Evidence map›Paper›PMID 33091057›Full record

ArticlePloS one2020

Induction therapy in kidney transplant recipients: Description of the practices according to the calendar period from the French multicentric DIVAT cohort.

Julie Boucquemont, Yohann Foucher, Christophe Masset, Christophe Legendre, Anne Scemla, Fanny Buron, Emmanuel Morelon, Valérie Garrigue, Vincent Pernin, Laetitia Albano and 6 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.7field-weighted citation impact, top 16% 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, 16 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Article
  6. Review
  7. Very Low Dose Anti-Thymocyte Globulins Versus Basiliximab in Non-Immunized Kidney Transplant Recipients.Transplant international : official journal of the European Society for Organ Transplantation · 2023
    Article
  8. Article
  9. Specificities of Meningitis and Meningo-Encephalitis After Kidney Transplantation: A French Retrospective Cohort Study.Transplant international : official journal of the European Society for Organ Transplantation · 2023
    Article
  10. Article
  11. 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

16 authors at 6 institutions in 1 country.

Julie BoucquemontINSERM UMR 1246-SPHERE, Nantes University, Tours University, Nantes, France.ORCID 0000-0001-5874-8845
Yohann FoucherINSERM UMR 1246-SPHERE, Nantes University, Tours University, Nantes, France.ORCID 0000-0003-0330-7457
Christophe MassetCentre Hospitalier Universitaire de Nantes, Nantes, France.
Christophe LegendreKidney Transplant Center, Necker University Hospital, APHP, RTRS « Centaure », Paris Descartes and Sorbonne Paris Cité Universities, Paris, France.
Anne ScemlaKidney Transplant Center, Necker University Hospital, APHP, RTRS « Centaure », Paris Descartes and Sorbonne Paris Cité Universities, Paris, France.
Fanny BuronNephrology, Transplantation and Clinical Immunology Department, RTRS « Centaure », Edouard Herriot University Hospital, Hospices Civils, Lyon, France.
Emmanuel MorelonNephrology, Transplantation and Clinical Immunology Department, RTRS « Centaure », Edouard Herriot University Hospital, Hospices Civils, Lyon, France.
Valérie GarrigueNephrology, Dialysis and Transplantation Department, Lapeyronie University Hospital, Montpellier, France.
Vincent PerninNephrology, Dialysis and Transplantation Department, Lapeyronie University Hospital, Montpellier, France.
Laetitia AlbanoDepartment of Nephrology and Renal Transplantation, Hospital Pasteur, Nice, France.
Antoine SicardDepartment of Nephrology and Renal Transplantation, Hospital Pasteur, Nice, France.
Sophie GirerdRenal Transplantation Department, Brabois University Hospital, Nancy, France.
Marc LadrièreRenal Transplantation Department, Brabois University Hospital, Nancy, France.
Magali GiralCentre Hospitalier Universitaire de Nantes, Nantes, France.
Jacques DantalCentre Hospitalier Universitaire de Nantes, Nantes, France.
DIVAT consortium
Inserm · FRCentre Hospitalier Régional et Universitaire de Nancy · FRDélégation Paris 5 · FRHôpital Pasteur · FRHospices Civils de Lyon · FRUniversité de Tours · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is extensive literature with comparisons between Anti-Thymocyte Globulin (ATG) and Basiliximab (BSX) as induction therapy in kidney transplant recipients. The purpose of our benchmarking study was to describe the consequences in terms of practices in 6 transplantation centers of a French prospective cohort.

methodsWe included adult patients who received a first or second kidney graft between 2013 and 2019 (n = 4157). We used logistic regressions to identify characteristics associated with the use of ATG or BSX.

resultsUse of ATG between the centers ranged from 41% to 75%. We observed different factors associated with the treatment decision. Compared to a first transplant, performing a second graft was the only factor significantly associated with the choice of ATG in all centers. The AUC ranged from 0.67 to 0.91, indicating that the centers seemed to define their own rules. As a result, for patients with the same low immunological risk, the probability of receiving ATG varied from 7% to 36%. We stratified the analyses according to two periods, from 2013 to 2015 and from 2016 to 2019. A similar heterogeneity was observed, and in some cases ATG indications between the centers were inverted.

conclusionsThe heterogeneity of induction therapy practices did not decrease in France, even if the reated literature is prolific. This illustrates the necessity to improve the literature by using meta-analyses of recent studies stratified by graft and patient profiles.

Indexed as

Antibodies, MonoclonalAntilymphocyte SerumBasiliximabFemaleFranceGraft RejectionGraft SurvivalHumansImmunosuppressive AgentsKidney TransplantationMaleMiddle AgedProspective StudiesTreatment OutcomeAntibodies, MonoclonalAntilymphocyte SerumBasiliximabImmunosuppressive Agents

Identifiers

PMID33091057
PMCPMC7580969
OpenAlexW3093730995

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.