Evidence map›Paper›PMID 36161852›Full record

ArticleBMJ open ophthalmology2022

Endothelial failure and rejection in recipients of corneas from the same donor.

Lewis Downward, Mahmoud Ahmed, Cathy Hopkinson, Vito Romano, Elinor Curnow, Stephen B Kaye

Open access · goldAbstract read
In one paragraph

Article in BMJ open ophthalmology, 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
0.4field-weighted citation impact, top 39% 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, 4 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Lewis DownwardStatistics, NHS Blood and Transplant Organ Donation and Transplantation Directorate, Bristol, UK.
Mahmoud AhmedOphthalmology, Royal Liverpool University Hospital, Liverpool, UK.ORCID 0000-0002-4905-5884
Cathy HopkinsonStatistics, NHS Blood and Transplant Organ Donation and Transplantation Directorate, Bristol, UK.
Vito RomanoDepartment of Eye and Vision Science, University of Liverpool, Liverpool, UK.
Elinor CurnowStatistics, NHS Blood and Transplant Organ Donation and Transplantation Directorate, Bristol, UK.
Stephen B KayeOphthalmology, Royal Liverpool University Hospital, Liverpool, UK sbkaye@bmj.com.ORCID 0000-0003-0390-0592
NHS Blood and Transplant · GBUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine whether patients who receive corneas from the same donor have similar risks of endothelial failure and rejection. METHODS AND ANALYSIS: Patients with Fuchs endothelial dystrophy (FED) and pseudophakic bullous keratopathy (PBK) who received their first corneal transplant between 1999 and 2016 were analysed. Patients receiving corneas from donors who donated both corneas for the same indication were defined as 'paired'. Gray's test was used to compare the cumulative incidence of endothelial failure and rejection within 5 years post-transplant for 'paired' and 'unpaired' groups. Cox regression models were fitted to determine whether there was an association between recorded donor characteristics (endothelial cell density (ECD), age and sex and endothelial graft failure and rejection.

results10 838 patients were analysed of whom 1536 (14%) were paired. The unpaired group comprised 1837 (69%) recipients of single corneal donors and 7465 (69%) donors who donated both corneas for another indication. ECD was lower for unpaired single cornea donors (p<0.01). There was no significant difference in endothelial graft failure or rejection between paired and unpaired groups for FED (p=0.37, p=0.99) or PBK (p=0.88, p=0.28) nor for donor ECD, age, sex and paired donation after adjusting for transplant factors (across all models p>0.16 for ECD, p>0.32 for donor age, p>0.14 for sex match and p>0.17 for the donor effect).

conclusionThe absence of a significant difference in graft outcome for corneal transplants for FED and PBK between paired and unpaired donors may reflect a homogeneous donor pool in the UK.

Indexed as

Corneal EdemaCorneal TransplantationFuchs' Endothelial DystrophyCorneaGraft SurvivalHumansTissue DonorsCorneaEye (Tissue) Banking

Identifiers

PMID36161852
PMCPMC9389126
OpenAlexW4292264852

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.