Evidence map›Paper›PMID 34071904›Full record

ArticleJournal of clinical medicine2021

Tumor Recurrence and Graft Survival in Renal Transplant Recipients with a History of Pretransplant Malignancy: A Matched Pair Analysis.

Felix Becker, Anne-Sophie Mehdorn, Vasilios Getsopulos, Katharina Schütte-Nütgen, Stefan Reuter, Barbara Suwelack, Andreas Pascher, Jens G Brockmann, Ralf Bahde

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 47% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

9 authors at 2 institutions in 1 country.

Felix BeckerDepartment of General, Visceral and Transplant Surgery, University Hospital Münster, 48149 Münster, Germany.
Anne-Sophie MehdornDepartment of General, Visceral, Transplantation, Thoracic and Pediatric Surgery, University Hospital Schleswig-Holstein, Campus Kiel, 24105 Kiel, Germany.ORCID 0000-0003-4415-8371
Vasilios GetsopulosDepartment of General, Visceral and Transplant Surgery, University Hospital Münster, 48149 Münster, Germany.
Katharina Schütte-NütgenDivision of General Internal Medicine, Nephrology and Rheumatology, Department of Internal Medicine D, University Hospital Münster, 48149 Münster, Germany.
Stefan ReuterDivision of General Internal Medicine, Nephrology and Rheumatology, Department of Internal Medicine D, University Hospital Münster, 48149 Münster, Germany.ORCID 0000-0001-6345-6206
Barbara SuwelackDivision of General Internal Medicine, Nephrology and Rheumatology, Department of Internal Medicine D, University Hospital Münster, 48149 Münster, Germany.
Andreas PascherDepartment of General, Visceral and Transplant Surgery, University Hospital Münster, 48149 Münster, Germany.
Jens G BrockmannDepartment of General, Visceral and Transplant Surgery, University Hospital Münster, 48149 Münster, Germany.
Ralf BahdeDepartment of General, Visceral and Transplant Surgery, University Hospital Münster, 48149 Münster, Germany.
University Hospital Münster · DEUniversity Hospital Schleswig-Holstein · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Organ scarcity demands critical decision-making regarding eligible transplant candidates and graft allocation to ensure best benefit from renal transplantation (RTx). Among the controversial relative contraindications is a history of pretransplant malignancy (PTM). While oncological outcomes of PTM-RTx recipients are well described, data on graft-specific outcome are scarce. A retrospective double case control matched pair analysis (60 months follow-up) was carried out and RTx-recipients were stratified for history of PTM. First, PTM-RTx recipients were matched according to age, sex and duration of immunosuppressive therapy. Next, PTM-RTx recipients were matched 1:1 for age, sex and cause of end-stage renal disease. Five-year patient and graft survival as well as oncological outcomes were analyzed. A total of 65 PTM-RTx recipients were identified. Post-RTx recurrence rate was 5%, while 20% developed second de novo malignancy, comparable to 14% in the control group. PTM-RTx recipients had a noticeable lower five-year death-censored as well as overall graft survival and Cox proportional hazard modeling showed a correlation between PTM and inferior graft survival. Although underlying reasons remain not fully understood, this study is the first to show inferior graft survival in PTM-RTx recipients and advocates necessity to focus on more meticulous graft monitoring in PTM recipients in addition to heightened surveillance for cancer recurrence.

Indexed as

cancergraft survivalkidney transplantationoncological outcomewaiting time

Identifiers

PMID34071904
PMCPMC8199231
OpenAlexW3165152740

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.