Evidence map›Paper›PMID 35265364›Full record

ReviewJournal of transplantation2022

Mammalian Target of Rapamycin Inhibitors and Wound Healing Complications in Kidney Transplantation: Old Myths and New Realities.

Muhammad Abdul Mabood Khalil, Saeed M G Al-Ghamdi, Ubaidullah Shaik Dawood, Said Sayed Ahmed Khamis, Hideki Ishida, Vui Heng Chong, Jackson Tan

Open access · goldAbstract readReview
In one paragraph

Review in Journal of transplantation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.7field-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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
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  5. Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Immunomodulators for Non-Melanoma Skin Cancers: Updated Perspectives.Clinical, cosmetic and investigational dermatology · 2023
    Review
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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

7 authors at 4 institutions in 4 countries.

Muhammad Abdul Mabood KhalilDepartment of Nephrology, RIPAS Hospital, Bandar Seri Begawan BA1710, Brunei Darussalam.ORCID https://orcid.org/0000-0003-2378-7339
Saeed M G Al-GhamdiDepartment of Medicine Faculty of Medicine, King Abdul Aziz University, Jeddah 21589, Saudi Arabia.ORCID https://orcid.org/0000-0001-7790-0486
Ubaidullah Shaik DawoodDepartment of Nephrology, RIPAS Hospital, Bandar Seri Begawan BA1710, Brunei Darussalam.ORCID https://orcid.org/0000-0001-6421-0013
Said Sayed Ahmed KhamisDepartment of Medicine Nephrology, Division Faculty of Medicine, Menoufia University Hospital, Shibin Al Kawm, Egypt.ORCID https://orcid.org/0000-0002-4756-0799
Hideki IshidaDepartment of Urology &Transplant Services, Tokyo Women, s Medical University Hospital, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, Japan.ORCID https://orcid.org/0000-0001-7370-4728
Vui Heng ChongDepartment of Medicine, RIPAS Hospital, Bandar Seri Begawan BA1710, Brunei Darussalam.ORCID https://orcid.org/0000-0002-2844-4872
Jackson TanDepartment of Nephrology, RIPAS Hospital, Bandar Seri Begawan BA1710, Brunei Darussalam.ORCID https://orcid.org/0000-0002-8176-9393
Raja Isteri Pengiran Anak Saleha Hospital · BNKing Abdul Aziz University Hospital · SAMenoufia University · EGTokyo Women's Medical University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mammalian target of rapamycin inhibitors (mTOR-I) lacks nephrotoxicity, has antineoplastic effects, and reduces viral infections in kidney transplant recipients. Earlier studies reported a significant incidence of wound healing complications and lymphocele. This resulted in the uncomfortable willingness of transplant clinicians to use these agents in the immediate posttransplant period. As evidence and experience evolved over time, much useful information became available about the optimal use of these agents. Understandably, mTOR-I effects wound healing through their antiproliferative properties. However, there are a lot of other immunological and nonimmunological factors which can also contribute to wound healing complications. These risk factors include obesity, uremia, increasing age, diabetes, smoking, alcoholism, and protein-energy malnutrition. Except for age, the rest of all these risk factors are modifiable. At the same time, mycophenolic acid derivatives, steroids, and antithymocyte globulin (ATG) have also been implicated in wound healing complications. A lot has been learnt about the optimal dose of mTOR-I and their trough levels, its combinations with other immunosuppressive medications, and patients' profile, enabling clinicians to use these agents appropriately for maximum benefits. Recent randomized control trials have further increased the confidence of clinicians to use these agents in immediate posttransplant periods.

Identifiers

PMID35265364
PMCPMC8901320
OpenAlexW4214599997

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.