Evidence map›Paper›PMID 38778713›Full record

ArticlePediatric transplantation2024

Kidney transplantation in patients with tuberous sclerosis complex.

Amber M Goedken, Wesam W Ismail, Lucas D G Barrett, Lyndsay A Harshman

Abstract read
In one paragraph

Article in Pediatric transplantation, 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
–field-weighted citation impact
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.

  1. Article
  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

4 authors.

Amber M GoedkenDepartment of Pharmacy Practice and Science, University of Iowa College of Pharmacy, Iowa City, Iowa, USA.ORCID 0000-0001-6749-1471
Wesam W IsmailDepartment of Pharmacy Practice and Science, University of Iowa College of Pharmacy, Iowa City, Iowa, USA.ORCID 0000-0002-1255-9691
Lucas D G BarrettStead Family Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.ORCID 0000-0002-5958-3859
Lyndsay A HarshmanStead Family Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.ORCID 0000-0003-4952-8132

Funding

Medical Scientist Training ProgramT32GM139776 · NIGMS · UNIVERSITY OF IOWA · PI Gordon F Buchanan · 2021 to 2026
$6.4M
Brain anatomical imaging and neurocognition in pediatric kidney disease (BRAIN KID)R01DK128835 · NIDDK · UNIVERSITY OF IOWA · PI HARSHMAN, LYNDSAY ANNE · 2021 to 2025
$1.5M
Assuring Medication Safety in K-12 Schools: Implementing and Evaluating the Electronic School Medication Administration Record (E-SMAR) SystemR18HS029292 · AHRQ · UNIVERSITY OF IOWA · PI FARAG, AMANY · 2023 to 2025
$1.1M
AHRQ HHS R18 HS029292AHRQ HHS R18HS029292HRSA HHS HHSH250-2019-00001CNIDDK NIH HHS R01 DK128835NIDDK NIH HHS R01DK128835NIGMS NIH HHS T32 GM139776NIH HHS T32 GM139776
6 · The paper itself

Abstract

backgroundTuberous sclerosis complex (TSC) is a disorder of the mammalian target of the rapamycin (mTOR) pathway associated with the development of multisystem tumors, including renal angiomyolipoma (AML). These renal tumors are benign by nature but locally invasive and carry a risk for the progression of chronic kidney disease (CKD) to end stage kidney disease (ESKD). The frequency of subsequent renal transplantation in this population is largely uncharacterized, although single-center data suggests that 5%-15% of adult TSC patients are kidney transplant recipients.

methodsThis retrospective cohort study utilized United Network for Organ Sharing (UNOS) data. We included candidates waitlisted between 1987 and 2020 for a first kidney transplant with TSC-associated kidney failure. We utilized descriptive statistics to characterize the frequency of first-time kidney transplant waitlisting and transplantation among persons with TSC and the Fine-Gray subdistribution hazard model to evaluate characteristics associated with progression from waitlist.

resultsWe identified 200 TSC-associated kidney failure patients within the waitlist cohort. Of these, 12 were pediatric patients. Two-thirds (N = 134) of waitlisted persons were female. One hundred forty patients received a transplant with a median waitlist time of 2 years. Younger age at waitlisting was associated with a greater probability of progressing to transplant (HR 0.98 [95% CI: 0.96-0.99]). 91.8% of kidney transplant recipients survived 1-year post-transplant with a functioning allograft.

conclusionsThe majority of patients with TSC who are waitlisted for a kidney transplant progress onto transplantation with excellent 1-year post transplant patient and allograft survival.

Indexed as

Kidney TransplantationTuberous SclerosisWaiting ListsAdolescentAdultChildChild, PreschoolDisease ProgressionFemaleHumansInfantKidney Failure, ChronicMaleRetrospective StudiesYoung Adultangiomyolipomakidneytransplantationtuberous sclerosiswaitlist

Identifiers

PMID38778713
PMCPMC11125526

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.