Evidence map›Paper›PMID 37422606›Full record

ArticlePediatric nephrology (Berlin, Germany)2023

Metabolic acidosis in pediatric kidney transplant recipients.

Stella Kilduff, Nicole Hayde, Shankar Viswanathan, Kimberly Reidy, Matthew K Abramowitz

Open access · greenAbstract read
In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

5 authors at 1 institution in 1 country.

Stella KilduffThe Children's Hospital at Montefiore/Einstein, Bronx, NY, USA. skilduff@montefiore.org.ORCID http://orcid.org/0000-0001-8645-959X
Nicole HaydeThe Children's Hospital at Montefiore/Einstein, Bronx, NY, USA.
Shankar ViswanathanAlbert Einstein College of Medicine, Bronx, NY, USA.
Kimberly ReidyThe Children's Hospital at Montefiore/Einstein, Bronx, NY, USA.
Matthew K AbramowitzDepartment of Medicine, Albert Einstein College of Medicine, Bronx, NY, USA.
Albert Einstein College of Medicine · US

Funding

Core-010UL1TR001073 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, SHAMOON, HARRY · 2013 to 2017
$21.3M
Einstein-Montefiore Clinical and Translational Science Award HubUM1TR004400 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI Jessica Kahn, Mimi Y Kim · 2023 to 2026
$17.3M
New York Consortium for Interdisciplinary Training in Kidney, Urological and Hematological Research (NYC Train KUHR)TL1DK136048 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI JONATHAN M. BARASCH, Wadie F Bahou · 2022 to 2026
$3.8M
Cell specific Partitioning Defective Par1a/b deletion effects on renal repairR01DK131176 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI REIDY, KIMBERLY JEAN · 2022 to 2025
$1.6M
Bone In CKD Alkali Response Pilot Trial (BICARb Pilot Trial)R01DK131811 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI KUMAR, JUHI, MELAMED, MICHAL L · 2022 to 2024
$1.0M
NCATS NIH HHS UL1 TR001073NCATS NIH HHS UM1 TR004400NIDDK NIH HHS R01 DK131176NIDDK NIH HHS R01 DK131811NIDDK NIH HHS TL1 DK136048
6 · The paper itself

Abstract

backgroundMetabolic acidosis is a risk factor for faster kidney function decline in chronic kidney disease (CKD) and in adult kidney transplant recipients (KTRs). We hypothesized that metabolic acidosis would be highly prevalent and associated with worse allograft function in pediatric KTRs.

methodsPediatric KTRs at Montefiore Medical Center from 2010 to 2018 were included. Metabolic acidosis was defined as serum bicarbonate < 22 mEq/L or receiving alkali therapy. Regression models were adjusted for demographic factors and donor/recipient characteristics.

resultsSixty-three patients were identified with a median age at transplant of 10.5 (interquartile range (IQR) 4.4-15.2) years and post-transplant follow-up of 3 (IQR 1-5) years. Baseline serum bicarbonate was 21.7 ± 2.4 mEq/L, serum bicarbonate < 22 mEq/L was present in 28 (44%), and 44% of all patients were receiving alkali therapy. The prevalence of acidosis ranged from 58 to 70% during the first year of follow-up. At baseline, each 1-year higher age at transplant and every 10 ml/min/1.73 m

conclusionsAmong pediatric KTRs, metabolic acidosis was highly prevalent in the first year post-transplantation and was associated with lower eGFR during follow-up. A higher resolution version of the Graphical abstract is available as Supplementary information.

Indexed as

AcidosisKidney TransplantationRenal Insufficiency, ChronicAdolescentAdultAlkaliesBicarbonatesChildChild, PreschoolHumansTransplant RecipientsAlkaliesBicarbonatesMetabolic acidosisPediatricTransplant

Identifiers

PMID37422606
PMCPMC11574735
OpenAlexW4383618271

What OpenQuestion holds

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Registered trials

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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.