Evidence map›Paper›PMID 32095504›Full record

ArticleTransplantation direct2019

Whole Body CT Imaging in Deceased Donor Screening for Malignancies.

Jacobus W Mensink, Robert A Pol, Wijmtje N Nijboer, Michiel E Erasmus, Jeroen de Jonge, Kirsten M de Vries, Michel F van der Jagt, Niels P van der Kaaij, Marcel C G van de Poll, Ian P J Alwayn and 1 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Transplantation direct, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Analysis of Unused Organ Donors in the Netherlands: Older Donor Age Associated With Higher Risk of Non-Utilization.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Article
  3. Article
  4. Article
  5. Radiological Screening Methods in Deceased Organ Donation: An Overview of Guidelines Worldwide.Transplant international : official journal of the European Society for Organ Transplantation · 2022
    Review
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 2 countries.

Jacobus W MensinkDepartment of Surgery, Division of Transplantation, Leiden University Medical Center, Leiden University, Leiden, The Netherlands.
Robert A PolDepartment of Surgery, Division of Transplantation, University Medical Center Groningen, Groningen University, Groningen, The Netherlands.
Wijmtje N NijboerDepartment of Surgery, Division of Transplantation, Leiden University Medical Center, Leiden University, Leiden, The Netherlands.
Michiel E ErasmusDepartment of Cardiothoracic Surgery, University Medical Center Groningen, Groningen University, Groningen, The Netherlands.
Jeroen de JongeDepartment of Surgery, Division of Transplantation, Erasmus Medical Center, Rotterdam University, Rotterdam, The Netherlands.
Kirsten M de VriesDepartment of Organ and Tissue Donation, Dutch Transplant Foundation, Leiden, The Netherlands.
Michel F van der JagtDepartment of Surgery, Division of Vascular and Transplant Surgery, University Medical Center St. Radboud, Nijmegen University, Nijmegen, The Netherlands.
Niels P van der KaaijDepartment of Cardiothoracic Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Marcel C G van de PollDepartment of Surgery, Maastricht University Medical Center, Maastricht University, Maastricht, The Netherlands.
Ian P J AlwaynDepartment of Surgery, Division of Transplantation, Leiden University Medical Center, Leiden University, Leiden, The Netherlands.
Andries E BraatDepartment of Surgery, Division of Transplantation, Leiden University Medical Center, Leiden University, Leiden, The Netherlands.
Maastricht University · NLMicro-Precision Technologies (United States) · USUniversity Medical Center Groningen · NLUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn most western countries, the median donor age is increasing. The incidence of malignancies in older populations is increasing as well. To prevent donor-derived malignancies we evaluated radiologic donor screening in a retrospective donor cohort.

methodsThis study analyzes the efficacy of a preoperative computed tomography (CT) scan on detecting malignancies. All deceased organ donors in the Netherlands between January 2013 and December 2017 were included. Donor reports were analyzed to identify malignancies detected before or during organ procurement. Findings between donor screening with or without CT-scan were compared.

resultsChest or abdominal CT-scans were performed in 17% and 18% of the 1644 reported donors respectively. Screening by chest CT-scan versus radiograph resulted in 1.5% and 0.0% detected thoracic malignancies respectively. During procurement no thoracic malignancies were found in patients screened by chest CT compared with 0.2% malignancies in the radiograph group. Screening by abdominal CT-scan resulted in 0.0% malignancies, compared with 0.2% in the abdominal ultrasound group. During procurement 1.0% and 1.3% malignancies were found in the abdominal CT-scan and ultrasound groups, respectively.

conclusionsScreening by CT-scan decreased the perioperative detection of tumors by 30%. A preoperative CT-scan may be helpful by providing additional information on (aberrant) anatomy to the procuring or transplanting surgeon. In conclusion, donor screening by CT-scan could decrease the risk of donor-derived malignancies and prevents unnecessary procurements per year in the Netherlands.

Identifiers

PMID32095504
PMCPMC7004587
OpenAlexW2982843355

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.