Evidence map›Paper›PMID 37799669›Full record

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

Impact of Calcineurin Inhibitor-Based Immunosuppression Maintenance During the Dialysis Period After Kidney Transplant Failure on the Next Kidney Graft Outcome: A Retrospective Multicenter Study With Propensity Score Analysis.

Juliette Noelle, Valentin Mayet, Céline Lambert, Lionel Couzi, Bertrand Chauveau, Antoine Thierry, Laure Ecotière, Dominique Bertrand, Charlotte Laurent, Richard Lemal and 5 more

Open access · goldAbstract readMulticenter Study
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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 37% 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, 2 citations in OpenAlex.

  1. 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

15 authors at 5 institutions in 1 country.

Juliette NoelleService de Néphrologie Centre hospitalo-universitaire Clermont-Ferrand, Clermont-Ferrand, France.
Valentin Mayet *Service de Néphrologie Centre hospitalo-universitaire Clermont-Ferrand, Clermont-Ferrand, France.
Céline LambertUnité de Biostatistiques, Direction de la recherche clinique et d' innovation, Centre hospitalo-universitaire Clermont-Ferrand, Clermont-Ferrand, France.
Lionel CouziService de Néphrologie, Transplantation, Dialyse et Aphérèses, Centre hospitalo-universitaire Bordeaux, Bordeaux, France.
Bertrand ChauveauService de Pathologie, Centre hospitalo-universitaire de Bordeaux, Bordeaux, France.
Antoine ThierryService de Néphrologie-Hémodialyse-Transplantation Rénale, Centre hospitalo-universitaire Poitiers, Poitiers, France.
Laure EcotièreService de Néphrologie-Hémodialyse-Transplantation Rénale, Centre hospitalo-universitaire Poitiers, Poitiers, France.
Dominique BertrandService de Néphrologie, Centre hospitalier régional universitaire rouen, Rouen, France.
Charlotte LaurentService de Néphrologie, Centre hospitalier régional universitaire rouen, Rouen, France.
Richard LemalService d'Histocompatibilité et Immunogénétique, Centre hospitalo-universitaire Clermont-Ferrand, Clermont-Ferrand, France.
Clarisse GrèzeService de Néphrologie Centre hospitalo-universitaire Clermont-Ferrand, Clermont-Ferrand, France.
Marine FreistService de Néphrologie Centre hospitalo-universitaire Clermont-Ferrand, Clermont-Ferrand, France.
Anne-Elisabeth HengService de Néphrologie Centre hospitalo-universitaire Clermont-Ferrand, Université Clermont Auvergne, Clermont-Ferrand, France.
Paul-Olivier RouzaireService d'Histocompatibilité et Immunogénétique, Centre hospitalo-universitaire Clermont-Ferrand, Clermont-Ferrand, France.
Cyril GarrousteService de Néphrologie Centre hospitalo-universitaire Clermont-Ferrand, Université Clermont Auvergne, Clermont-Ferrand, France.
Centre Hospitalier Universitaire de Clermont-Ferrand · FRCentre Hospitalier Universitaire de Bordeaux · FRCentre Hospitalier Universitaire de Poitiers · FRCentre Hospitalier Universitaire de Rouen · FRUniversité de Rouen Normandie · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The impact of immunosuppressive therapy (IS) strategies after kidney transplant failure (KTF) on potential future new grafts is poorly established. We assessed the potential benefit of calcineurin inhibitor (CNI)-based IS maintenance throughout the dialysis period on the outcome of the second kidney transplant (KT). We identified 407 patients who underwent a second KT between January 2008 and December 2018 at four French KT centers. Inverse probability of treatment weighting was used to control for potential confounding. We included 205 patients with similar baseline characteristics at KTF: a total of 53 received at least CNIs on the retransplant day (G-CNI), and 152 did not receive any IS (G-STOP). On the retransplant date, G-STOP patients experienced a longer pretransplant dialysis time, were more often hyperimmunized, and underwent more expanded-criteria donor KTs than G-CNI patients. During the second KT follow-up period, rejection episodes were similar in both groups. The 10-year survival rates without death and dialysis were 98.7% and 59.5% in G-CNI and G-STOP patients, respectively. In the multivariable analysis, CNI-based IS maintenance was associated with better survival (hazard ratio: 0.08; 95% confidence interval: 0.01-0.58,

Indexed as

Kidney DiseasesKidney TransplantationCalcineurin InhibitorsGraft RejectionGraft SurvivalHumansImmunosuppression TherapyImmunosuppressive AgentsKidneyPropensity ScoreRenal DialysisCalcineurin InhibitorsImmunosuppressive Agentscalcineurin inhibitor maintenanceimmunosuppressionkidney retransplantkidney transplant failurewaiting list

Identifiers

PMID37799669
PMCPMC10548547
OpenAlexW4386839207

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.