Evidence map›Paper›PMID 31474492›Full record

ArticleThe Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation2019

Adipose tissue quantification and primary graft dysfunction after lung transplantation: The Lung Transplant Body Composition study.

Michaela R Anderson, Jayaram K Udupa, Ethan Edwin, Joshua M Diamond, Jonathan P Singer, Jasleen Kukreja, Steven R Hays, John R Greenland, Anthony Ferrante, Matthew Lippel and 23 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
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  12. Development of the Lung Transplant Frailty Scale (LT-FS).The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2023
    Article
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  14. Review
  15. Article
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  18. Review
  19. Primary graft dysfunction: what we know.Journal of thoracic disease · 2021
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

33 authors at 6 institutions in 1 country.

Michaela R AndersonDepartment of Medicine, Columbia University Medical Center, New York, New York.
Jayaram K UdupaDepartment of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania.
Ethan EdwinColumbia Institute of Human Nutrition, Columbia University Medical Center, New York, New York.
Joshua M DiamondDepartment of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Jonathan P SingerDepartment of Medicine University of California at San Francisco, San Francisco, California.
Jasleen KukrejaDepartment of Surgery, University of California at San Francisco, San Francisco, California.
Steven R HaysDepartment of Medicine University of California at San Francisco, San Francisco, California.
John R GreenlandDepartment of Medicine University of California at San Francisco, San Francisco, California.
Anthony FerranteColumbia Institute of Human Nutrition, Columbia University Medical Center, New York, New York.
Matthew LippelDepartment of Medicine, Columbia University Medical Center, New York, New York.
Tatiana BlueDepartment of Medicine, Columbia University Medical Center, New York, New York.
Amika McBurnieDepartment of Medicine, Columbia University Medical Center, New York, New York.
Michelle OysterDepartment of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Laurel KalmanDepartment of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Melanie RushefskiDepartment of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Caiyun WuDepartment of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania.
Gargi PednekarDepartment of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania.
Wen LiuDepartment of Medicine, Columbia University Medical Center, New York, New York.
Selim ArcasoyDepartment of Medicine, Columbia University Medical Center, New York, New York.
Joshua SonettDepartment of Surgery, Columbia University Medical Center, New York, New York.
Frank D'OvidioDepartment of Surgery, Columbia University Medical Center, New York, New York.
Matthew BacchettaDepartment of Thoracic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
John D NewellDepartment of Radiology, University of Iowa, Iowa City, Iowa.
Drew TorigianDepartment of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania.
Edward CantuDepartment of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
Donna L FarberDepartment of Surgery, University of California at San Francisco, San Francisco, California; Columbia Center for Translational Immunology, Columbia University Medical Center, New York, New York; Department of Microbiology and Immunology, Columbia University Medical Center, New York, New York.
Jon T GilesDepartment of Medicine, Columbia University Medical Center, New York, New York.
Yubing TongDepartment of Radiology, University of Pennsylvania, Philadelphia, Pennsylvania.
Scott PalmerDepartment of Medicine, Duke University & Duke Clinical Research Institute, Durham, North Carolina.
Lorraine B WareDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Wayne W HancockDepartment of Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Jason D ChristieDepartment of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
David J LedererDepartment of Medicine, Columbia University Medical Center, New York, New York; Department of Epidemiology, Mailman School of Public Health, Columbia University Medical Center, New York, New York. Electronic address: davidlederer@columbia.edu.
Columbia University Irving Medical Center · USUniversity of Pennsylvania · USUniversity of California, San Francisco · USVanderbilt University Medical Center · USDuke University · USUniversity of Iowa · US

Funding

Macrophage phenotype and function in adipose tissueR01DK066525 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Anthony W Ferrante · 2003 to 2026
$9.8M
Hormones: Molecular Mechanism of Action and FunctionsT32DK007328 · NIDDK · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI KOUSTENI, STAVROULA · 1986 to 2025
$7.8M
Clinical Risk Factors for Primary Graft DysfunctionR01HL087115 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI CHRISTIE, JASON D · 2007 to 2017
$7.1M
The Columbia University Training Program in Lung ScienceT32HL105323 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Jahar Bhattacharya, Wellington V. Cardoso · 2011 to 2026
$4.7M
Frailty and patient centered outcomes in candidates for lung transplantationR01HL134851 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SINGER, JONATHAN PAUL · 2017 to 2021
$3.4M
Obesity, Inflammation, and Lung Injury After Lung TransplantationR01HL114626 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CHRISTIE, JASON D, LEDERER, DAVID J. · 2013 to 2016
$3.1M
Mentored Patient Oriented Research in Lung TransplantationK24HL115354 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI CHRISTIE, JASON D · 2012 to 2021
$1.2M
Lung Transplant donor: prediction, evaluation, and mechanismK23HL116656 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI CANTU, EDWARD · 2013 to 2017
$872k
The Effects of Lung Transplant on Disability and Health-Related Quality of LifeK23HL111115 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SINGER, JONATHAN PAUL · 2012 to 2016
$832k
Long Pentraxin-3 genomics and outcomes after lung transplantationK23HL121406 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI DIAMOND, JOSHUA M. · 2014 to 2017
$629k
Mentored Patient Oriented Research in Pulmonary Fibrosis and Lung TransplantationK24HL131937 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LEDERER, DAVID J. · 2016 to 2018
$352k
Advanced diagnostics for donor lung assessment and ex vivo lung perfusion candidate selectionR03HL135227 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI CANTU, EDWARD · 2016 to 2017
$161k
CSRD VA IK2 CX001034NHLBI NIH HHS K23 HL111115NHLBI NIH HHS K23 HL116656NHLBI NIH HHS K23 HL121406NHLBI NIH HHS K24 HL115354NHLBI NIH HHS K24 HL131937NHLBI NIH HHS L30 HL143645NHLBI NIH HHS R01 HL087115NHLBI NIH HHS R01 HL114626NHLBI NIH HHS R01 HL134851NHLBI NIH HHS R03 HL135227NHLBI NIH HHS T32 HL105323NIDDK NIH HHS R01 DK066525NIDDK NIH HHS T32 DK007328
6 · The paper itself

Abstract

backgroundObesity is associated with an increased risk of primary graft dysfunction (PGD) after lung transplantation. The contribution of specific adipose tissue depots is unknown.

methodsWe performed a prospective cohort study of adult lung transplant recipients at 4 U.S. transplant centers. We measured cross-sectional areas of subcutaneous adipose tissue (SAT) and visceral adipose tissue (VAT) on chest and abdominal computed tomography (CT) scans and indexed each measurement to height.

resultsA total of 262 and 117 subjects had available chest CT scans and underwent protocol abdominal CT scans, respectively. In the adjusted models, a greater abdominal SAT index was associated with an increased risk of PGD (odds ratio 1.9, 95% CI 1.02-3.4, p = 0.04) but not with survival time. VAT indices were not associated with PGD risk or survival time. A greater abdominal SAT index correlated with greater pre- and post-transplant leptin (r = 0.61, p < 0.001, and r = 0.44, p < 0.001), pre-transplant IL-1RA (r = 0.25, p = 0.04), and post-transplant ICAM-1 (r = 0.25, p = 0.04). We identified 3 latent patterns of adiposity. The class defined by high thoracic and abdominal SAT had the greatest risk of PGD.

conclusionsSubcutaneous, but not visceral, adiposity is associated with an increased risk of PGD after lung transplantation.

Indexed as

Lung TransplantationAdipose TissueAgedBody CompositionFemaleHumansMaleMiddle AgedObesityOrgan SizePrimary Graft DysfunctionProspective StudiesRisk AssessmentTomography, X-Ray Computedadipose tissueinflammationlung transplantationobesityprimary graft dysfunction

Identifiers

PMID31474492
PMCPMC6883162
OpenAlexW2969070381

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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.