Evidence map›Paper›PMID 36578496›Full record

ArticleFrontiers in immunology2022

Serum uric acid as a risk factor for rejection after deceased donor kidney transplantation: A mono-institutional analysis of paired kidneys.

Fuxun Zhang, Jiayu Liang, Yang Xiong, Fan Zhang, Kan Wu, Wei Wang, Jiuhong Yuan, Tao Lin, Xianding Wang

Abstract read
In one paragraph

Article in Frontiers in immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Fuxun ZhangDepartment of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Jiayu LiangDepartment of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Yang XiongDepartment of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Fan ZhangDepartment of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Kan WuDepartment of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Wei WangDepartment of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Jiuhong YuanDepartment of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Tao LinDepartment of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Xianding WangDepartment of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Deceased donor kidney transplantation (DDKT) is a major therapeutic option for patients with end-stage renal diseases. Although medical techniques improved in recent years, acute or chronic rejection after DDKT is not uncommon and often results in poor graft survival. Therefore, the determination of risk factors is very important to stratify patients and to improve outcomes. This study aims to evaluate the risk factors for treated rejection (TR) of patients after DDKT. Methods: Clinical data of deceased donors and corresponding recipients were retrospectively collected. The primary outcome was TR defined as the treatment for rejection within 24 months after DDKT. Univariate comparisons of baseline characteristics were performed with Chi-square test, t-test, and Mann-Whitney U test. Logistic regression was constructed to analyze potential risk factors. Receiver operating characteristic (ROC) curve and Jordan index were generated to determine the optimal cutoff value. The association between continuous variables and TR was examined and visualized by using restricted cubic spline (RCS) models. Results: Data of 123 deceased donors and 246 recipients were obtained and analyzed. The median age was 41 (4-62) years for recipients and 39 (1-65) years for donors. The recipients who died or suffered graft loss during the follow-up period were 8 (3.3%) and 12 (4.9%), respectively. After univariate analysis and subsequent multivariate analysis, the preoperative serum uric acid (OR, 2.242; 95% CI, 1.037-4.844; Conclusions: Serum uric acid and other three indicators were found to be the independent risk factors for TR, which may contribute to stratify patients and develop personalized regimen in perioperative period.

Indexed as

Kidney TransplantationAdultHumansKidneyRetrospective StudiesRisk FactorsUric AcidUric Aciddonorkidney transplantationrecipientrejectionrisk factor

Identifiers

PMID36578496
PMCPMC9791182

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