Evidence map›Paper›PMID 35028810›Full record

ArticleInternational urology and nephrology2022

Low muscle mass and early hospital readmission post-kidney transplantation.

Limy Wong, Annette B Kent, Darren Lee, Matthew A Roberts, Lawrence P McMahon

Abstract read
PubMed Publisher
In one paragraph

Article in International urology and nephrology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. 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

5 authors at 1 institution in 1 country.

Limy WongDepartment of Renal Medicine, Eastern Health, Box Hill, VIC, 3128, Australia. limywong@gmail.com.ORCID http://orcid.org/0000-0003-0604-0380
Annette B KentDepartment of Renal Medicine, Monash University Eastern Health Clinical School, Level 2, 5 Arnold Street, Box Hill, VIC, 3128, Australia.
Darren LeeDepartment of Renal Medicine, Eastern Health, Box Hill, VIC, 3128, Australia.
Matthew A RobertsDepartment of Renal Medicine, Eastern Health, Box Hill, VIC, 3128, Australia.
Lawrence P McMahonDepartment of Renal Medicine, Eastern Health, Box Hill, VIC, 3128, Australia.
Eastern Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePatients exhibiting features of frailty and sarcopenia increasingly are presenting for kidney transplantation (KT) assessment. Sarcopenia, when ascertained by radiological measures, is associated with a higher transplant waiting list mortality; but studies on post-operative outcomes are lacking. We aimed to determine the clinical significance of low muscle mass in chronic kidney disease (CKD) patients subsequently receiving KT.

methodsWe retrospectively analyzed 63 patients with Stage 4-5 CKD who, between 2012 and 2020, had undergone abdominal computed tomography (CT) scanning up to 2 years before KT. The degree of skeletal muscle loss was assessed using the total cross-sectional skeletal muscle area at the third lumbar vertebral level (L3). Cox proportional-hazards regression and Frailty models were used to identify risk factors for early hospital readmission post KT.

resultsThirty-four patients (54%) displayed low muscle mass, which was independently associated with a lower serum creatinine and phosphate, lower body mass index, lower mean muscle attenuation of the L3 cross-sectional area, and higher serum parathyroid hormone (for all p < 0.05). Deceased donor transplant recipients (n = 45) with low muscle mass demonstrated greater hospital readmissions within 30 days of KT [adjusted hazard ratio (HR) = 4.24, 95% CI 1.40-12.90, p = 0.01].

conclusionLow muscle mass is highly prevalent in the pre-transplant CKD population and is associated with increased hospital readmission in the early post-transplant period.

Indexed as

FrailtyKidney Failure, ChronicKidney TransplantationSarcopeniaHumansMuscle, SkeletalPatient ReadmissionRetrospective StudiesRisk FactorsComputed tomographyLow muscle massOutcomeTransplantation

Identifiers

PMID35028810
OpenAlexW4206575531

What OpenQuestion holds

Textmetadata
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.