Evidence map›Paper›PMID 33253202›Full record

Observational studyPloS one2020

De-novo malignancies after kidney transplantation: A long-term observational study.

Felix A Fröhlich, Fabian Halleck, Lukas Lehner, Eva V Schrezenmeier, Marcel Naik, Danilo Schmidt, Dmytro Khadzhynov, Katharina Kast, Klemens Budde, Oliver Staeck

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.9field-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

12 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. DoesClinical kidney journal · 2024
    Article
  8. Article
  9. A single centre in-depth analysis of death with a functioning kidney graft and reasons for overall graft failure.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2023
    Article
  10. Article
  11. Review
  12. 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

10 authors at 1 institution in 1 country.

Felix A FröhlichDepartment of Nephrology and Medical Intensive Care, Charité Universitätsmedizin, Berlin, Germany.ORCID 0000-0001-6017-4481
Fabian HalleckDepartment of Nephrology and Medical Intensive Care, Charité Universitätsmedizin, Berlin, Germany.
Lukas LehnerDepartment of Nephrology and Medical Intensive Care, Charité Universitätsmedizin, Berlin, Germany.
Eva V SchrezenmeierDepartment of Nephrology and Medical Intensive Care, Charité Universitätsmedizin, Berlin, Germany.
Marcel NaikDepartment of Nephrology and Medical Intensive Care, Charité Universitätsmedizin, Berlin, Germany.
Danilo SchmidtDepartment of Nephrology and Medical Intensive Care, Charité Universitätsmedizin, Berlin, Germany.
Dmytro KhadzhynovDepartment of Nephrology and Medical Intensive Care, Charité Universitätsmedizin, Berlin, Germany.
Katharina KastDepartment of Nephrology and Medical Intensive Care, Charité Universitätsmedizin, Berlin, Germany.
Klemens BuddeDepartment of Nephrology and Medical Intensive Care, Charité Universitätsmedizin, Berlin, Germany.
Oliver StaeckDepartment of Nephrology and Medical Intensive Care, Charité Universitätsmedizin, Berlin, Germany.
Charité - Universitätsmedizin Berlin · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDe-novo malignancies after kidney transplantation represent one major cause for mortality after transplantation. However, most of the studies are limited due to small sample size, short follow-up or lack of information about cancer specific mortality.

methodsThis long-term retrospective analysis included all adult patients with complete follow-up that underwent kidney transplantation between 1995 and 2016 at our centre. All patients with diagnosis of malignancy excluding non-melanoma skin cancer (NMSC) were identified and a matched control group was assigned to the kidney transplant recipients with post-transplant malignancies.

results1417 patients matched the inclusion criteria. 179 malignancies posttransplant were diagnosed in 154 patients (n = 21 with two, n = 2 patients with three different malignancies). Mean age at cancer diagnosis was 60.3±13.3 years. Overall incidence of de-novo malignancies except NMSC was 1% per year posttransplant. Renal cell carcinoma was the most common entity (n = 49, incidence 4.20 per 1000 patient years; cancer specific mortality 12%), followed by cancer of the gastro-intestinal tract (n = 30, 2.57; 50%), urinary system (n = 24, 2.06; 13%), respiratory system (n = 18, 1.54; 89%), female reproductive system (n = 15, 1.29; 13%), posttransplant lymphoproliferative disorders and haematological tumours (n = 14, 1.20; 21%), cancers of unknown primary (n = 7, 0.60 100%) and others (n = 22, 1.89; 27%). Male sex, re-transplantation and time on dialysis were associated with de-novo malignancies after transplantation.

conclusionDe-novo malignancies continue to be a serious problem after kidney transplantation. To improve long-term outcome after Kidney transplantation, prevention and cancer screening should be more tailored and intensified.

Indexed as

AdultAgedCarcinoma, Renal CellFemaleHumansImmunosuppressive AgentsKidney TransplantationLiver TransplantationLongitudinal StudiesLymphoproliferative DisordersMaleMiddle AgedNeoplasmsRetrospective StudiesImmunosuppressive Agents

Identifiers

PMID33253202
PMCPMC7703884
OpenAlexW3106821179

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.