Evidence map›Paper›PMID 33912749›Full record

ArticleKidney international reports2021

Low-Dose Antithymocyte Globulin Has No Disadvantages to Standard Higher Dose in Pediatric Kidney Transplant Recipients: Report From the Pediatric Nephrology Research Consortium.

Isa F Ashoor, Robbie A Beyl, Charu Gupta, Amrish Jain, Stefan G Kiessling, Asha Moudgil, Hiren P Patel, Joseph Sherbotie, Donald J Weaver, Rima S Zahr and 1 more

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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 23% 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

5 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Incidence ofTransplant international : official journal of the European Society for Organ Transplantation · 2024
    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

11 authors at 10 institutions in 1 country.

Isa F AshoorDivision of Nephrology, Department of Pediatrics, LSU Health New Orleans, New Orleans, Louisiana, USA.
Robbie A BeylPennington Biomedical Research Center, Baton Rouge, Louisiana, USA.
Charu GuptaChildren's National Hospital, Washington, DC, USA.
Amrish JainDepartment of Pediatrics, Wayne State University, Detroit, Michigan, USA.
Stefan G KiesslingDepartment of Pediatrics, University of Kentucky, Lexington, Kentucky, USA.
Asha MoudgilChildren's National Hospital, Washington, DC, USA.
Hiren P PatelNationwide Children's Hospital, Columbus, Ohio, USA.
Joseph SherbotieDepartment of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah, USA.
Donald J WeaverAtrium Health Levine Children's, Charlotte, North Carolina, USA.
Rima S ZahrDepartment of Pediatrics, University of Tennessee Health Science Center, Memphis, Tennessee, USA.
Vikas R DharnidharkaDivision of Pediatric Nephrology, Hypertension and Pheresis, Washington University and St. Louis Children's Hospital, St. Louis, Missouri, USA.
Children's National · USLevine Children's Hospital · USLouisiana State University Health Sciences Center New Orleans · USNationwide Children's Hospital · USPennington Biomedical Research Center · USSt. Louis Children's Hospital · USUniversity of Kentucky · USUniversity of Tennessee Health Science Center · USUniversity of Utah · USWayne State University · US

Funding

Tracking & Evaluation CoreU54GM104940 · NIGMS · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI AUGUSTO C. OCHOA · 2012 to 2026
$69.1M
Choosing Immune Suppression in Renal Transplantation by Efficacy and MorbidityR01DK102981 · NIDDK · WASHINGTON UNIVERSITY · PI DHARNIDHARKA, VIKAS R. · 2014 to 2018
$1.9M
NIDDK NIH HHS R01 DK102981NIGMS NIH HHS U54 GM104940
6 · The paper itself

Abstract

introductionRabbit antithymocyte globulin (rATG) dosing strategies for induction in pediatric kidney transplantation vary between centers. It is not known whether a lower rATG induction dose provides safe and effective immunosuppression compared with a "standard" higher dose.

methodsWe performed a retrospective multicenter study of all isolated first-time kidney transplant recipients <21 years old who received rATG induction between 1 January 2010 and 31 December 2014 at 9 pediatric centers. An

resultsTwo hundred thirty-five patients were included. Baseline features of the low and standard rATG dose groups were similar. By 12 months, the rATG dose group had no significant impact on the occurrence of neutropenia, positive DSA, or viral polymerase chain reaction (PCR). Graft function was similar. Acute rejection rates were similar at 17% (low dose) versus 19% (standard dose) (

conclusionA low rATG induction dose ≤ 4.5 mg/kg provided safe and effective outcomes in this multicenter low immunologic risk pediatric cohort. Prospective studies are warranted to define the optimal rATG induction dose in pediatric kidney transplantation.

Indexed as

induction immunosuppressionkidney transplantationpediatricrabbit antithymocyte globulin

Identifiers

PMID33912749
PMCPMC8071617
OpenAlexW3122902103

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.