Evidence map›Paper›PMID 31914943›Full record

ArticleBMC cardiovascular disorders2020

Progression of endothelial dysfunction, atherosclerosis, and arterial stiffness in stable kidney transplant patients: a pilot study.

Joey Junarta, Nina Hojs, Robin Ramphul, Racquel Lowe-Jones, Juan C Kaski, Debasish Banerjee

Abstract read
In one paragraph

Article in BMC cardiovascular disorders, 2020. 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
–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

9 citing papers in PubMed.

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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

6 authors.

Joey JunartaRenal and Transplantation Unit, St George's University Hospitals, NHS Foundation Trust, London, UK.
Nina HojsRenal and Transplantation Unit, St George's University Hospitals, NHS Foundation Trust, London, UK.
Robin RamphulRenal and Transplantation Unit, St George's University Hospitals, NHS Foundation Trust, London, UK.
Racquel Lowe-JonesRenal and Transplantation Unit, St George's University Hospitals, NHS Foundation Trust, London, UK.
Juan C KaskiCardiology Clinical Academic Group, Molecular and Clinical Sciences Research Institute, St George's University of London, London, UK.
Debasish BanerjeeRenal and Transplantation Unit, St George's University Hospitals, NHS Foundation Trust, London, UK. debasish.banerjee@stgeorges.nhs.uk.ORCID 0000-0002-6863-2325

Funding

British Heart Foundation PG 10/71/28462Wellcome TrustWellcome Trust ISSF 204809/Z/16/Z
6 · The paper itself

Abstract

backgroundKidney transplant patients suffer from vascular abnormalities and high cardiovascular event rates, despite initial improvements post-transplantation. The nature of the progression of vascular abnormalities in the longer term is unknown. This pilot study investigated changes in vascular abnormalities over time in stable kidney transplant patients long after transplantation.

methodsBrachial artery flow-mediated dilation (FMD), nitroglycerin-mediated dilation, carotid-femoral pulse wave velocity (cf-PWV), ankle-brachial pressure index, and common carotid artery intima-media thickness (CCA-IMT) were assessed in 18 kidney transplant patients and 17 controls at baseline and 3-6 months after.

resultsThere was no difference in age (51 ± 13 vs. 46 ± 11; P = 0.19), body mass index (26 ± 5 vs. 25 ± 3; P = 0.49), serum cholesterol (4.54 ± 0.96 vs. 5.14 ± 1.13; P = 0.10), systolic blood pressure (BP) (132 ± 12 vs. 126 ± 12; P = 0.13), diastolic BP (82 ± 9 vs. 77 ± 8; P = 0.10), or diabetes status (3 vs. 0; P = 0.08) between transplant patients and controls. No difference existed in vascular markers between patients and controls at baseline. In transplant patients, FMD decreased (- 1.52 ± 2.74; P = 0.03), cf-PWV increased (0.62 ± 1.06; P = 0.03), and CCA-IMT increased (0.35 ± 0.53; P = 0.02). No changes were observed in controls.

conclusionMarkers of vascular structure and function worsen in the post-transplant period on long-term follow-up, which may explain the continued high cardiovascular event rates in this population.

Indexed as

Kidney TransplantationVascular StiffnessAdultAnkle Brachial IndexCarotid Artery DiseasesCarotid-Femoral Pulse Wave VelocityCarotid Intima-Media ThicknessCase-Control StudiesDisease ProgressionEndothelium, VascularFemaleHumansMaleMiddle AgedPeripheral Arterial DiseasePilot ProjectsArterial stiffnessAtherosclerosisEndothelial functionKidney transplantation

Identifiers

PMID31914943
PMCPMC6947963

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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.