Evidence map›Paper›PMID 35699178›Full record

ArticleJournal of the American Heart Association2022

Prognostic Value of Exercise Capacity in Kidney Transplant Candidates.

Sean Tan, Yi Wen Thang, William R Mulley, Kevan R Polkinghorne, Satish Ramkumar, Kevin Cheng, Jasmine Chan, John Galligan, Mark Nolan, Adam J Brown and 5 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 41% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Review
  2. 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

15 authors at 3 institutions in 1 country.

Sean TanMonash Cardiovascular Research Centre, Victorian Heart Institute Monash University Melbourne Victoria Australia.ORCID 0000-0002-2772-0695
Yi Wen ThangDepartment of Nephrology Monash Health Melbourne Victoria Australia.
William R MulleyDepartment of Nephrology Monash Health Melbourne Victoria Australia.
Kevan R PolkinghorneDepartment of Nephrology Monash Health Melbourne Victoria Australia.
Satish RamkumarMonash Cardiovascular Research Centre, Victorian Heart Institute Monash University Melbourne Victoria Australia.
Kevin ChengMonash Cardiovascular Research Centre, Victorian Heart Institute Monash University Melbourne Victoria Australia.ORCID 0000-0003-0745-6695
Jasmine ChanMonash Cardiovascular Research Centre, Victorian Heart Institute Monash University Melbourne Victoria Australia.
John GalliganMonash Cardiovascular Research Centre, Victorian Heart Institute Monash University Melbourne Victoria Australia.
Mark NolanBaker Heart and Diabetes Institute Melbourne Victoria Australia.
Adam J BrownMonash Cardiovascular Research Centre, Victorian Heart Institute Monash University Melbourne Victoria Australia.
Stuart MoirMonash Cardiovascular Research Centre, Victorian Heart Institute Monash University Melbourne Victoria Australia.
James D CameronMonash Cardiovascular Research Centre, Victorian Heart Institute Monash University Melbourne Victoria Australia.ORCID 0000-0003-0589-0367
Stephen J NichollsMonash Cardiovascular Research Centre, Victorian Heart Institute Monash University Melbourne Victoria Australia.
Philip M MottramMonash Cardiovascular Research Centre, Victorian Heart Institute Monash University Melbourne Victoria Australia.
Nitesh NerlekarMonash Cardiovascular Research Centre, Victorian Heart Institute Monash University Melbourne Victoria Australia.ORCID 0000-0002-3437-8648
Monash Health · AUBaker Heart and Diabetes Institute · AUAustralian Centre for Heart Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Exercise stress testing for cardiovascular assessment in kidney transplant candidates has been shown to be a feasible alternative to pharmacologic methods. Exercise stress testing allows the additional assessment of exercise capacity, which may have prognostic value for long-term cardiovascular outcomes in pre-transplant recipients. This study aimed to evaluate the prognostic value of exercise capacity on long-term cardiovascular outcomes in kidney transplant candidates. Methods and Results We retrospectively evaluated exercise capacity in 898 consecutive kidney transplant candidates between 2013 and 2020 who underwent symptom-limited exercise stress echocardiography for pre-transplant cardiovascular assessment. Exercise capacity was measured by age- and sex-predicted metabolic equivalents (METs). The primary outcome was incident major adverse cardiovascular events, defined as cardiac death, non-fatal myocardial infarction, and stroke. Cox proportional hazard multivariable modeling was performed to define major adverse cardiovascular events predictors with transplantation treated as a time-varying covariate. A total of 429 patients (48%) achieved predicted METs. During follow-up, 93 (10%) developed major adverse cardiovascular events and 525 (58%) underwent transplantation. Achievement of predicted METs was independently associated with reduced major adverse cardiovascular events (hazard ratio [HR] 0.49; [95% CI 0.29-0.82],

Indexed as

Kidney TransplantationMyocardial InfarctionExercise TestExercise ToleranceHumansPredictive Value of TestsPrognosisRetrospective Studiesexercise testingkidney transplantationmajor adverse cardiovascular eventsstress echocardiography

Identifiers

PMID35699178
PMCPMC9238638
OpenAlexW4282824295

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.