Evidence map›Paper›PMID 32654913›Full record

ArticleThe Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation2020

Incidence and outcome of post-transplant lymphoproliferative disorders in lung transplant patients: Analysis of ISHLT Registry.

Lorenzo Zaffiri, Alex Long, Megan L Neely, Wida S Cherikh, Daniel C Chambers, Laurie D Snyder

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

17 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Evaluating cancer risk profiles in lung transplant recipients.Translational lung cancer research · 2025
    Article
  5. Article
  6. The role of induction therapy in lung transplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2025
    Review
  7. Article
  8. Article
  9. Malignancies After Lung Transplantation.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Induction and maintenance immunosuppression in lung transplantation.Indian journal of thoracic and cardiovascular surgery · 2022
    Review
  14. Article
  15. Article
  16. Article
  17. Epidemiology of Infections in Lung Transplant Recipients Treated With Belatacept.Transplant infectious disease : an official journal of the Transplantation Society
    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

6 authors at 4 institutions in 2 countries.

Lorenzo ZaffiriDivision of Pulmonary, Allergy and Critical Care, Duke University Medical Center, Durham, North Carolina. Electronic address: lorenzo.zaffiri@duke.edu.
Alex LongDivision of Pulmonary, Allergy and Critical Care, Duke University Medical Center, Durham, North Carolina; Duke Clinical Research Institute, Durham, North Carolina.
Megan L NeelyDepartment of Biostatistics and Bioinformatics, Duke University, Durham, North Carolina.
Wida S CherikhUnited Network for Organ Sharing, Richmond, Virginia.
Daniel C ChambersSchool of Medicine, The University of Queensland, Brisbane, Australia.
Laurie D SnyderDivision of Pulmonary, Allergy and Critical Care, Duke University Medical Center, Durham, North Carolina.
Duke Medical Center · USDuke University · USDuke University Hospital · USUniversity of Queensland · AU

Funding

Integrated Biostatistical Training for CVD ResearchT32HL079896 · NHLBI · NORTH CAROLINA STATE UNIVERSITY RALEIGH · PI Sean M O'Brien, Ana-Maria Staicu · 2006 to 2026
$4.1M
NHLBI NIH HHS T32 HL079896
6 · The paper itself

Abstract

backgroundPost-transplant lymphoproliferative disorder (PTLD) is a life-threatening complication following lung transplant. We studied incidence and risk factors for PTLD in adult lung transplant recipients (LTRs) using the International Society for Heart and Lung Transplantation Registry.

methodsThe International Society for Heart and Lung Transplantation Registry was used to identify adult, first-time, single and bilateral LTRs with at least 1 year of follow-up between 2006 and 2016. Kaplan-Meier method was used to describe the timing and distribution of PTLD. Univariable and multivariable Cox proportional hazards regression models were used to examine clinical characteristics associated with PTLD.

resultsOf 19,309 LTRs in the analysis cohort, we identified 454 cases of PTLD. Cumulative incidence of PTLD was 1.1% (95% CI = 1.0%-1.3%) at 1 year and 4.1% (95% CI = 3.6%-4.6%) at 10 years. Of the PTLD cases, 47.4% occurred within the first year following lung transplantation. In the multivariable model, independent risk factors for PTLD included age, Epstein-Barr virus serostatus, restrictive lung diseases, and induction. Risk of PTLD during the first year after transplant increased with increasing age in patients between 45 and 62 years at time of transplantation; the inverse was true for ages <45 years or >62 years. Finally, receiving a donor organ with human leukocyte antigen types A1 and A24 was associated with an increased risk of PTLD, whereas the recipient human leukocyte antigen type DR11 was associated with a decreased risk.

conclusionsOur study indicates that PTLD is a relatively rare complication among adult LTRs. We identified clinical characteristics that are associated with an increased risk of PTLD.

Indexed as

Postoperative ComplicationsRegistriesTransplant RecipientsFemaleFollow-Up StudiesGlobal HealthHumansIncidenceLung TransplantationLymphoproliferative DisordersMaleMiddle AgedRetrospective StudiesRisk FactorsTime FactorsageEpstein-Barr virusinductionlung transplantmalignancyPTLD

Identifiers

PMID32654913
PMCPMC7530100
OpenAlexW3036432906

What OpenQuestion holds

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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.