Evidence map›Paper›PMID 33426393›Full record

ArticleKidney international reports2021

Patient-Reported Gastrointestinal Symptoms and the Association With Quality of Life Following Kidney Transplantation.

Samuel Chan, Christopher Cao, Elaine M Pascoe, David W Johnson, Ayesha Shah, Gerald A Holtmann, Scott B Campbell, Ross S Francis, Nicole M Isbel, Carmel M Hawley

Open access · goldAbstract read
In one paragraph

Article in Kidney international reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Post-transplant diarrhea in pediatric kidney transplant recipients.Pediatric nephrology (Berlin, Germany) · 2025
    Review
  6. Review
  7. Article
  8. Observational
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Patient-Reported Outcomes as Endpoints in Clinical Trials of Kidney Transplantation Interventions.Transplant international : official journal of the European Society for Organ Transplantation · 2022
    Article
  16. Observational
  17. 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 4 institutions in 1 country.

Samuel ChanDepartment of Nephrology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
Christopher CaoDepartment of Nephrology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
Elaine M PascoeAustralasian Kidney Trials Network, The University of Queensland, Brisbane, Queensland, Australia.
David W JohnsonDepartment of Nephrology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
Ayesha ShahTranslational Research Institute, Brisbane, Queensland, Australia.
Gerald A HoltmannTranslational Research Institute, Brisbane, Queensland, Australia.
Scott B CampbellDepartment of Nephrology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
Ross S FrancisDepartment of Nephrology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
Nicole M IsbelDepartment of Nephrology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
Carmel M HawleyDepartment of Nephrology, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
Princess Alexandra Hospital · AUThe University of Queensland · AUTranslational Research Institute · AUKidney Health Australia · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere has been limited study of the prevalence of gastrointestinal symptoms and their impact on the quality of life (QOL) in kidney transplant recipients. The aim of this study was to examine the prevalence and predictors of gastrointestinal symptoms and the association with QOL in kidney transplant recipients.

methodsAll chronic kidney transplant recipients at the Princess Alexandra Hospital were provided with 3 questionnaires, the Gastrointestinal Quality of Life Index (GIQLI), the Gastrointestinal Symptoms Rating Scale (GSRS), and Structured Assessment of Gastrointestinal Symptoms (SAGIS) scale, to ascertain QOL impairment and to screen gastrointestinal symptom severity. Linear regression was used to determine the predictors of gastrointestinal QOL and gastrointestinal symptom severity.

resultsOf the 343 participants, the median age was 47 (interquartile range [IQR] 36-55) years, 58% were men, 79% were white, 39% had chronic glomerulonephritis, 83% had received their first graft, and median time since transplant was 6.3 (IQR 1.8-13.1) years. Using GSRS, 88% of participants reported at least 1 gastrointestinal symptom, most commonly indigestion (57%) and diarrhea (54%). Using GIQLI, 42% and 38% of participants reported mild and moderate QOL impairment, respectively. Gastrointestinal symptoms were predicted by female sex (coefficient -0.11, 95% CI -0.21 to -0.02) and mycophenolate (coefficient 0.0001, 95% CI 0.0001 to 0.0002), and were associated with poorer QOL (coefficient -0.38, 95% CI -0.45 to -0.30). Similar findings were observed using SAGIS for gastrointestinal symptoms.

conclusionsGastrointestinal symptoms are frequent in kidney transplant recipients, particularly in women and those receiving mycophenolate, and are strongly associated with poorer QOL.

Indexed as

gastrointestinal diseasegastrointestinal symptomsimmunosuppressive agentskidney failurekidney transplantationpatient-reported outcomespostoperative complicationsquality of lifesurveys and questionnairestransplant recipients

Identifiers

PMID33426393
PMCPMC7783552
OpenAlexW3093936280

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.