Evidence map›Paper›PMID 33314709›Full record

ArticleCancer medicine2021

Cumulative cancer incidence and mortality after kidney transplantation in Japan: A long-term multicenter cohort study.

Ryoichi Imamura, Shigeaki Nakazawa, Kazuaki Yamanaka, Yoichi Kakuta, Koichi Tsutahara, Ayumu Taniguchi, Masataka Kawamura, Taigo Kato, Toyofumi Abe, Motohide Uemura and 3 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Cancer medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

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  13. DoesClinical kidney journal · 2024
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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

13 authors at 3 institutions in 1 country.

Ryoichi ImamuraDepartment of Urology, Osaka University Graduate School of Medicine, Suita Osaka, Japan.ORCID 0000-0002-8782-9852
Shigeaki NakazawaDepartment of Urology, Osaka University Graduate School of Medicine, Suita Osaka, Japan.
Kazuaki YamanakaDepartment of Urology, Hyogo Prefectural Nishinomiya Hospital, Nishinomiya Hyogo, Japan.
Yoichi KakutaDepartment of Urology, Osaka General Medical Center, Osaka, Japan.
Koichi TsutaharaDepartment of Urology, Osaka General Medical Center, Osaka, Japan.
Ayumu TaniguchiDepartment of Urology, Osaka University Graduate School of Medicine, Suita Osaka, Japan.
Masataka KawamuraDepartment of Urology, Osaka University Graduate School of Medicine, Suita Osaka, Japan.
Taigo KatoDepartment of Urology, Osaka University Graduate School of Medicine, Suita Osaka, Japan.
Toyofumi AbeDepartment of Urology, Osaka University Graduate School of Medicine, Suita Osaka, Japan.
Motohide UemuraDepartment of Urology, Osaka University Graduate School of Medicine, Suita Osaka, Japan.
Tetsuya TakaoDepartment of Urology, Osaka General Medical Center, Osaka, Japan.
Hidefumi KishikawaDepartment of Urology, Hyogo Prefectural Nishinomiya Hospital, Nishinomiya Hyogo, Japan.
Norio NonomuraDepartment of Urology, Osaka University Graduate School of Medicine, Suita Osaka, Japan.
The University of Osaka · JPOsaka Prefectural Medical Center · JPHyogo Prefectural Nishinomiya Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Kidney transplantation is the most promising treatment to improve mortality and life quality in end-stage kidney disease; however, cancer remains a leading cause of death. Several factors including immunosuppressants might be associated with a gradual increase in cumulative cancer incidence after kidney transplantation. Risk factors for cancer and overall and cancer-specific survival were analyzed in 1973 kidney transplant recipients from three study institutions in Japan. The 5-, 10-, 20-, and 30-year overall and cancer-specific survival rates were 93.3%, 88.4%, 78.0%, and 63.6% and 99.4%, 98.0%, 95.3%, and 91.7%, respectively. The overall survival rate was significantly higher and the graft survival rate was significantly lower in recipients without cancer than in those with cancer. Older recipient age, longer dialysis duration before kidney transplantation, and history of transfusion were significant predictors of cancer. Dialysis duration before kidney transplantation was a prognostic factor of overall survival rate. Regarding cancer-specific survival rates, older recipient age and dialysis duration before kidney transplantation were prognostic factors of worse cancer-specific survival rates. The type of immunosuppressant was not associated with an increased cancer rate. Aggressiveness of immunosuppressant regimens or potent immunosuppressants might improve graft survival rate while inducing de novo cancer after kidney transplantation. Older age and longer dialysis duration before kidney transplantation were risk factors of cancer-specific survival rate.

Indexed as

AdultAge FactorsBlood TransfusionCohort StudiesFemaleGraft RejectionGraft SurvivalHumansImmunosuppressive AgentsIncidenceJapanKidney Failure, ChronicKidney TransplantationMaleMiddle AgedNeoplasmsImmunosuppressive Agentsaggressiveness of immunosuppressant regimensde novo cancerdialysis durationkidney transplantationpost-transplant lymphoproliferative disorders

Identifiers

PMID33314709
PMCPMC7982608
OpenAlexW3113083370

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LicenceCC BY
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Registered trials

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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.