Evidence map›Paper›PMID 32099669›Full record

ArticleJournal of transplantation2020

Pretransplant Donor-Specific Anti-HLA Antibodies and the Risk for Rejection-Related Graft Failure of Kidney Allografts.

Michiel G H Betjes, Kasia S Sablik, Henny G Otten, Dave L Roelen, Frans H Claas, Annelies de Weerd

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of transplantation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05431712 (Impact of Donor-Specific Antibodies in), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.6field-weighted citation impact, top 7% 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.

NCT05431712 completednot on this map

Impact of Donor-Specific Antibodies in (Highly-) Immunized Living Donor Kidney Transplant Recipients

TypeobservationalSponsorErasmus Medical CenterRan2010 to 2019Enrolled252ConditionsRenal Failure
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 27 citations in OpenAlex.

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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 at 3 institutions in 1 country.

Michiel G H BetjesDepartment of Nephrology & Transplantation, Erasmus Medical Center, Rotterdam, Netherlands.ORCID https://orcid.org/0000-0001-9435-6208
Kasia S SablikDepartment of Nephrology & Transplantation, Erasmus Medical Center, Rotterdam, Netherlands.
Henny G OttenLaboratory of Translational Immunology, University Medical Center Utrecht, Utrecht, Netherlands.
Dave L RoelenDepartment of Immunohematology and Blood Transfusion, Leiden University Medical Center, Leiden, Netherlands.
Frans H ClaasDepartment of Immunohematology and Blood Transfusion, Leiden University Medical Center, Leiden, Netherlands.ORCID https://orcid.org/0000-0003-4157-6201
Annelies de WeerdDepartment of Nephrology & Transplantation, Erasmus Medical Center, Rotterdam, Netherlands.
Erasmus MC · NLLeiden University Medical Center · NLUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe presence of donor-specific antibodies (DSAs) against HLA before kidney transplantation has been variably associated with decreased long-term graft survival. Data on the relation of pretransplant DSA with rejection and cause of graft failure in recipients of donor kidneys are scarce.

methodsPatients transplanted between 1995 and 2005 were included and followed until 2016. Donor-specific antibodies before transplantation were determined retrospectively. For cause, renal transplant biopsies were reviewed.

resultsPretransplant DSAs were found in 160 cases on a total of 734 transplantations (21.8%). In 80.5% of graft failures, a diagnostic renal biopsy was performed. The presence of pretransplant DSA (DSApos) increased the risk of graft failure within the first 3 months after transplantation (5.2% vs. 9.4%) because of rejection with intragraft thrombosis (

conclusionsPretransplant DSAs are a risk factor for early graft loss and increase the incidence for humoral rejection and graft loss but do not affect the risk for T cell-mediated rejection.

Identifiers

PMID32099669
PMCPMC7008278
OpenAlexW3003448238

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Registered trials

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.