Evidence map›Paper›PMID 38186867›Full record

ArticleClinical kidney journal2024

Tubulo-interstitial inflammation increases the risk of graft loss after the recurrence of IgA nephropathy.

Emilio Rodrigo, Luis F Quintana, Teresa Vázquez-Sánchez, Ana Sánchez-Fructuoso, Anna Buxeda, Eva Gavela, Juan M Cazorla, Sheila Cabello, Isabel Beneyto, María O López-Oliva and 9 more

Open access · goldAbstract read
In one paragraph

Article in Clinical kidney journal, 2024. 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
0.4field-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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Review
  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

19 authors at 10 institutions in 1 country.

Emilio RodrigoNephrology Department, Hospital Universitario Marqués de Valdecilla/IDIVAL, Santander, SpainRD21/0005/0010 (ISCIII RICORS2040).ORCID https://orcid.org/0000-0002-2845-5272
Luis F QuintanaNephrology and Renal Transplantation Department, Hospital Clinic, Barcelona, Spain.ORCID https://orcid.org/0000-0001-7582-8476
Teresa Vázquez-SánchezNephrology Department, Hospital Universitario Regional de Málaga, Málaga, SpainRD21/0005/0010 (ISCIII RICORS2040).
Ana Sánchez-FructuosoNephrology Department, Hospital Clínico San Carlos, Facultad de Medicina Universidad Complutense, Madrid, Spain.ORCID https://orcid.org/0000-0001-7017-9729
Anna BuxedaNephrology Department, Hospital del Mar, Barcelona, Spain.ORCID https://orcid.org/0000-0001-7305-3259
Eva GavelaNephrology Department, Hospital Universitari Dr Peset, FISABIO, Valencia, Spain.ORCID https://orcid.org/0000-0003-1163-4853
Juan M CazorlaNephrology Department, Hospital Universitario Puerta del Mar, Cádiz, Spain.
Sheila CabelloNephrology Department, Hospital Universitario Son Espases, Mallorca, Spain.ORCID https://orcid.org/0000-0001-9319-6935
Isabel BeneytoKidney Transplant Unit, Nephrology Department, Hospital Universitario La Fe, Valencia, Spain.ORCID https://orcid.org/0000-0002-8433-3448
María O López-OlivaNephrology Department, Hospital Universitario La Paz, Madrid, Spain.ORCID https://orcid.org/0000-0003-3503-3518
Fritz DiekmannNephrology and Renal Transplantation Department, Hospital Clinic, Barcelona, Spain.ORCID https://orcid.org/0000-0001-6199-3016
José M Gómez-OrtegaPathology Department, Hospital Universitario Marqués de Valdecilla/IDIVAL, Santander, Spain.
Natividad Calvo RomeroNephrology Department, Hospital Clínico San Carlos, Facultad de Medicina Universidad Complutense, Madrid, Spain.ORCID https://orcid.org/0000-0003-4031-4816
María J Pérez-SáezNephrology Department, Hospital del Mar, Barcelona, Spain.ORCID https://orcid.org/0000-0002-8601-2699
Asunción SanchoNephrology Department, Hospital Universitari Dr Peset, FISABIO, Valencia, Spain.ORCID https://orcid.org/0000-0002-4170-9003
Auxiliadora MazuecosNephrology Department, Hospital Universitario Puerta del Mar, Cádiz, Spain.ORCID https://orcid.org/0000-0002-5860-2309
Jordi Espí-ReigKidney Transplant Unit, Nephrology Department, Hospital Universitario La Fe, Valencia, Spain.ORCID https://orcid.org/0000-0003-2443-1035
Carlos JiménezNephrology Department, Hospital Universitario La Paz, Madrid, Spain.ORCID https://orcid.org/0000-0002-9680-3259
Domingo HernándezNephrology Department, Hospital Universitario Regional de Málaga, Málaga, SpainRD21/0005/0010 (ISCIII RICORS2040).ORCID https://orcid.org/0000-0001-5469-2119
Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana · ESHospital Clínic de Barcelona · ESHospital Clínico San Carlos · ESHospital Del Mar · ESHospital Regional Universitario de Málaga · ESHospital Universitari i Politècnic La Fe · ESHospital Universitario La Paz · ESHospital Universitario Puerta del Mar · ESInstituto de Investigación Marqués de Valdecilla · ESHospital Universitario Son Espases · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Immunoglobulin A nephropathy (IgAN) is the most frequent recurrent disease in kidney transplant recipients and its recurrence contributes to reducing graft survival. Several variables at the time of recurrence have been associated with a higher risk of graft loss. The presence of clinical or subclinical inflammation has been associated with a higher risk of kidney graft loss, but it is not precisely known how it influences the outcome of patients with recurrent IgAN. Methods: We performed a multicentre retrospective study including kidney transplant recipients with biopsy-proven recurrence of IgAN in which Banff and Oxford classification scores were available. 'Tubulo-interstitial inflammation' (TII) was defined when 't' or 'i' were ≥2. The main endpoint was progression to chronic kidney disease (CKD) stage 5 or to death censored-graft loss (CKD5/DCGL). Results: A total of 119 kidney transplant recipients with IgAN recurrence were included and 23 of them showed TII. Median follow-up was 102.9 months and 39 (32.8%) patients reached CKD5/DCGL. TII related to a higher risk of CKD5/DCGL (3 years 18.0% vs 45.3%, log-rank 7.588, Conclusions: In kidney transplant recipients with IgAN recurrence, TII contributes to increasing the risk of CKD5/DCGL independently of previously well-known variables. We suggest adding TII along with the Oxford classification to the clinical variables to identify recurrent IgAN patients at increased risk of graft loss who might benefit from intensified immunosuppression or specific IgAN therapies.

Indexed as

graft lossIgA nephropathyinflammationkidney transplantationrecurrence

Identifiers

PMID38186867
PMCPMC10768752
OpenAlexW4387666109

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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.