ArticleThe Annals of thoracic surgery2021
Impact of Nighttime Lung Transplantation on Outcomes and Costs.
Article in The Annals of thoracic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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.
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.
Who cites it
20 citing papers in PubMed.
- Extended static preservation of donor lungs at 10°C and early post-transplant outcomes: Experience from a center in the US.JHLT open · 2026Article
- Outcomes of lung transplantation surgery performed at night.JTCVS open · 2026Article
- Optimizing Lung Transplant Logistics Using Controlled Hypothermic Preservation to Extend Ischemic Time.Transplantation direct · 2026Article
- Article
- Safety and early outcomes of nighttime lung transplantation with a surgical multidisciplinary team in a low-volume center.Journal of thoracic disease · 2025Article
- One-year clinical outcomes of an observational study of static lung preservation at 10° centigrade and semi-elective lung transplantation.JHLT open · 2025Article
- Venous thromboembolism following lung transplantation.World journal of transplantation · 2025Review
- Effects of Nighttime Procurement and Transplantation on Outcomes Following Heart Transplantation.Clinical transplantation · 2025Article
- Circadian immune system in solid organ transplantation: a review article.Frontiers in immunology · 2025Review
- Should we wait until the morning?JTCVS open · 2024Article
- The Specialized Donor Care Facility Model Improves Operating Room Efficiency.Annals of thoracic surgery short reports · 2024Article
- Is timing everything? Examining operative time in lung transplants from 2006 to 2023.JHLT open · 2024Article
- Surgeon-dependent histopathological variations in minor alloantigen-mismatched mouse lung transplantation.JHLT open · 2024Article
- Circadian rhythms in solid organ transplantation.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2024Review
- Controlled Hypothermic Storage for Lung Preservation: Leaving the Ice Age Behind.Transplant international : official journal of the European Society for Organ Transplantation · 2024Review
- The Advent of Semi-Elective Lung Transplantation-Prolonged Static Cold Storage at 10°C.Transplant international : official journal of the European Society for Organ Transplantation · 2024Review
- Lung transplantation following controlled hypothermic storage with a portable lung preservation device: first multicenter European experience.Frontiers in cardiovascular medicine · 2024Article
- Article
- Bleeding and thrombotic complications associated with anticoagulation prior to lung transplantation: a case series.Journal of thoracic disease · 2022Article
- Donor management using a specialized donor care facility is associated with higher organ utilization from drug overdose donors.Clinical transplantation · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
18 authors.
Funding
Abstract
backgroundPrevious studies in the field of organ transplantation have shown a possible association between nighttime surgery and adverse outcomes. We aim to determine the impact of nighttime lung transplantation on postoperative outcomes, long-term survival, and overall cost.
methodsWe performed a single-center retrospective cohort analysis of adult lung transplant recipients who underwent transplantation between January 2006 and December 2017. Data were extracted from our institutional Lung Transplant Registry and Mid-America Transplant services database. Patients were classified into 2 strata, daytime (5 AM to 6 PM) and nighttime (6 PM to 5 AM), based on time of incision. Major postoperative adverse events, 5-year overall survival, and 5-year bronchiolitis obliterans syndrome-free survival were examined after propensity score matching. Additionally we compared overall cost of transplantation between nighttime and daytime groups.
resultsOf the 740 patients included in this study, 549 (74.2%) underwent daytime transplantation and 191 (25.8%) underwent nighttime transplantation (NT). Propensity score matching yielded 187 matched pairs. NT was associated with a higher risk of having any major postoperative adverse event (adjusted odds ratio, 1.731; 95% confidence interval, 1.093-2.741; P = .019), decreased 5-year overall survival (adjusted hazard ratio, 1.798; 95% confidence interval, 1.079-2.995; P = .024), and decreased 5-year bronchiolitis obliterans syndrome-free survival (adjusted hazard ratio, 1.556; 95% confidence interval, 1.098-2.205; P = .013) in doubly robust multivariable analyses after propensity score matching. Overall cost for NT and daytime transplantation was similar.
conclusionsNT was associated with a higher risk of major postoperative adverse events, decreased 5-year overall survival, and decreased 5-year bronchiolitis obliterans syndrome-free survival. Our findings suggest potential benefits of delaying NT to daytime transplantation.
Indexed as
Identifiers
What OpenQuestion holds
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.