Evidence map›Paper›PMID 36299442›Full record

ArticleTransplantation direct2022

Application of Ex Vivo Normothermic Machine Perfusion in Deceased Donors With Acute Kidney Injury With Successful Renal Transplantation: A Preliminary Experience.

Devprakash Choudhary, Ashish Sharma, Sarbpreet Singh, Deepesh B Kenwar, Ranjana Walker Minz, Harbir Singh Kohli, Ritambhra Nada, Sujata Wangkheimayum, Kajal Jain, Shivakumar S Patil

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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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

6 citing papers in PubMed, 11 citations in OpenAlex.

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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.

Devprakash ChoudharyDepartment of Renal Transplant Surgery, Post Graduate Institute of Medical Education & Research, Chandigarh, India.
Ashish SharmaDepartment of Renal Transplant Surgery, Post Graduate Institute of Medical Education & Research, Chandigarh, India.
Sarbpreet SinghDepartment of Renal Transplant Surgery, Post Graduate Institute of Medical Education & Research, Chandigarh, India.
Deepesh B KenwarDepartment of Renal Transplant Surgery, Post Graduate Institute of Medical Education & Research, Chandigarh, India.
Ranjana Walker MinzDepartment of Pathology, Post Graduate Institute of Medical Education & Research, Chandigarh, India.
Harbir Singh KohliDepartment of Nephrology, Post Graduate Institute of Medical Education & Research, Chandigarh, India.
Ritambhra NadaDepartment of Pathology, Post Graduate Institute of Medical Education & Research, Chandigarh, India.
Sujata WangkheimayumDepartment of Biochemistry, Post Graduate Institute of Medical Education & Research, Chandigarh, India.
Kajal JainDepartment of Anaesthesia, Post Graduate Institute of Medical Education & Research, Chandigarh, India.
Shivakumar S PatilDepartment of Renal Transplant Surgery, Post Graduate Institute of Medical Education & Research, Chandigarh, India.
Post Graduate Institute of Medical Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ex vivo normothermic machine perfusion (NMP) has improved organ preservation and viability assessment among heart, liver, and lung transplantation. However, literature regarding the application of NMP in human clinical kidney transplantation remains limited. Numerous kidneys, especially from donors with stage 3 acute kidney injury (AKI), are not utilized concerning the high rate of delayed graft function (DGF) and primary nonfunction. The present study investigated the impact of NMP (135-150 min) on short-term outcomes after kidney transplantation from deceased donors with AKI. Methods: Graft outcomes of NMP kidneys were compared with contralateral kidneys stored in static cold storage (SCS) from the same donor with AKI during December 2019-June 2021. The study's primary aim is to assess the safety and feasibility of NMP in deceased donors with AKI. The primary outcome was DGF. Secondary outcomes were duration of DGF, biopsy-proven rejection, postoperative intrarenal resistive index, postoperative infections, hospital stay duration, primary nonfunction, and kidney function estimated glomerular filtrate rate at discharge, 3 mo, and 1 y. Results: Five pairs of AKI kidneys (NMP versus SCS) were included in the final analysis. The results show no statistically significant differences in clinical outcomes between NMP versus SCS kidneys; however, NMP kidneys demonstrated slightly improved estimated glomerular filtrate rate at 3 mo (59.8 ± 5.93 [59] versus 75.20 ± 14.94 [74]) mL/min/1.73 m Conclusions: NMPs of AKI donor kidneys are safe and feasible. A larger cohort is required to explore the reconditioning effect of NMP on AKI kidneys.

Identifiers

PMID36299442
PMCPMC9592475
OpenAlexW4307497137

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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.