Evidence map›Paper›PMID 35352462›Full record

ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2022

Inflammation in the early phase after kidney transplantation is associated with increased long-term all-cause mortality.

Torbjørn Fossum Heldal, Anders Åsberg, Thor Ueland, Anna Varberg Reisaeter, Søren E Pischke, Tom Eirik Mollnes, Pål Aukrust, Anders Hartmann, Kristian Heldal, Trond Jenssen

Open access · bronzeAbstract read
In one paragraph

Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.6field-weighted citation impact, top 5% 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

18 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Dietary Guidelines Post Kidney Transplant: Is This the Missing Link in Recovery and Graft Survival?Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. International consensus on post-transplantation diabetes mellitus.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Inflammation in the early phase after kidney transplantation is associated with increased long-term all-cause mortality.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2022
    Article
  18. 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

10 authors at 1 institution in 1 country.

Torbjørn Fossum HeldalDepartment of Internal Medicine, Telemark Hospital Trust, Skien, Norway.ORCID 0000-0002-3049-4705
Anders ÅsbergDepartment of Transplantation Medicine, Oslo University Hospital - Rikshospitalet, Oslo, Norway.ORCID 0000-0002-0628-1769
Thor UelandInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Anna Varberg ReisaeterDepartment of Transplantation Medicine, Oslo University Hospital - Rikshospitalet, Oslo, Norway.
Søren E PischkeDepartment of Immunology, University of Oslo and Oslo University Hospital, Oslo, Norway.ORCID 0000-0003-2543-3251
Tom Eirik MollnesK.G. Jebsen Thrombosis Research and Expertise Center, University of Tromsø, Tromsø, Norway.ORCID 0000-0002-5785-802X
Pål AukrustK.G. Jebsen Thrombosis Research and Expertise Center, University of Tromsø, Tromsø, Norway.
Anders HartmannInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Kristian HeldalDepartment of Internal Medicine, Telemark Hospital Trust, Skien, Norway.ORCID 0000-0003-4427-9528
Trond JenssenInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.ORCID 0000-0001-6602-8274
Oslo University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the general population, low-grade inflammation has been established as a risk factor for all-cause mortality. We hypothesized that an inflammatory milieu beyond the time of recovery from the surgical trauma could be associated with increased long-term mortality in kidney transplant recipients (KTRs). This cohort study included 1044 KTRs. Median follow-up time post-engraftment was 10.3 years. Inflammation was assessed 10 weeks after transplantation by different composite inflammation scores based on 21 biomarkers. We constructed an overall inflammation score and five pathway-specific inflammation scores (fibrogenesis, vascular inflammation, metabolic inflammation, growth/angiogenesis, leukocyte activation). Mortality was assessed with Cox regression models adjusted for traditional risk factors. A total of 312 (29.9%) patients died during the follow-up period. The hazard ratio (HR) for death was 4.71 (95% CI: 2.85-7.81, p < .001) for patients in the highest quartile of the overall inflammation score and HRs 2.35-2.54 (95% CI: 1.40-3.96, 1.52-4.22, p = .001) for patients in the intermediate groups. The results were persistent when the score was analyzed as a continuous variable (HR 1.046, 95% CI: 1.033-1.056, p < .001). All pathway-specific analyses showed the same pattern with HRs ranging from 1.19 to 2.70. In conclusion, we found a strong and consistent association between low-grade systemic inflammation 10 weeks after kidney transplantation and long-term mortality.

Indexed as

Kidney TransplantationTissue and Organ ProcurementCohort StudiesDeathGraft SurvivalHumansInflammationRisk FactorsTissue Donorsdonors and donation: donation after circulatory death (DCD)editorial/personal viewpointethicsethics and public policylaw/legislationorgan perfusion and preservationorgan procurementorgan procurement and allocationsolid organ transplantation

Identifiers

PMID35352462
PMCPMC9540645
OpenAlexW4220660952

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.