Evidence map›Paper›PMID 38817628›Full record

ArticleTransplantation direct2024

Multiple-target Therapy for Posttransplant Focal Segmental Glomerulosclerosis.

Juliana Mansur, Domingo Chang-Dávila, Marcela Giraldes Simões, Marina Pontello Cristelli, Suelen Bianca Stopa Martins, Henrique Machado de Sousa Proença, Laila Almeida Viana, Alexandra Nicolau Ferreira, Marisa Petrucelli Doher, José Medina-Pestana and 2 more

Abstract read
In one paragraph

Article in Transplantation direct, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Juliana MansurNephrology Division, Hospital do Rim, Fundação Oswaldo Ramos, São Paulo, Brazil.ORCID https://orcid.org/0000-0002-0820-5815
Domingo Chang-DávilaUniversidade Peruana Cayetano Heredia, Lima, Peru.
Marcela Giraldes SimõesNephrology Division, Hospital do Rim, Fundação Oswaldo Ramos, São Paulo, Brazil.
Marina Pontello CristelliNephrology Division, Hospital do Rim, Fundação Oswaldo Ramos, São Paulo, Brazil.
Suelen Bianca Stopa MartinsNephrology Division, Hospital do Rim, Fundação Oswaldo Ramos, São Paulo, Brazil.
Henrique Machado de Sousa ProençaNephrology Division, Hospital do Rim, Fundação Oswaldo Ramos, São Paulo, Brazil.
Laila Almeida VianaNephrology Division, Hospital do Rim, Fundação Oswaldo Ramos, São Paulo, Brazil.
Alexandra Nicolau FerreiraNephrology Division, Hospital do Rim, Fundação Oswaldo Ramos, São Paulo, Brazil.
Marisa Petrucelli DoherNephrology Division, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
José Medina-PestanaNephrology Division, Hospital do Rim, Fundação Oswaldo Ramos, São Paulo, Brazil.
Gianna Mastroianni KirsztajnNephrology Division, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil.
Helio Tedesco-SilvaNephrology Division, Hospital do Rim, Fundação Oswaldo Ramos, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: There is no consensus on the ideal strategy to treat posttransplant focal segmental glomerulosclerosis. The multiple-target therapy, which consisted of high-dose intravenous cyclosporine, prednisone, and plasmapheresis, showed favorable results. Methods: This single-center, prospective study sought to evaluate the multiple-target therapy in an independent cohort of patients. Results: Thirteen patients with posttransplant focal segmental glomerulosclerosis received multiple-target therapy. Complete remission was achieved in 2 patients (15.4%), and partial remission in another 2 patients (15.4%). Four patients (30.7%) did not show remission, and 5 patients (38%) lost the graft because of posttransplant focal segmental glomerulosclerosis during the 12-mo follow-up. Premature discontinuation of treatment occurred in 10 patients (77%), all associated with infectious adverse events. Cytomegalovirus was the most common complication, and preemptive therapy was used instead of prophylaxis. Conclusions: In this cohort of patients, the efficacy of the multiple-target therapy was poor and limited by the high incidence of infectious adverse events.

Identifiers

PMID38817628
PMCPMC11139459

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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.