Evidence map›Paper›PMID 34411366›Full record

ArticleTransplant international : official journal of the European Society for Organ Transplantation2021

Extraperitoneal kidney transplantation: a comparison between children weighting ≤15 kg and >15 kg. Experience of a single institution.

Filippo Ghidini, Federica De Corti, Francesco Fascetti Leon, Enrico Vidal, Alessandra Rancan, Mattia Parolin, Nicola Zadra, Maurizia Grazzini, Luca Maria Antoniello, Alba Ganarin and 7 more

Abstract read
In one paragraph

Article in Transplant international : official journal of the European Society for Organ Transplantation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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. [Kidney transplantation in low-age, low-weight children: A report of two cases].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2025
    Article
  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

17 authors.

Filippo GhidiniPediatric Urology, Department of Women's and Children's Health, University of Padua, Padua, Italy.ORCID https://orcid.org/0000-0003-1050-642X
Federica De CortiPediatric Surgery, Department of Women's and Children's Health, University of Padua, Padua, Italy.
Francesco Fascetti LeonPediatric Surgery, Department of Women's and Children's Health, University of Padua, Padua, Italy.
Enrico VidalDepartment of Medical and Biological Sciences, University of Udine, Udine, Italy.
Alessandra RancanPediatric Surgery, Department of Women's and Children's Health, University of Padua, Padua, Italy.
Mattia ParolinPediatric Nephrology, Department of Women's and Children's Health, University of Padua, Padua, Italy.
Nicola ZadraDepartment of Anesthesia and Intensive Care, Padua University Hospital, Padua, Italy.
Maurizia GrazziniDepartment of Anesthesia and Intensive Care, Padua University Hospital, Padua, Italy.
Luca Maria AntonielloPediatric Surgery, Department of Women's and Children's Health, University of Padua, Padua, Italy.
Alba GanarinPediatric Surgery, Department of Women's and Children's Health, University of Padua, Padua, Italy.
Sonia MaitaPediatric Surgery, Department of Women's and Children's Health, University of Padua, Padua, Italy.
Costanza TognonDepartment of Anesthesia and Intensive Care, Padua University Hospital, Padua, Italy.
Guendalina MognatoPediatric Surgery, Department of Women's and Children's Health, University of Padua, Padua, Italy.
Marco CastagnettiPediatric Urology, Department of Women's and Children's Health, University of Padua, Padua, Italy.
Elisa BenettiPediatric Nephrology, Department of Women's and Children's Health, University of Padua, Padua, Italy.
Piergiorgio GambaPediatric Surgery, Department of Women's and Children's Health, University of Padua, Padua, Italy.
Patrizia Dall'IgnaPediatric Surgery, Department of Emergencies and Organ Transplantation, University of Bari, Bari, Italy.

Funding

Universita degli Studi di Padova
6 · The paper itself

Abstract

Extraperitoneal approach is sometimes recommended for kidney transplantation (KT) in children weighting <15 kg. We hypothesized that this approach might be as successful as in patients with normal weight. Data of all consecutive KTs performed between 2013 and 2019 were retrospectively reviewed. Early outcomes and surgical complications were compared between children weighing ≤15 kg (low-weight (LW) group) and those weighing >15 kg (Normal-weight (NW) group). All the 108 KTs were performed through an extraperitoneal approach. The LW group included 31 patients (mean age 3.5 ± 1.4 years), whose mean weight was 11.1 ± 2.0 kg. In the LW group,-a primary graft nonfunction (PNGF) occurred in one patient (3.2%), surgical complications occurred in nine (29%), with four venous thrombosis. In the NW group, PNGF occurred in one case (1.3%), delayed graft function (DGF) in eight (10%), surgical complications in 11 (14%) with only one case of venous thrombosis. In both groups, no need for patch during wound closure and no wound dehiscence were reported. The extraperitoneal approach can be effectively used in LW children. No differences were observed in the overall complication rate (P = 0.10), except for the occurrence of venous thrombosis (P = 0.02). This might be related to patients' characteristics of the LW group.

Indexed as

Kidney TransplantationChildChild, PreschoolGraft SurvivalHumansPostoperative ComplicationsRetrospective Studiescomplicationsextraperitoneal approachkidney transplantationlow-weight children

Identifiers

PMID34411366
PMCPMC9292289

What OpenQuestion holds

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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.