Evidence map›Paper›PMID 31630440›Full record

ArticleClinical transplantation2019

The association of acute rejection vs recurrent glomerular disease with graft outcomes after kidney transplantation.

Tripti Singh, Brad C Astor, Weixiong Zhong, Didier A Mandelbrot, Laura Maursetter, Sarah E Panzer

Open access · greenAbstract readComparative Study
In one paragraph

Article in Clinical transplantation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 36% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
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.

Tripti SinghDepartment of Medicine, Division of Nephrology, University of Wisconsin-Madison Hospital and Clinics, Madison, WI, USA.ORCID 0000-0002-8855-3421
Brad C AstorDepartment of Population Health Sciences, University of Wisconsin-Madison School of Medicine and Public Health, Madison, WI, USA.
Weixiong ZhongDepartment of Pathology, University of Wisconsin-Madison Hospital and Clinics, Madison, WI, USA.
Didier A MandelbrotDepartment of Medicine, Division of Nephrology, University of Wisconsin-Madison Hospital and Clinics, Madison, WI, USA.ORCID 0000-0003-3326-8583
Laura MaursetterDepartment of Medicine, Division of Nephrology, University of Wisconsin-Madison Hospital and Clinics, Madison, WI, USA.
Sarah E PanzerDepartment of Medicine, Division of Nephrology, University of Wisconsin-Madison Hospital and Clinics, Madison, WI, USA.
University of Wisconsin–Madison · US

Funding

Improving long-term allograft survival in kidney transplantation by targeting B cell survival cytokinesK23DK122136 · NIDDK · UNIVERSITY OF WISCONSIN-MADISON · PI PANZER, SARAH E · 2019 to 2022
$663k
NIDDK NIH HHS K23 DK122136
6 · The paper itself

Abstract

backgroundIt has been shown that glomerulonephritis (GN) recurrence affects graft survival more than acute rejection. Thus, we assessed allograft survival after biopsy-confirmed diagnosis of acute rejection or recurrent GN in current era of immunosuppression.

methodsAllograft survival following a biopsy diagnosis of acute rejection or recurrent GN was determined in adult kidney transplant recipients from 1994 to 2013. A total of 306 patients (35%) with IgA, 298 (35%) with FSGS, 177 (21%) with lupus nephritis, and 81 (9%) with membranous nephropathy were followed for a median of 6.3 years.

resultsAmong the 862 transplant recipients with primary GN, allograft loss was similar following a biopsy diagnosis of acute rejection or recurrent glomerular disease (11.5 vs 14.2/100 person-years, P = .15). Differences in allograft survival emerged after 2.5 years following recurrent disease, with significantly higher graft failure in patients with FSGS, MN, or LN compared with IgA after recurrence of disease (16.7 vs 7.5/100 person-years, P = .05). The advantage in allograft survival for IgA patients did not achieve significance after acute rejection (P = .10 for IgA vs FSGS, MN, and LN).

conclusionsAllograft survival was similar after disease recurrence or acute rejection after kidney transplant in patients with ESRD due to GN.

Indexed as

Graft SurvivalAdultFemaleFollow-Up StudiesGlomerular Filtration RateGlomerulonephritisGlomerulonephritis, MembranousGraft RejectionHumansKidney Function TestsKidney TransplantationMaleMiddle AgedPostoperative ComplicationsPrevalencePrognosisgraft survivalkidney diseaserecurrent diseaserejection: acute

Identifiers

PMID31630440
PMCPMC7425092
OpenAlexW2981101092

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.