Evidence map›Paper›PMID 31486950›Full record

ArticleInternational urology and nephrology2019

Predictors of symptomatic lymphocele after kidney transplantation.

Maja Joosten, Frank C d'Ancona, Wilbert A van der Meijden, Paul P Poyck

Open access · hybridAbstract read
In one paragraph

Article in International urology and nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.3field-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

9 citing papers in PubMed, 30 citations in OpenAlex.

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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

4 authors at 1 institution in 1 country.

Maja JoostenDepartment of Vascular and Transplant Surgery, Radboudumc, Postbus 9101, 6500 HB, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0002-1674-1546
Frank C d'AnconaDepartment of Urology, Radboudumc, Nijmegen, The Netherlands.
Wilbert A van der MeijdenDepartment of Nephrology, Radboudumc, Nijmegen, The Netherlands.
Paul P PoyckDepartment of Vascular and Transplant Surgery, Radboudumc, Postbus 9101, 6500 HB, Nijmegen, The Netherlands. paul.poyck@radboudumc.nl.
Radboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe development of a symptomatic lymphocele (SL) is a frequent postoperative surgical complication after kidney transplantation. It may lead to pain and discomfort and cause transplant malfunction or even secondary graft loss. A large cohort of renal recipients was investigated to identify the possible risk factors for SL.

methodsAll renal transplant patients of a single centre were retrospectively analysed for SL between January 2010 and December 2017. The SL group was compared to a control group from the same cohort.

results45 out of 1003 transplanted patients developed an SL (incidence 4.5%), on average 50 days after kidney transplantation. SLs developed more in older patients, in those with a PD catheter and in ADKDP as primary diagnosis. Surgical predictors for SLs were venous anastomosis on the external iliac vein, concomitant PD catheter removal, perfusion defects, shorter operating time, splint > 7 days, double J stenting, discharge with drain, low initial drain production and ureteral obstruction. Opening of the peritoneum, re-operation for postoperative bleeding and previous nephrectomy seem protective for developing SL.

conclusionWe found multiple heterogeneous predictors for SL with a common denominator related to surgical management of the retroperitoneal space, peritoneum and the ureter. Future prospective studies are necessary to evaluate the influence of these variables on the development of SL.

Indexed as

Kidney TransplantationAdultAgedCohort StudiesFemaleHumansLymphoceleMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesRisk FactorsComplicationLymphocelePredictorsRenal transplantationRisk factors

Identifiers

PMID31486950
PMCPMC6848241
OpenAlexW2971685418

What OpenQuestion holds

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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.