Evidence map›Paper›PMID 31807303›Full record

ArticleClinical kidney journal2019

Perioperative management of adult cadaveric and live donor renal transplantation in the UK: a survey of national practice.

Clare M Morkane, Jez Fabes, Neal R Banga, Peter D Berry, Christopher J Kirwan

Abstract read
In one paragraph

Article in Clinical kidney journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Enhanced Recovery After Surgery (ERAS) in Renal Transplantation Patients.Turkish journal of anaesthesiology and reanimation · 2025
    Article
  5. The Variation in Practice of the Living Donor Kidney Transplant Pathway in the UK: Results of a National Survey.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Article
  6. Observational
  7. Positive Impact of ERAS Programme on Living and Deceased Donor Renal Transplant Recipients During COVID-19 Pandemic.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
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

5 authors.

Clare M MorkaneDivision of Surgery and Interventional Science (University College London) & Royal Free Perioperative Research Group, Department of Anaesthesia, Royal Free Hospital, London, UK.ORCID 0000-0002-8801-8365
Jez FabesDivision of Surgery and Interventional Science (University College London) & Royal Free Perioperative Research Group, Department of Anaesthesia, Royal Free Hospital, London, UK.
Neal R BangaDepartment of Renal Transplant Surgery, Royal Free Hospital, London, UK.
Peter D BerryDepartment of Anaesthesia, Royal Free Hospital, London, UK.
Christopher J KirwanAdult Critical Care Unit, Royal London Hospital, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a limited evidence base and no national consensus regarding the perioperative management of patients undergoing renal transplantation. We developed an electronic survey to capture an overview of renal transplant perioperative practice across UK renal transplant centres and determine the need for future guidelines on patient management.

methodsA 29-question survey was developed to encompass the entire renal transplant perioperative pathway and input was sought from clinicians with expertise in renal transplant surgery, anaesthesia, nephrology and intensive care. The survey was sent to lead renal anaesthetists at each of the 23 transplant centres across the UK.

resultsA 96% response rate was achieved with 22 out of 23 centres returning complete responses. There was limited evidence of guideline-based approaches to preoperative workup. Questions regarding intraoperative fluid management, blood pressure targets, vasopressor administration and central venous pressure (CVP) monitoring identified a broad range of practice. Of note, the routine use of goal-directed fluid therapy based on cardiac output estimation was reported in six (27.3%) centres, while nine centres (40.9%) continue to target a specific CVP intraoperatively. In all, 12 (54.5%) centres perform transversus abdominis plane blocks with fentanyl-based patient-controlled analgesia as the most common mode of postoperative analgesia. A single centre reported a renal transplant-specific Enhanced Recovery after Surgery programme for cadaveric organ recipients.

conclusionsThis questionnaire highlighted a high degree of heterogeneity in current UK practice as regards the perioperative management of renal transplant recipients. Development of evidence-based national consensus guidelines to standardize the perioperative care of these patients is recommended in order to improve patient outcomes and focus areas of future research.

Indexed as

anaesthesiaperioperative carerenal transplantsurvey

Identifiers

PMID31807303
PMCPMC6885684

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.