Evidence map›Paper›PMID 34291154›Full record

ArticleTransplantation direct2021

HLA Antibody Incompatible Renal Transplantation: Long-term Outcomes Similar to Deceased Donor Transplantation.

Nithya Krishnan, Aisha Abimbola, Nandhini Machan, Sunil Daga, Kishore Gopalakrishnan, ForTai Lam, LamChin Tan, Habib Kashi, Christopher Imray, Daniel Zehnder and 5 more

Open access · goldAbstract read
In one paragraph

Article in Transplantation direct, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.1field-weighted citation impact, top 13% 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, 15 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Dynamic Behaviour of Donor Specific Antibodies in the Early Period Following HLA Incompatible Kidney Transplantation.Transplant international : official journal of the European Society for Organ Transplantation · 2022
    Article
  8. Review
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

15 authors at 2 institutions in 1 country.

Nithya KrishnanRenal Unit, University Hospitals Coventry and Warwickshire NHS Trust (UHCW), Coventry, United Kingdom.
Aisha AbimbolaCentre for Innovative Research Across the Life Course, Coventry University, Coventry, United Kingdom.
Nandhini MachanCentre for Innovative Research Across the Life Course, Coventry University, Coventry, United Kingdom.
Sunil DagaRenal Unit, St. James University Hospitals, Leeds, United Kingdom.
Kishore GopalakrishnanRenal Unit, University Hospitals Coventry and Warwickshire NHS Trust (UHCW), Coventry, United Kingdom.
ForTai LamRenal Unit, University Hospitals Coventry and Warwickshire NHS Trust (UHCW), Coventry, United Kingdom.
LamChin TanRenal Unit, University Hospitals Coventry and Warwickshire NHS Trust (UHCW), Coventry, United Kingdom.
Habib KashiRenal Unit, University Hospitals Coventry and Warwickshire NHS Trust (UHCW), Coventry, United Kingdom.
Christopher ImrayRenal Unit, University Hospitals Coventry and Warwickshire NHS Trust (UHCW), Coventry, United Kingdom.
Daniel ZehnderDepartment of Medicine, North Cumbria University Hospitals NHS Trust, Carlisle, United Kingdom.
Claire CollinsH&I Laboratory, NHS Blood and Transplant, Birmingham, United Kingdom.
Rebecca CurtisDepartment of Statistics, NHS Blood and Transplant, Bristol, United Kingdom.
Robert HigginsRenal Unit, University Hospitals Coventry and Warwickshire NHS Trust (UHCW), Coventry, United Kingdom.
Natasha KhovanovaSchool of Engineering, University of Warwick, Coventry, United Kingdom.
David BriggsH&I Laboratory, NHS Blood and Transplant, Birmingham, United Kingdom.
Coventry University · GBUniversity of Warwick · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHLA incompatible renal transplantation still remains one of best therapeutic options for a subgroup of patients who are highly sensitized and difficult to match but not much is known about its long-term graft and patient survival.

methodsOne hundred thirty-four HLA incompatible renal transplantation patients from 2003 to 2018 with a median follow of 6.93 y were analyzed retrospectively to estimate patient and graft survivals. Outcomes were compared with groups defined by baseline crossmatch status and the type and timings of rejection episodes.

resultsThe overall patient survival was 95%, 90%, and 81%; and graft survival was 95%, 85%, and 70% at 1, 5, and 10 y, respectively. This was similar to the first-time deceased donor transplant cohort. The graft survival for pretreatment cytotoxic-dependent crossmatch (CDC) positive crossmatch group was significantly low at 83%, 64%, and 40% at 1, 5, and 10 y, respectively, compared with other groups (Bead/CDC,

conclusionsOne-, 5-, and 10-y HLA incompatible graft and patient survival is comparable to deceased donor transplantation and can be further improved by excluding high-CDC titer cases. Antibody-positive female patients show worse long-term survival. Resolution of early rejection is associated with good long-term graft survival.

Identifiers

PMID34291154
PMCPMC8291351
OpenAlexW3186655160

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.