Evidence map›Paper›PMID 35323161›Full record

ReviewTransplantation2022

Shifting Clinical Trial Endpoints in Kidney Transplantation: The Rise of Composite Endpoints and Machine Learning to Refine Prognostication.

Imran J Anwar, Titte R Srinivas, Qimeng Gao, Stuart J Knechtle

Abstract readReview
In one paragraph

Review in Transplantation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
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  4. Review
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  8. 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

4 authors.

Imran J AnwarDepartment of Surgery, Duke Transplant Center, Duke University School of Medicine, Durham, NC.
Titte R SrinivasCareDx Inc, South San Francisco, CA.
Qimeng GaoDepartment of Surgery, Duke Transplant Center, Duke University School of Medicine, Durham, NC.
Stuart J KnechtleDepartment of Surgery, Duke Transplant Center, Duke University School of Medicine, Durham, NC.

Funding

Basic Immunology Training ProgramT32AI052077 · NIAID · DUKE UNIVERSITY · PI KRANGEL, MICHAEL S · 2002 to 2024
$4.2M
Advanced Immunobiology Traning Program for SurgeonsT32AI141342 · NIAID · DUKE UNIVERSITY · PI Allan D. Kirk, GEORGIA Doris TOMARAS · 2019 to 2026
$1.8M
NIAID NIH HHS T32 AI141342
6 · The paper itself

Abstract

The measurement of outcomes in kidney transplantation has been more accurately documented than almost any other surgical procedure result in recent decades. With significant improvements in short- and long-term outcomes related to optimized immunosuppression, outcomes have gradually shifted away from conventional clinical endpoints (ie, patient and graft survival) to surrogate and composite endpoints. This article reviews how outcomes measurements have evolved in the past 2 decades in the setting of increased data collection and summarizes recent advances in outcomes measurements pertaining to clinical, histopathological, and immune outcomes. Finally, we discuss the use of composite endpoints and Bayesian concepts, specifically focusing on the integrative box risk prediction score, in conjunction with machine learning to refine prognostication.

Indexed as

Kidney TransplantationBayes TheoremGraft SurvivalHumansImmunosuppression TherapyMachine Learning

Identifiers

PMID35323161
PMCPMC10900533

What OpenQuestion holds

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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.