Evidence map›Paper›PMID 34013102›Full record

ArticleKidney international reports2021

Outcomes of Hypertensive Kidney Donors Using Current and Past Hypertension Definitions.

Hassan N Ibrahim, Sean A Hebert, Dina N Murad, Horacio E Adrogue, Duc T Nguyen, Edward A Graviss, Hana Nguyen, Arthur Matas

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 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 18% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Evaluating Risk in Kidney Living Donors.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Review
  5. Review
  6. Long-Term Kidney and Maternal Outcomes After Pregnancy in Living Kidney Donors.Transplant international : official journal of the European Society for Organ Transplantation · 2023
    Article
  7. Intermediate Renal Outcomes, Kidney Failure, and Mortality in Obese Kidney Donors.Journal of the American Society of Nephrology : JASN · 2021
    Article
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Hassan N IbrahimDivision of Renal Diseases, Hypertension and Transplantation, Houston Methodist Hospital, Houston, Texas, USA.
Sean A HebertDivision of Renal Diseases, Hypertension and Transplantation, Houston Methodist Hospital, Houston, Texas, USA.
Dina N MuradDivision of Renal Diseases, Hypertension and Transplantation, Houston Methodist Hospital, Houston, Texas, USA.
Horacio E AdrogueDivision of Renal Diseases, Hypertension and Transplantation, Houston Methodist Hospital, Houston, Texas, USA.
Duc T NguyenDepartment of Pathology and Genomic Medicine, Institute for Academic Medicine, Houston Methodist Hospital, Houston, Texas, USA.
Edward A GravissDepartment of Pathology and Genomic Medicine, Institute for Academic Medicine, Houston Methodist Hospital, Houston, Texas, USA.
Hana NguyenDivision of Renal Diseases, Hypertension and Transplantation, Houston Methodist Hospital, Houston, Texas, USA.
Arthur MatasDepartment of Surgery, University of Minnesota, Minneapolis, Minnesota, USA.
Methodist Hospital · USMethodist Hospital · USUniversity of Minnesota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAs many as 50% of U.S. transplant centers do not accept kidney donor candidates with hypertension, citing the link between hypertension, kidney disease, and cardiovascular disease (CVD).

methodsWe ascertained mortality, CVD, proteinuria, estimated glomerular filtration rate (eGFR) trajectory, reduced eGFR, and end-stage kidney disease (ESKD) in 904 hypertensive donors (blood pressure [BP] ≥140/90 mm Hg or receiving treatment) versus 7817 donors with BP <140/90 mm Hg.

resultsHypertensive donors were older, 58.1% were <50 years of age, and they had a lower eGFR. The majority were white and related to their recipient. At the end of follow-up, 14.3 ± 10.1 years (range 4-48 years) from donation, hypertensive and nonhypertensive donors had a similar prevalence of cardiovascular disease and renal outcomes. The multivariable risk of mortality, CVD, and proteinuria were also comparable in normotensive and hypertensive donors. eGFR slope over time was similar in hypertensive and nonhypertensive donors, and in total 5 hypertensive and 39 normotensive donors developed ESKD 19.2 ± 10.3 years after donation (adjusted hazard ratio 1.14 [95% confidence interval 0.62-2.12],

conclusionsKidney donors with hypertension defined by past criteria do not appear to incur higher mortality, CVD, or ESKD. Donors with current definition of hypertension enjoyed similar renal outcomes but were more likely to develop CVD.

Indexed as

donorhypertensionkidney

Identifiers

PMID34013102
PMCPMC8116910
OpenAlexW3133886521

What OpenQuestion holds

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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.