our center from January 2001 to October 2015, records of those with EBV viral loads of > 1,000 copies/mL and/or PTLD were reviewed.

resultsDiagnosis of PTLD was made in seven patients (PTLD group), and 39 patients had EV only (EV only group). The median time from KT to EV and PTLD diagnosis was 6.7 (range 0.4-47.8) months and 8.2 (range, 2.8-98.9) months, respectively. There were no significant differences between the groups in terms of sex, age at transplantation, donor type, EBV viral load, or EV-free duration after KT. Higher tacrolimus level before EV (hazard ratio, 44.5; P = 0.003) was an independent risk factor for PTLD in multivariate Cox regression analysis. Six patients with a high EBV load (median 171,639 copies/mL) were treated with preemptive rituximab (RTX) therapy, resulting in transient reduction of EBV load. None of these patients developed PTLD (median follow-up 51.5 months); however, two had neutropenia and two developed infection requiring hospital admission.

conclusionIn pediatric KT recipients, higher tacrolimus levels were associated with a higher incidence of PTLD. Conversely, those who received preemptive RTX for EV did not develop PTLD.

Indexed as

Antineoplastic Agents, ImmunologicalChild, PreschoolFemaleHerpesvirus 4, HumanHumansInfantKidney TransplantationLymphoproliferative DisordersMaleNeutropeniaProportional Hazards ModelsRetrospective StudiesRisk FactorsRituximabTransplantation, HomologousViral LoadAntineoplastic Agents, ImmunologicalRituximabEpstein-Barr VirusKidney TransplantationPost-Transplant Lymphoproliferative DiseaseRituximab

Identifiers

PMID31373185
PMCPMC6676002
OpenAlexW2965412465

What OpenQuestion holds

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LicenceCC BY-NC
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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.