Evidence map›Paper›PMID 32878689›Full record

ArticleAmerican journal of surgery2020

The use of thromboelastography to assess post-operative changes in coagulation and predict graft function in renal transplantation.

Carson B Walker, Hunter B Moore, Trevor L Nydam, Alexander C Schulick, Hillary Yaffe, James J Pomposelli, Michael Wachs, Thomas Bak, Kendra Conzen, Megan Adams and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in American journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-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, 9 citations in OpenAlex.

  1. Review
  2. Review
  3. Detection of Hemostasis Abnormalities in Type 2 Diabetes Mellitus Using Thromboelastography.Journal of the ASEAN Federation of Endocrine Societies · 2022
    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

15 authors at 1 institution in 1 country.

Carson B WalkerDepartment of Surgery, Division of Transplant Surgery, University of Colorado, USA.
Hunter B MooreDepartment of Surgery, Division of Transplant Surgery, University of Colorado, USA. Electronic address: hunter.moore@cuanschutz.edu.
Trevor L NydamDepartment of Surgery, Division of Transplant Surgery, University of Colorado, USA.
Alexander C SchulickDepartment of Surgery, Division of Transplant Surgery, University of Colorado, USA.
Hillary YaffeDepartment of Surgery, Division of Transplant Surgery, University of Colorado, USA.
James J PomposelliDepartment of Surgery, Division of Transplant Surgery, University of Colorado, USA.
Michael WachsDepartment of Surgery, Division of Transplant Surgery, University of Colorado, USA.
Thomas BakDepartment of Surgery, Division of Transplant Surgery, University of Colorado, USA.
Kendra ConzenDepartment of Surgery, Division of Transplant Surgery, University of Colorado, USA.
Megan AdamsDepartment of Surgery, Division of Transplant Surgery, University of Colorado, USA.
Thomas PshakDepartment of Surgery, Division of Transplant Surgery, University of Colorado, USA.
Rashikh ChoudhuryDepartment of Surgery, Division of Transplant Surgery, University of Colorado, USA.
Michael P ChapmanDepartment of Surgery, Division of Transplant Surgery, University of Colorado, USA.
Elizabeth A PomfretDepartment of Surgery, Division of Transplant Surgery, University of Colorado, USA.
Peter KennealeyDepartment of Surgery, Division of Transplant Surgery, University of Colorado, USA.
University of Colorado Boulder · US

Funding

Fibrinolysis Dysfunction Impact on Graft Function in Liver TransplantationR00HL151887 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI MOORE, HUNTER B · 2021 to 2023
$747k
Persistent Microvasculature Thrombosis Caused by Fibrinolysis Shutdown Driving Delayed Graft Function in Liver Transplant RecipientsK99HL151887 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI MOORE, HUNTER B · 2020 to 2021
$257k
NHLBI NIH HHS K99 HL151887NHLBI NIH HHS R00 HL151887
6 · The paper itself

Abstract

backgroundEnd stage renal disease (ESRD) is associated with elevated fibrinogen levels and fibrinolysis inhibition. However, there is a paucity of data on how renal transplantation impacts coagulation. we hypothesize that renal transplantation recipients with good functioning grafts will have improved fibrinolytic activity following surgery.

methodsKidney recipients were analyzed pre-operatively and on post-operative day 1(POD1) using three different TEG assays with and without two concentration of tissue-plasminogen activator (t-PA). TEG indices and percent reduction in creatinine from pre-op to POD1 were measured, with >50% defining "good" graft function. Follow up was done at 6, 12, and 24 months.

resultsPercent lysis(LY30) on POD1 the t-PA TEG was significantly correlated to change creatinine from pre-op to POD-1(p = 0.006). A LY30 ≥ 23% was associated with good early graft function, and lower creatinine at 24-months(p = 0.028) compared to recipients with low POD1 LY30.

conclusionsPost-operative tPA-TEG LY30 is associated with favorable early and late outcomes in kidney transplant.

Indexed as

Blood CoagulationKidney TransplantationThrombelastographyAdultFemaleHumansKidney Failure, ChronicKidney Function TestsMaleMiddle AgedPostoperative PeriodPredictive Value of TestsProspective StudiesTissue Plasminogen ActivatorTreatment OutcomeTissue Plasminogen ActivatorCoagulationFibrinolysisKidney transplantTEGThromboelastographyt-PA

Identifiers

PMID32878689
PMCPMC7450953
OpenAlexW3082709882

What OpenQuestion holds

Textmetadata
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.