Evidence map›Paper›PMID 32908001›Full record

ArticleJournal of the American Society of Nephrology : JASN2020

Death after Kidney Transplantation: An Analysis by Era and Time Post-Transplant.

Tracey Ying, Bree Shi, Patrick J Kelly, Helen Pilmore, Philip A Clayton, Steven J Chadban

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Journal of the American Society of Nephrology : JASN, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 112 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
112citing papers in PubMed, 3 pooled it
16.2field-weighted citation impact, top 1% 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.

NCT06059664 phase2recruitingnot on this mapstarted 2024, after this paper: background citation

The EFfect of FinErenone in Kidney TransplantiOn Recipients: The EFFEKTOR Study

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2024 to 2027Enrolled100ConditionsKidney Transplant, ComplicationsArmsFinerenone Oral Tablet, Placebo
NCT07740928 nacompletednot on this mapstarted 2023, after this paper: background citation

6-Week Mediterranean Diet Intervention on Dietary Adherence, Body Composition, and Physical Function in Kidney Transplant Recipients: A Pilot Randomized Controlled Trial

TypeinterventionalSponsorUniversity Medical Centre LjubljanaRan2023 to 2024Enrolled23ConditionsKidney Transplant Donor, Diet HabitArmsMedDiet
3 · Its place in the literature

Who cites it

112 citing papers in PubMed, 3 syntheses or guidelines pooled it, 184 citations in OpenAlex.

  1. Pooled it
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  3. A European Renal Association (ERA) synopsis for nephrology practice of the 2023 European Society of Hypertension (ESH) Guidelines for the Management of Arterial Hypertension.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024
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  20. Update on Hepatitis E Virus Infection 2025: Insights From an International Symposium.Liver international : official journal of the International Association for the Study of the Liver · 2025
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52 more citing papers are in PubMed but not listed here.

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 2 institutions in 2 countries.

Tracey YingRenal Medicine, Kidney Centre, Royal Prince Alfred Hospital, Camperdown, Australia tracey.ying@sydney.edu.au.ORCID 0000-0002-4065-934X
Bree ShiRenal Medicine, Kidney Centre, Royal Prince Alfred Hospital, Camperdown, Australia tracey.ying@sydney.edu.au.
Patrick J KellySchool of Public Health, The University of Sydney, Sydney, Australia.
Helen PilmoreRenal Department, Auckland City Hospital, Auckland, New Zealand.
Philip A ClaytonRenal Medicine, Kidney Centre, Royal Prince Alfred Hospital, Camperdown, Australia.
Steven J ChadbanRenal Medicine, Kidney Centre, Royal Prince Alfred Hospital, Camperdown, Australia.
The University of Sydney · AUAuckland City Hospital · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMortality risk after kidney transplantation can vary significantly during the post-transplant course. A contemporary assessment of trends in all-cause and cause-specific mortality at different periods post-transplant is required to better inform patients, clinicians, researchers, and policy makers.

methodsWe included all first kidney-only transplant recipients from 1980 through 2018 from the Australia and New Zealand Dialysis and Transplant Registry. We compared adjusted death rates per 5-year intervals, using a piecewise exponential survival model, stratified by time post-transplant or time post-graft failure.

resultsOf 23,210 recipients, 4765 died with a functioning graft. Risk of death declined over successive eras, at all periods post-transplant. Reductions in early deaths were most marked; however, recipients ≥10 years post-transplant were 20% less likely to die in the current era compared with preceding eras (2015-2018 versus 2005-2009, adjusted hazard ratio, 0.80; 95% confidence interval, 0.69 to 0.90). In 2015-2018, cardiovascular disease was the most common cause of death, particularly in months 0-3 post-transplant (1.18 per 100 patient-years). Cancer deaths were rare early post-transplant, but frequent at later time points (0.93 per 100 patient-years ≥10 years post-transplant). Among 3657 patients with first graft loss, 2472 died and were not retransplanted. Death was common in the first year after graft failure, and the cause was most commonly cardiovascular (50%).

conclusionsReductions in death early and late post-transplant over the past 40 years represent a major achievement. Reductions in cause-specific mortality at all time points post-transplant are also apparent. However, relatively greater reductions in cardiovascular death have increased the prominence of late cancer deaths.

Indexed as

AdolescentAdultAgedAustraliaCause of DeathChildFemaleGraft SurvivalHumansKidney DiseasesKidney TransplantationMaleMiddle AgedNew ZealandRegistriesTime Factorscancercardiovascular diseaseepidemiology and outcomeskidney transplantationmortality

Identifiers

PMID32908001
PMCPMC7790214
OpenAlexW3084291565

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.