Evidence map›Paper›PMID 34094521›Full record

ArticleClinical kidney journal2021

Less arterial stiffness in kidney transplant recipients than chronic kidney disease patients matched for renal function.

Lynda Cheddani, Jean Philippe Haymann, Sophie Liabeuf, Nahid Tabibzadeh, Jean-Jacques Boffa, Emmanuel Letavernier, Marie Essig, Tilman B Drüeke, Michel Delahousse, Ziad A Massy and 1 more

Open access · goldAbstract read
In one paragraph

Article in Clinical kidney journal, 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
0.9field-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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Blood-Brain Barrier Biomarkers before and after Kidney Transplantation.International journal of molecular sciences · 2023
    Article
  6. Article
  7. Article
  8. 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 5 institutions in 1 country.

Lynda CheddaniUniversité Paris Saclay (Paris Sud et Versailles Saint Quentin en Yvelines), INSERM U1018, Equipe 5, CESP (Centre de Recherche en Épidémiologie et Santé des Populations), France.
Jean Philippe HaymannService d'Explorations Fonctionnelles Multidisciplinaires, Assistance Publique-Hopitaux de Paris (APHP), Hôpital Tenon, Paris, France.
Sophie LiabeufService de Pharmacologie Clinique, Centre Hospitalo Universitaire Amiens, Amiens, France.ORCID 0000-0001-5384-9006
Nahid TabibzadehService d'Explorations Fonctionnelles Multidisciplinaires, Assistance Publique-Hopitaux de Paris (APHP), Hôpital Tenon, Paris, France.
Jean-Jacques BoffaSorbonne Université, INSERM, UMR_S 1155, APHP, Hôpital Tenon, Paris, France.
Emmanuel LetavernierService d'Explorations Fonctionnelles Multidisciplinaires, Assistance Publique-Hopitaux de Paris (APHP), Hôpital Tenon, Paris, France.
Marie EssigUniversité Paris Saclay (Paris Sud et Versailles Saint Quentin en Yvelines), INSERM U1018, Equipe 5, CESP (Centre de Recherche en Épidémiologie et Santé des Populations), France.ORCID 0000-0002-2030-5616
Tilman B DrüekeUniversité Paris Saclay (Paris Sud et Versailles Saint Quentin en Yvelines), INSERM U1018, Equipe 5, CESP (Centre de Recherche en Épidémiologie et Santé des Populations), France.
Michel DelahousseService de Néphrologie et Transplantation Rénale, Hôpital Foch, Suresnes, France.
Ziad A MassyUniversité Paris Saclay (Paris Sud et Versailles Saint Quentin en Yvelines), INSERM U1018, Equipe 5, CESP (Centre de Recherche en Épidémiologie et Santé des Populations), France.
NephroTest Study Group
Inserm · FRAssistance Publique – Hôpitaux de Paris · FRSorbonne Université · FRCentre Hospitalier Universitaire Amiens-Picardie · FRHôpital Foch · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic kidney disease is associated with a high cardiovascular risk. Compared with glomerular filtration rate-matched CKD patients (CKDps), we previously reported a 2.7-fold greater risk of global mortality among kidney transplant recipients (KTRs). We then examined aortic stiffness [evaluated by carotid-femoral pulse wave velocity (CF-PWV)] and cardiovascular risk in KTRs compared with CKDps with comparable measured glomerular filtration rate (mGFR).

methodsWe analysed CF-PWV in two cohorts: TransplanTest (KTRs) and NephroTest (CKDps). Propensity scores were calculated including six variables: mGFR, age, sex, mean blood pressure (MBP), body mass index (BMI) and heart rate. After propensity score matching, we included 137 KTRs and 226 CKDps. Descriptive data were completed by logistic regression for CF-PWV values higher than the median (>10.6 m/s).

resultsAt 12 months post-transplant, KTRs had significantly lower CF-PWV than CKDps (10.1 versus 11.0 m/s, P = 0.008) despite no difference at 3 months post-transplant (10.5 versus 11.0 m/s, P = 0.242). A lower occurrence of high arterial stiffness was noted among KTRs compared with CKDps (38.0% versus 57.1%, P < 0.001). It was especially associated with lower mGFR, older age, higher BMI, higher MBP, diabetes and higher serum parathyroid hormone levels. After adjustment, the odds ratio for the risk of high arterial stiffness in KTRs was 0.40 (95% confidence interval 0.23-0.68, P < 0.001).

conclusionsAortic stiffness was significantly less marked in KTRs 1 year post-transplant than in CKDps matched for GFR and other variables. This observation is compatible with the view that the pathogenesis of post-transplant cardiovascular disease differs, at least in part, from that of CKD

Indexed as

cardiovascular riskcarotid-femoral pulse wave velocity (CF-PWV)chronic kidney diseasekidney transplantation

Identifiers

PMID34094521
PMCPMC8173621
OpenAlexW3083702217

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.