Evidence map›Paper›PMID 34494348›Full record

ArticlePediatric transplantation2022

Characteristics, risk factors, and outcomes of neutropenia after liver or kidney transplantation in children.

Chaowapong Jarasvaraparn, Shelley Choudhury, Courtney Rusch, Michelle Nadler, Kim H H Liss, Janis Stoll, Stanley Hmiel, Adeel Khan, Maria Doyle, Sakil Kulkarni

Open access · greenAbstract readComparative Study
In one paragraph

Article in Pediatric transplantation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 34% 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

1 citing paper in PubMed, 7 citations in OpenAlex.

  1. 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

10 authors at 1 institution in 1 country.

Chaowapong JarasvaraparnDivision of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Washington University School of Medicine, St. Louis, MO, USA.ORCID https://orcid.org/0000-0001-8076-9378
Shelley ChoudhuryDepartment of Pediatrics, Washington University School of Medicine, St. Louis, MO, USA.
Courtney RuschDepartment of Pediatrics, Washington University School of Medicine, St. Louis, MO, USA.
Michelle NadlerDepartment of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Kim H H LissDivision of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Washington University School of Medicine, St. Louis, MO, USA.
Janis StollDivision of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Washington University School of Medicine, St. Louis, MO, USA.
Stanley HmielDivision of Nephrology, Department of Pediatrics, Washington University School of Medicine, St. Louis, MO, USA.
Adeel KhanDepartment of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Maria DoyleDepartment of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Sakil KulkarniDivision of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Washington University School of Medicine, St. Louis, MO, USA.ORCID https://orcid.org/0000-0002-7807-9180
Washington University in St. Louis · US

Funding

Child Health Research CenterK12HD076224 · NICHD · WASHINGTON UNIVERSITY · PI MARK E. LOWE · 2013 to 2026
$6.2M
NICHD NIH HHS K12 HD076224
6 · The paper itself

Abstract

backgroundWhile prior adult studies have shown that approximately 20%-38% of subjects undergoing solid-organ transplant develop neutropenia, similar analyses in pediatric subjects are scarce.

methodsWe conducted a retrospective chart review of liver transplant (LT) and kidney transplant (KT) recipients at our center during the period 2008-2018. All of the KT and none of the LT subjects during this time period had induction with either anti-thymocyte globulin (ATG) or basiliximab at time of transplant. Neutropenia was defined as absolute neutrophil count (ANC) value ≤1000/mm

resultsOne hundred subjects with LT and 82 subjects with KT were included. The incidence of neutropenia within the first year of transplant in KT was higher compared to LT (54.8% vs 39%, p = .01). The median number of hospitalizations (p = .001) and infectious complications (p = .04) was significantly higher only in the KT subjects who developed neutropenia (compared to those who did not). Multivariate analysis identified factors associated with severity of liver disease at transplant, namely h/o upper gastrointestinal bleeding (p = .02), weight deficit (p = .01), and pre-LT ANC (p = .01), along with high or moderate risk cytomegalovirus status (p = .05) as predictors of neutropenia in LT subjects. Female gender (p = .03) predicted neutropenia, while BK virus infection was protective for neutropenia (p = .04) in KT subjects.

conclusionsThe incidence of and morbidity associated with neutropenia within 1 year post-transplant is higher in KT subjects compared to LT subjects. The likely reason for this is the use of induction therapy (ATG, basiliximab) at the time of transplant in KT subjects.

Indexed as

Kidney TransplantationLiver TransplantationNeutropeniaPostoperative ComplicationsAdolescentChildChild, PreschoolFemaleFollow-Up StudiesHumansIncidenceInfantLogistic ModelsMaleRetrospective StudiesRisk Factorsinfectionkidney transplantationliver transplantationneutropeniaoutcomepediatric

Identifiers

PMID34494348
PMCPMC10591294
OpenAlexW3196714770

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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.