Evidence map›Paper›PMID 37456682›Full record

ArticleTransplant international : official journal of the European Society for Organ Transplantation2023

The Perspectives of General Nephrologists Toward Transitions of Care and Management of Failing Kidney Transplants.

Tarek Alhamad, Haris Murad, Darshana M Dadhania, Martha Pavlakis, Sandesh Parajuli, Beatrice P Concepcion, Neeraj Singh, Naoka Murakami, Michael J Casey, Mengmeng Ji and 13 more

Open access · goldAbstract read
In one paragraph

Article in Transplant international : official journal of the European Society for Organ Transplantation, 2023. 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
1.3field-weighted citation impact, top 22% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Observational
  2. 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

23 authors at 15 institutions in 2 countries.

Tarek AlhamadJohn T. Milliken Department of Medicine, Washington University in St. Louis, Saint Louis, MO, United States.
Haris MuradJohn T. Milliken Department of Medicine, Washington University in St. Louis, Saint Louis, MO, United States.
Darshana M DadhaniaDepartment of Transplantation Medicine, Weill Cornel Medicine - New York Presbyterian Hospital, New York, NY, United States.
Martha PavlakisDepartment of Medicine, Beth Israel Deaconess Medical Center and Harvard University, Boston, MA, United States.
Sandesh ParajuliDepartment of Medicine, University of Wisconsin - Madison, Madison, WI, United States.
Beatrice P ConcepcionDepartment of Medicine, University of Chicago, Chicago, IL, United States.
Neeraj SinghJohn C. McDonald Regional Transplant Center, Willis Knighton Health System, Shreveport, LA, United States.
Naoka MurakamiDepartment of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, United States.
Michael J CaseyDepartment of Medicine, Medical University of South Carolina, Charleston, SC, United States.
Mengmeng JiJohn T. Milliken Department of Medicine, Washington University in St. Louis, Saint Louis, MO, United States.
Michelle LubetzkyDivision of Abdominal Transplantation, Department of Surgery and Perioperative Care, Dell Medical School, University of Texas at Austin, Austin, TX, United States.
Ekamol TantisattamoDepartment of Medicine, University of California, Irvine, Orange, CA, United States.
Omar AlomarJohn T. Milliken Department of Medicine, Washington University in St. Louis, Saint Louis, MO, United States.
Arman FaravardehSHARP Kidney and Pancreas Transplant Center, San Diego, CA, United States.
Christopher D BlosserDepartment of Medicine, Seattle Children's Hospital, University of Washington, Seattle, WA, United States.
Arpita BasuDepartment of Medicine, Emory University, Atlanta, GA, United States.
Gaurav GuptaDepartment of Medicine, Virginia Commonwealth University, Richmond, VA, United States.
Joel T AdlerDivision of Abdominal Transplantation, Department of Surgery and Perioperative Care, Dell Medical School, University of Texas at Austin, Austin, TX, United States.
Deborah AdeyDepartment of Medicine, University of California, San Francisco, San Francisco, CA, United States.
Kenneth J WoodsideDepartment of Surgery, University of Michigan, Ann Arbor, MI, United States.
Song C OngDepartment of Medicine, University of Alabama at Birmingham, Birmingham, AL, United States.
Ronald F ParsonsDepartment of Medicine, Emory University, Atlanta, GA, United States.
Krista L LentineCenter for Abdominal Transplantation, Saint Louis University, Saint Louis, MO, United States.
Milliken & Company (United States) · USEmory University · USAmerican Society of Transplantation · USHarvard University · USKidney Associates · USMcDonald's (United States) · USMedical University of South Carolina · USSaint Louis University · ESSeattle Children's Hospital · USUniversity of Alabama at Birmingham · USUniversity of California, Irvine · USUniversity of California, San Francisco · USUniversity of Chicago · USUniversity of Michigan–Ann Arbor · USVirginia Commonwealth University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The management of failing kidney allograft and transition of care to general nephrologists (GN) remain a complex process. The Kidney Pancreas Community of Practice (KPCOP) Failing Allograft Workgroup designed and distributed a survey to GN between May and September 2021. Participants were invited via mail and email invitations. There were 103 respondents with primarily adult nephrology practices, of whom 41% had an academic affiliation. More than 60% reported listing for a second kidney as the most important concern in caring for patients with a failing allograft, followed by immunosuppression management (46%) and risk of mortality (38%), while resistant anemia was considered less of a concern. For the initial approach to immunosuppression reduction, 60% stop antimetabolites first, and 26% defer to the transplant nephrologist. Communicating with transplant centers about immunosuppression cessation was reported to occur always by 60%, and sometimes by 29%, while 12% reported making the decision independently. Nephrologists with academic appointments communicate with transplant providers more than private nephrologists (74% vs. 49%,

Indexed as

Kidney TransplantationNephrologyAdultHumansImmunosuppression TherapyNephrologistsSurveys and Questionnairesfailing kidney allograftimmunosuppression managementmultidisciplinary teamre-transplantationtransition of care

Identifiers

PMID37456682
PMCPMC10348051
OpenAlexW4382791468

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.