Evidence map›Paper›PMID 36204188›Full record

ArticleTransplantation direct2022

Impact of Glomerulitis on Long-term Outcomes After Kidney Transplantation.

Morgan Whigham, Raymond L Heilman, Sumi Sukumaran Nair, Matthew R Buras, Elisabeth S Lim, Andres Jaramillo, Daniel S Ramon, Margaret S Ryan, Girish K Mour

Abstract read
In one paragraph

Article in Transplantation direct, 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
–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

2 citing papers in PubMed.

  1. Article
  2. 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

9 authors.

Morgan WhighamResident (Whigham), Mayo Clinic School of Graduate Medical Education, Mayo Clinic College of Medicine and Science, Scottsdale, AZ, USA.
Raymond L HeilmanDivision of Nephrology, Mayo Clinic Hospital, Phoenix, AZ, USA.
Sumi Sukumaran NairDivision of Nephrology, Mayo Clinic Hospital, Phoenix, AZ, USA.
Matthew R BurasDivision of Clinical Trials and Biostatistics, Mayo Clinic, Scottsdale, AZ, USA.
Elisabeth S LimDivision of Clinical Trials and Biostatistics, Mayo Clinic, Scottsdale, AZ, USA.
Andres JaramilloDepartment of Laboratory Medicine and Pathology, Mayo Clinic Hospital, Phoenix, AZ, USA.
Daniel S RamonDepartment of Laboratory Medicine and Pathology, Mayo Clinic Hospital, Phoenix, AZ, USA.
Margaret S RyanDepartment of Laboratory Medicine and Pathology (Ryan), Mayo Clinic, Scottsdale, AZ, USA.
Girish K MourDivision of Nephrology, Mayo Clinic Hospital, Phoenix, AZ, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Banff classification scheme provides a framework for interpreting transplant kidney biopsies and has undergone various updates in the past 2 decades especially related to antibody-mediated rejection. The clinical significance of early glomerulitis seen within 4 mo on protocol biopsies has received limited attention. We hypothesized that early glomerulitis seen on protocol biopsies will lead to significant adverse outcomes as assessed by histopathology and allograft outcome. Methods: A single-center retrospective study of a cohort of patients who underwent protocol biopsies within 4 mo after transplantation with timely follow-up protocol biopsies were assessed. Patients with recurrent glomerulonephritis were excluded. Results: We calculated glomerulitis (g) scores for 2212 biopsy specimens and identified 186 patients with glomerulitis (g > 0) and 2026 patients without glomerulitis (g = 0). The progression to chronic transplant glomerulopathy at 1 and 2 y was higher in patients with g > 0 as compared with g = 0 (year 1, 10.7% versus 2.3% [ Conclusion: Our findings suggest that early glomerulitis (seen within 4 mo after transplantation) may lead to clinically significant long-term changes and thus could be a target for early intervention therapies.

Identifiers

PMID36204188
PMCPMC9529059

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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.