Evidence map›Paper›PMID 33745214›Full record

ArticleClinical transplantation2021

Renal function outcomes and kidney biopsy features of living kidney donors with hypertension.

Massini A Merzkani, Aidan Mullan, Aleksandar Denic, Matthew D'Costa, Ryan Iverson, Walter Kremers, Mariam P Alexander, Stephen C Textor, Sandra J Taler, Mark D Stegall and 3 more

Open access · greenAbstract read
In one paragraph

Article in Clinical transplantation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Evaluation and Counseling of Living Kidney Donor Candidates.Journal of the American Society of Nephrology : JASN · 2026
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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.

Massini A MerzkaniDivision of Nephrology & Hypertension, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0003-3979-3418
Aidan MullanDivision of Biomedical Statistics & Informatics, Mayo Clinic, Rochester, MN, USA.
Aleksandar DenicDivision of Nephrology & Hypertension, Mayo Clinic, Rochester, MN, USA.
Matthew D'CostaDivision of Nephrology & Hypertension, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0001-8487-9806
Ryan IversonDivision of Biomedical Statistics & Informatics, Mayo Clinic, Rochester, MN, USA.
Walter KremersDivision of Biomedical Statistics & Informatics, Mayo Clinic, Rochester, MN, USA.
Mariam P AlexanderDepartment of Pathology, Mayo Clinic, Rochester, MN, USA.
Stephen C TextorDivision of Nephrology & Hypertension, Mayo Clinic, Rochester, MN, USA.
Sandra J TalerDivision of Nephrology & Hypertension, Mayo Clinic, Rochester, MN, USA.
Mark D StegallWilliam J. von Liebig Center for Transplantation and Clinical Regeneration, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-1392-0792
Joshua AugustineCleveland Clinic, Cleveland, OH, USA.
Naim IssaDivision of Nephrology & Hypertension, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0003-3165-5184
Andrew D RuleDivision of Nephrology & Hypertension, Mayo Clinic, Rochester, MN, USA.
Mayo Clinic · USCleveland Clinic · USMayo Clinic in Arizona · US

Funding

Mayo Clinic Center for Clinical and Translational Science (CCaTS UL1 Supplement - Dr. Timothy Curry)UL1TR002377 · NCATS · MAYO CLINIC ROCHESTER · PI VESNA D GAROVIC · 2017 to 2026
$78.4M
The macro- and micro- anatomy and pathology of the aging kidneyR01DK090358 · NIDDK · MAYO CLINIC ROCHESTER · PI ANDREW David RULE · 2011 to 2026
$9.9M
KIDNEY DISEASES RESEARCH TRAINING PROGRAMT32DK007013 · NIDDK · MAYO CLINIC ROCHESTER · PI LIESKE, JOHN C · 1986 to 2023
$3.7M
NCATS NIH HHS UL1 TR002377NIDDK NIH HHS R01 DK090358NIDDK NIH HHS T32 DK007013
6 · The paper itself

Abstract

backgroundThe medium- to long-term outcomes of living kidney donors with hypertension compared to normotensive donors are not well understood, especially with the recent changes in hypertension guidelines.

methodsWe studied a cohort of 950 living kidney donors using different definitions of hypertension based on either ≥140/90 or ≥130/80 mmHg thresholds and based on either office or ambulatory blood pressure readings. Microstructural features on kidney biopsy at the time of donation were compared using different definitions of hypertension.

resultsAfter adjusting for years of follow-up, age, sex, and baseline eGFR, hypertension (by any definition) did not significantly predict an eGFR < 45 ml/min/1.73 m

conclusionsIn programs that accept donors with controlled hypertension, various definitions of hypertension are associated with histological findings in the donated kidney, but none predict a clinically significant decline in kidney function 10 years after donation. These data support allowing healthy individuals with controlled hypertension to donate a kidney. However, donors with office hypertension (≥140/90 mmHg) and nondippers (regardless of hypertension status) are at greater long-term risk for proteinuria, and particularly for these donors, longer follow-up is warranted.

Indexed as

HypertensionKidney TransplantationBiopsyBlood Pressure Monitoring, AmbulatoryChild, PreschoolFollow-Up StudiesGlomerular Filtration RateHumansKidneyLiving DonorsNephrectomyarteriosclerosisglomerular filtration ratehypertensionimplantation biopsyliving kidney donationmedium- to long-term outcomesnephrosclerosisproteinuria

Identifiers

PMID33745214
PMCPMC8279018
OpenAlexW3138212153

What OpenQuestion holds

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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.