Evidence map›Paper›PMID 37746594›Full record

ArticleAnnals of surgery open : perspectives of surgical history, education, and clinical approaches2023

The Effect of Genetic HLA Matching on Liver Transplantation Outcome: A Systematic Review and Meta-Analysis.

Gautam Kok, Eveline F Ilcken, Roderick H J Houwen, Caroline A Lindemans, Edward E S Nieuwenhuis, Eric Spierings, Sabine A Fuchs

Open access · goldAbstract read
In one paragraph

Article in Annals of surgery open : perspectives of surgical history, education, and clinical approaches, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
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  3. mRNA-Based Engineering of Viral Antigen-Specific TCR-T Cells.Methods in molecular biology (Clifton, N.J.) · 2025
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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.

Gautam KokFrom the Department of Metabolic Diseases, Wilhelmina Children's Hospital, Utrecht, The Netherlands.
Eveline F IlckenFrom the Department of Metabolic Diseases, Wilhelmina Children's Hospital, Utrecht, The Netherlands.
Roderick H J HouwenDepartment of Pediatric Gastroenterology, Wilhelmina Children's Hospital, Utrecht, The Netherlands.
Caroline A LindemansDepartment of Immunology, Princess Maxima Center for Pediatric Oncology, Utrecht, The Netherlands.
Edward E S NieuwenhuisDepartment of Pediatric Gastroenterology, Wilhelmina Children's Hospital, Utrecht, The Netherlands.
Eric SpieringsCenter of Translational Immunology, Utrecht University Medical Center, Utrecht, The Netherlands.
Sabine A FuchsFrom the Department of Metabolic Diseases, Wilhelmina Children's Hospital, Utrecht, The Netherlands.
Wilhelmina Children's Hospital · NLPrincess Máxima Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: We aim to investigate the effects of genetically based HLA matching on patient and graft survival, and acute and chronic rejection after liver transplantation. Background: Liver transplantation is a common treatment for patients with end-stage liver disease. In contrast to most other solid organ transplantations, there is no conclusive evidence supporting human leukocyte antigen (HLA) matching for liver transplantations. With emerging alternatives such as transplantation of bankable (stem) cells, HLA matching becomes feasible, which may decrease the need for immunosuppressive therapy and improve transplantation outcomes. Methods: We systematically searched the PubMed, Embase, and Cochrane databases and performed a meta-analysis investigating the effect of genetic HLA matching on liver transplantation outcomes (acute/chronic rejection, graft failure, and mortality). Results: We included 14 studies with 2682 patients. HLA-C mismatching significantly increased the risk of acute rejection (full mismatching: risk ratio = 1.90, 95% confidence interval = 1.08 to 3.33, Conclusions: We found evidence that genetic HLA-C matching reduces the risk of acute rejection after liver transplantation while matching for other loci does not reduce the risk of acute rejection, chronic rejection, graft failure, or mortality.

Indexed as

acute rejectionHLAHLA matchinghuman leukocyte antigenliver transplantationtransplantation outcomes

Identifiers

PMID37746594
PMCPMC10513352
OpenAlexW4386769235

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.