Evidence map›Paper›PMID 32506659›Full record

ArticleClinical and translational science2020

Perioperative Dexmedetomidine Improves Outcomes of Kidney Transplant.

Jun Chen, Richard Perez, Angelo Mario de Mattos, Cecilia Wang, Zhongmin Li, Richard L Applegate, Hong Liu

Open access · goldAbstract read
In one paragraph

Article in Clinical and translational science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
2.7field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Renoprotective Effect of Intraoperative Dexmedetomidine in Renal Transplantation.Computational and mathematical methods in medicine · 2022
    Trial
  7. Article
  8. Article
  9. Article
  10. Review
  11. The immunomodulatory mechanism of dexmedetomidine.International immunopharmacology · 2021
    Review
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

7 authors at 2 institutions in 2 countries.

Jun ChenDepartment of Anesthesiology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Richard PerezDepartment of Surgery, University of California Davis Health, Sacramento, California, USA.
Angelo Mario de MattosDepartment of Internal Medicine, University of California Davis Health, Sacramento, California, USA.
Cecilia WangDepartment of Anesthesiology and Pain Medicine, University of California Davis Health, Sacramento, California, USA.
Zhongmin LiDepartment of Internal Medicine, University of California Davis Health, Sacramento, California, USA.
Richard L ApplegateDepartment of Anesthesiology and Pain Medicine, University of California Davis Health, Sacramento, California, USA.ORCID 0000-0002-1454-4549
Hong LiuDepartment of Anesthesiology and Pain Medicine, University of California Davis Health, Sacramento, California, USA.ORCID 0000-0003-3611-7131
University of California, Davis · USSoochow University · CN

Funding

UC Davis Clinical and Translational Science CenterUL1TR001860 · NCATS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI KENYON, NICHOLAS J., LYLES, COURTNEY REES · 2016 to 2025
$47.3M
NCATS NIH HHS UL1 TR001860
6 · The paper itself

Abstract

Graft function is crucial for successful kidney transplantation. Many factors may affect graft function or cause delayed graft function (DGF), which decreases the prognosis for graft survival. This study was designed to evaluate whether the perioperative use of dexmedetomidine (Dex) could improve the incidence of function of graft kidney and complications after kidney transplantation. A total of 780 patients underwent kidney transplantations, 315 received intravenous Dex infusion during surgery, and 465 did not. Data were adjusted with propensity scores and multivariate logistic regression was used. The primary outcomes are major adverse complications, including DGF and acute rejection in the early post-transplantation phase. The secondary outcomes included length of hospital stay (LOS), infection, overall complication, graft functional status, post-transplantation serum creatinine values, and estimated glomerular filtration rate (eGFR). Dex use significantly decreased DGF (19.37% vs. 23.66%; adjusted odds ratio, 0.744; 95% confidence interval, 0.564-0.981; P = 0.036), risk of infection, risk of acute rejection in the early post-transplantation phase, the risk of overall complications, and LOS. However, there were no statistical differences in 90-day graft functional status or 7-day, 30-day, and 90-day eGFR. Perioperative Dex use reduced incidence of DGF, risk of infection, risk of acute rejection, overall complications, and LOS in patients who underwent kidney transplantation.

Indexed as

Adrenergic alpha-2 Receptor AgonistsAdultAgedAllograftsCreatinineDexmedetomidineFemaleGlomerular Filtration RateGraft RejectionGraft SurvivalHumansIncidenceKidneyKidney TransplantationLength of StayMaleAdrenergic alpha-2 Receptor AgonistsCreatinineDexmedetomidine

Identifiers

PMID32506659
PMCPMC7719359
OpenAlexW3032963341

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.