Evidence map›Paper›PMID 36832496›Full record

ArticleChildren (Basel, Switzerland)2023

Experience with the mTOR Inhibitor Everolimus in Pediatric Liver Graft Recipients.

Mathis Wehming, Dorothée Krebs-Schmitt, Andrea Briem-Richter, Bianca Hegen, Florian Brinkert, Lutz Fischer, Enke Grabhorn

Open access · goldAbstract read
In one paragraph

Article in Children (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 24% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. 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

7 authors at 2 institutions in 1 country.

Mathis WehmingDepartment of Pediatric Gastroenterology and Hepatology, University Hospital Hamburg-Eppendorf, 20246 Hamburg, Germany.
Dorothée Krebs-SchmittDepartment of Pediatric Gastroenterology and Hepatology, University Hospital Hamburg-Eppendorf, 20246 Hamburg, Germany.
Andrea Briem-RichterDepartment of Pediatric Gastroenterology and Hepatology, University Hospital Hamburg-Eppendorf, 20246 Hamburg, Germany.
Bianca HegenDepartment of Pediatric Gastroenterology and Hepatology, University Hospital Hamburg-Eppendorf, 20246 Hamburg, Germany.
Florian BrinkertDepartment of Pediatric Gastroenterology and Hepatology, University Hospital Hamburg-Eppendorf, 20246 Hamburg, Germany.
Lutz FischerDepartment of Hepatobiliary Surgery and Transplantation, University Hospital Hamburg-Eppendorf, 20246 Hamburg, Germany.
Enke GrabhornDepartment of Pediatric Gastroenterology and Hepatology, University Hospital Hamburg-Eppendorf, 20246 Hamburg, Germany.
University Medical Center Hamburg-Eppendorf · DEUniversität Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionImmunosuppression after pediatric liver transplantation remains a major challenge. MTOR inhibitors provide a promising therapeutic approach in combination with reduced CNI after transplantation. However, there are still few data regarding their use in children. PATIENTS: We analyzed 37 patients with a median age of 10 years, who received Everolimus for one or more of the following indications: I = chronic graft dysfunction (

resultsPatient survival was 97%, and graft survival 84%, respectively. Stabilization of graft function was observed in 59% in subgroup 1, with 18.2% ultimately requiring retransplantation. No patient in subgroup IV developed recurrence of his primary tumor or PTLD by the endpoint of the study. Side effects were observed in 67.5% of the study patients, with infections being the most frequent (

conclusionEverolimus seems to be a treatment option in selected pediatric liver graft recipients for whom other regimens are not suitable. Overall, the efficacy was good and the side effect profile appeared to be acceptable.

Indexed as

graft dysfunctionimmunosuppressive therapymalignancypediatric liver transplantationrenal impairment

Identifiers

PMID36832496
PMCPMC9955171
OpenAlexW4320491854

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.