Evidence map›Paper›PMID 38248753›Full record

ArticleJournal of personalized medicine2023

Rejection Requiring Treatment within the First Year following Heart Transplantation: The UNOS Insight.

Marco Gemelli, Ilias P Doulamis, Aspasia Tzani, Athanasios Rempakos, Polydoros Kampaktsis, Paulino Alvarez, Alvise Guariento, Andrew Xanthopoulos, Grigorios Giamouzis, Kyriakos Spiliopoulos and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of personalized medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
4.1field-weighted citation impact, top 5% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Review
  3. A two-threshold algorithm using donor-derived cell-free DNA fraction and quantity to detect acute rejection after heart transplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2025
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. 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

13 authors at 10 institutions in 4 countries.

Marco GemelliDepartment of Cardiac, Thoracic, Vascular and Public Health Sciences, University of Padua, 35122 Padova, Italy.ORCID 0000-0003-2902-7947
Ilias P DoulamisDepartment of Surgery, Lahey Hospital and Medical Center, Burlington, MA 01805, USA.
Aspasia TzaniHeart and Vascular Center, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
Athanasios RempakosMedical School of Athens, National and Kapodistrian University of Athens, 157 72 Athens, Greece.
Polydoros KampaktsisDivision of Cardiology, Columbia University Irving Medical Center, New York City, NY 10032, USA.
Paulino AlvarezDivision of Cardiology, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.
Alvise GuarientoDepartment of Cardiac, Thoracic, Vascular and Public Health Sciences, University of Padua, 35122 Padova, Italy.ORCID 0000-0002-5495-6919
Andrew XanthopoulosDepartment of Cardiology, University General Hospital of Larissa, 413 34 Larissa, Greece.
Grigorios GiamouzisDepartment of Cardiology, University General Hospital of Larissa, 413 34 Larissa, Greece.
Kyriakos SpiliopoulosDepartment of Cardiothoracic Surgery, University of Thessaly, 412 23 Larissa, Greece.ORCID 0000-0003-4332-258X
Rabea AslehDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN 55902, USA.ORCID 0000-0002-0258-7402
Ernesto Ruiz DuqueDivision of Cardiovascular Medicine, Section of Heart Failure and Transplantation, University of Iowa, Iowa City, IA 52242, USA.ORCID 0000-0002-9777-4883
Alexandros BriasoulisMedical School of Athens, National and Kapodistrian University of Athens, 157 72 Athens, Greece.ORCID 0000-0002-5740-9670
University Hospital of Larissa · GRUniversity of Iowa · USUniversity of Padua · ITBrigham and Women's Hospital · USCleveland Clinic · USColumbia University Irving Medical Center · USHadassah Medical Center · ILLahey Hospital and Medical Center · USNational and Kapodistrian University of Athens · GRUniversity of Thessaly · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Background: Heart failure is an extremely impactful health issue from both a social and quality-of-life point of view and the rate of patients with this condition is destined to rise in the next few years. Transplantation remains the mainstay of treatment for end-stage heart failure, but a shortage of organs represents a significant problem that prolongs time spent on the waiting list. In view of this, the selection of donor and recipient must be extremely meticulous, considering all factors that could predispose to organ failure. One of the main considerations regarding heart transplants is the risk of graft rejection and the need for immunosuppression therapy to mitigate that risk. In this study, we aimed to assess the characteristics of patients who need immunosuppression treatment for rejection within one year of heart transplantation and its impact on mid-term and long-term mortality. (2) Methods: The United Network for Organ Sharing (UNOS) Registry was queried to identify patients who solely underwent a heart transplant in the US between 2000 and 2021. Patients were divided into two groups according to the need for anti-rejection treatment within one year of heart transplantation. Patients' characteristics in the two groups were assessed, and 1 year and 10 year mortality rates were compared. (3) Results: A total of 43,763 patients underwent isolated heart transplantation in the study period, and 9946 (22.7%) needed anti-rejection treatment in the first year. Patients who required treatment for rejection within one year after transplant were more frequently younger (49 ± 14 vs. 52 ± 14 years,

Indexed as

heart transplantationlong-term outcomespersonalized immunosuppressionUNOS Registry

Identifiers

PMID38248753
PMCPMC10817284
OpenAlexW4390394748

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.