Evidence map›Paper›PMID 37476885›Full record

ArticleTurkish journal of medical sciences2023

Outcomes of kidney transplantation in patients with congenital anomalies of the kidney and urinary tract: a propensity-score-matched analysis with case-control design.

Özgür Akın Oto, Şafak Mirioğlu, Halil Yazıcı, Ahmet Burak Dirim, Nurane Güller, Seda Şafak, Erol Demir, Ayşe Serra Artan, Mesude Yasemin Özlük, Aydın Türkmen and 2 more

Open access · greenAbstract read
In one paragraph

Article in Turkish journal of medical sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 49% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
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

12 authors at 2 institutions in 2 countries.

Özgür Akın OtoDivision of Nephrology, İstanbul School of Medicine, İstanbul University, İstanbul, Turkey.
Şafak MirioğluDivision of Nephrology, İstanbul School of Medicine, İstanbul University, İstanbul, Turkey ; Division of Nephrology, School of Medicine, Bezmialem Vakif University, İstanbul, Turkey.
Halil YazıcıDivision of Nephrology, İstanbul School of Medicine, İstanbul University, İstanbul, Turkey.
Ahmet Burak DirimDivision of Nephrology, İstanbul School of Medicine, İstanbul University, İstanbul, Turkey.
Nurane GüllerDivision of Nephrology, İstanbul School of Medicine, İstanbul University, İstanbul, Turkey.
Seda ŞafakDivision of Nephrology, İstanbul School of Medicine, İstanbul University, İstanbul, Turkey.
Erol DemirDivision of Nephrology, İstanbul School of Medicine, İstanbul University, İstanbul, Turkey.
Ayşe Serra ArtanDivision of Nephrology, İstanbul School of Medicine, İstanbul University, İstanbul, Turkey.
Mesude Yasemin ÖzlükDepartment of Pathology, İstanbul School of Medicine, İstanbul University, İstanbul, Turkey.
Aydın TürkmenDivision of Nephrology, İstanbul School of Medicine, İstanbul University, İstanbul, Turkey.
Yaşar Kerem ÇalışkanDivision of Nephrology, İstanbul School of Medicine, İstanbul University, İstanbul, Turkey ;Division of Nephrology and Hypertension, School of Medicine, Saint Louis University, Saint Louis, USA.
Krista L LentineDivision of Nephrology and Hypertension, School of Medicine, Saint Louis University, Saint Louis, USA.
Istanbul University · TRSaint Louis University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe compared long-term outcomes after kidney transplantation (KTx) in patients with and without congenital anomalies of the kidney and urinary tract (CAKUT).

methodsKTx recipients (KTRs) with CAKUT in 1980-2016 were identified; their hard copy and electronic medical records were reviewed and compared to a propensity-score-matched control group (non-CAKUT) from the same period. The primary outcomes were graft loss or death with a functioning graft; secondary outcomes included posttransplant urinary tract infections (UTIs) and biopsy-proven rejection (BPR).

results: We identified 169 KTRs with CAKUT and 169 matched controls. Median follow-up was 132 (IQR: 75.0-170.0) months. UTIs were more common in CAKUT patients compared to non-CAKUT group (20.7% vs 10.7%; p = 0.01). Rates of BPR were similar between the two groups. In Kaplan-Meier analysis, 10-year graft survival rates were significantly higher in the CAKUT group than in the non-CAKUT group (87.6% vs 69.2%; p < 0.001), while patient survival rates were similar. In multivariate Cox regression analyses, CAKUT (HR: 0.469; 95% CI: 0.320-0.687; p < 0.001) and PRA positivity before transplantation (HR: 3.756; 95% CI: 1.507-9.364; p = 0.005) predicted graft loss. DISCUSSION: Graft survival in KTRs with CAKUT appears superior to KTRs without CAKUT. Transplant centers should develop multidisciplinary educational and social working groups to support and encourage CAKUT patients with kidney failure to seek for transplants.

Indexed as

Kidney TransplantationUrinary TractUrinary Tract InfectionsCase-Control StudiesHumansKidneyCongenital abnormalities of kidney and urinary tractgraft lossoutcomestransplantation

Identifiers

PMID37476885
PMCPMC10387911
OpenAlexW4367154326

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.