Evidence map›Paper›PMID 34307983›Full record

ArticleKidney international reports2021

Recurrence and Outcome of Anti-Glomerular Basement Membrane Glomerulonephritis After Kidney Transplantation.

Sophie Coche, Ben Sprangers, Steven Van Laecke, Laurent Weekers, Vicky De Meyer, Rachel Hellemans, Diego Castanares, Heleen Ameye, Eric Goffin, Nathalie Demoulin and 6 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 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

12 citing papers in PubMed, 23 citations in OpenAlex.

  1. Clinical transplantation and research · 2026
    Article
  2. Review
  3. Anti-glomerular basement membrane disease-treatment standard.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Epidemiology, Impact, and Management Strategies of Anti-Glomerular Basement Membrane Disease.International journal of nephrology and renovascular disease · 2022
    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

16 authors at 8 institutions in 1 country.

Sophie CocheDivision of Nephrology, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Ben SprangersDivision of Nephrology, Katholieke Universiteit Leuven, Leuven, Belgium.
Steven Van LaeckeRenal Division, Ghent University Hospital, Ghent, Belgium.
Laurent WeekersDivision of Nephrology, Centre Hospitalier Universitaire Sart-Tilman, Liège, Belgium.
Vicky De MeyerDivision of Nephrology, Vrije Universiteit Brussel, Brussels, Belgium.
Rachel HellemansDivision of Nephrology, Universitair Ziekenhuis Antwerpen, Antwerpen, Belgium.
Diego CastanaresInstitut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, Brussels, Belgium.
Heleen AmeyeDivision of Nephrology, Katholieke Universiteit Leuven, Leuven, Belgium.
Eric GoffinDivision of Nephrology, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Nathalie DemoulinDivision of Nephrology, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Valentine GillionDivision of Nephrology, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Michel MouradInstitut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, Brussels, Belgium.
Tom DariusInstitut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, Brussels, Belgium.
Antoine BuemiInstitut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, Brussels, Belgium.
Arnaud DevresseDivision of Nephrology, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Nada KanaanDivision of Nephrology, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Cliniques Universitaires Saint-Luc · BEAntwerp University Hospital · BECentre Hospitalier Universitaire de Liège · BEGhent University Hospital · BEKU Leuven · BERega Institute for Medical Research · BEUCLouvain · BEVrije Universiteit Brussel · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRecurrence of anti-glomerular basement membrane (anti-GBM) glomerulonephritis in the kidney graft is a rare event, described in limited reports. The aim of this study was to evaluate, in a large cohort of patients with long follow-up, the risk of recurrence of anti-GBM disease, the risk factors associated with clinical recurrence, and the long-term patient and graft survival.

methodsThis was a multicenter retrospective study. Inclusion criteria were patients with anti-GBM glomerulonephritis who underwent transplantation of a kidney between 1977 and 2015. Exclusion criteria were systemic vasculitis, lupus erythematosus, and cryoglobulinemia. Recurrence was defined as reappearance of clinical signs of glomerulonephritis along with histological signs of proliferative glomerulonephritis and linear IgG staining on kidney biopsy, with or without anti-GBM antibodies.

resultsA total of 53 patients were included. Recurrence of anti-GBM glomerulonephritis in a first kidney transplant occurred in only 1 patient 5 years after transplantation (a prevalence rate of 1.9%) in the context of cessation of immunosuppressive drugs, and resulted in graft loss due to recurrence. Linear IgG staining on kidney biopsy in the absence of histological signs of proliferative glomerulonephritis was observed in 4 patients, in the context of cellular rejection. Patient survival was 100%, 94%, and 89% at 5, 10, and 15 years, respectively. Death-censored first-graft survival rates were 88%, 83%, and 79% at 5, 10, and 15 years, respectively.

conclusionThe recurrence rate of anti-GBM glomerulonephritis after transplantation is very low but is associated with graft loss. The long-term patient and graft survival rates are excellent.

Indexed as

anti-glomerular basement membrane glomerulonephritisrecurrencerenal transplantationsurvival

Identifiers

PMID34307983
PMCPMC8258451
OpenAlexW3159616957

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.