Evidence map›Paper›PMID 32037573›Full record

ArticleClinical transplantation2020

"Early" and "Late" Hospital readmissions in the first year after kidney transplant at a single center.

Michelle C Nguyen, Christina L Avila, Guy N Brock, Jason A Benedict, Iyore James, Ashraf El-Hinnawi, Amer Rajab, Elmahdi Elkhammas, Ronald P Pelletier, Mitchell Henry and 1 more

Open access · greenAbstract read
In one paragraph

Article in Clinical transplantation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 25% 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, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

11 authors at 1 institution in 1 country.

Michelle C NguyenDivision of Transplant Surgery and Comprehensive Transplant Center, Department of Surgery, The Ohio State University, Columbus, Ohio.ORCID 0000-0003-3235-7744
Christina L AvilaDivision of Transplant Surgery and Comprehensive Transplant Center, Department of Surgery, The Ohio State University, Columbus, Ohio.ORCID 0000-0002-9202-7897
Guy N BrockCenter for Biostatistics, The Ohio State University, Columbus, Ohio.ORCID 0000-0001-5317-079X
Jason A BenedictCenter for Biostatistics, The Ohio State University, Columbus, Ohio.ORCID 0000-0001-5982-7764
Iyore JamesDivision of Transplant Surgery and Comprehensive Transplant Center, Department of Surgery, The Ohio State University, Columbus, Ohio.
Ashraf El-HinnawiDivision of Transplant Surgery and Comprehensive Transplant Center, Department of Surgery, The Ohio State University, Columbus, Ohio.ORCID 0000-0003-0019-7109
Amer RajabDivision of Transplant Surgery and Comprehensive Transplant Center, Department of Surgery, The Ohio State University, Columbus, Ohio.ORCID 0000-0002-5370-068X
Elmahdi ElkhammasDivision of Transplant Surgery and Comprehensive Transplant Center, Department of Surgery, The Ohio State University, Columbus, Ohio.ORCID 0000-0002-0265-1865
Ronald P PelletierDivision of Transplant Surgery and Comprehensive Transplant Center, Department of Surgery, The Ohio State University, Columbus, Ohio.ORCID 0000-0001-6128-8333
Mitchell HenryDivision of Transplant Surgery and Comprehensive Transplant Center, Department of Surgery, The Ohio State University, Columbus, Ohio.ORCID 0000-0003-3618-8976
Ginny L BumgardnerDivision of Transplant Surgery and Comprehensive Transplant Center, Department of Surgery, The Ohio State University, Columbus, Ohio.ORCID 0000-0002-3256-0200
The Ohio State University · US

Funding

The OSU Center for Clinical and Translational Science: Advancing Today's Discoveries to Improve HealthUL1TR002733 · NCATS · OHIO STATE UNIVERSITY · PI RINGEL, MATTHEW D · 2018 to 2022
$28.9M
NCATS NIH HHS UL1 TR002733
6 · The paper itself

Abstract

backgroundHospital readmission (HR) after surgery is considered a quality metric.

methodsData on 2371 first-time adult kidney transplant (KT) recipients were collected to analyze the "early" (≤30 days) and "late" (31-365 days) HR patterns after KT at a single center over a 12-year time span (2002-2013).

results30-day, 90-day, and 1-year HR were 31%, 41%, and 53%, respectively. Risk factors for HR included age >50, female sex, black race, BMI >30, transplant LOS >5 days, and pre-transplant time on dialysis >765 days. Indications for early (n = 749) and late (n = 508) HR were similar. Early HR (OR: 3.80, P = .007) and black race (OR: 2.38, P = .009) were associated with higher odds of 1-year graft failure while frequency (1-2, 3-4, 5+) of HR (ORs: 4.68, 8.36, 9.44, P < .001) and age > 50 (OR: 2.11, P = .007) were associated with higher odds of 1-year mortality. Transplant LOS > 5 days increased both odds of 1-year graft failure (OR: 3.51, P = .001) and mortality (OR: 2.05, P = .006). One-year graft and recipient survival were 96.7% and 94.8%, respectively.

conclusionsHospital readmission was associated with reduced graft and patient survival; however, despite a relatively high and consistent HR rate after KT, overall 1-year graft and patient survival was high.

Indexed as

Kidney TransplantationAdultFemaleGraft SurvivalHumansPatient ReadmissionRenal DialysisRisk FactorsTransplant Recipientsgraft survivalhospital readmissionkidney transplantlength of staypatient survival

Identifiers

PMID32037573
PMCPMC9270717
OpenAlexW3006621454

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.