Evidence map›Paper›PMID 38994384›Full record

ArticleFrontiers in transplantation2022

Temporal and spatial variability of immunosuppressive therapies in transplant patients: An observational study in Italy.

Maria Lucia Marino, Alessandro C Rosa, Marco Finocchietti, Arianna Bellini, Francesca R Poggi, Marco Massari, Stefania Spila Alegiani, Lucia Masiero, Andrea Ricci, Gaia Bedeschi and 15 more

Abstract read
In one paragraph

Article in Frontiers in transplantation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Observational
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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

25 authors.

Maria Lucia MarinoDepartment of Epidemiology, Lazio Regional Health Service, Rome, Italy.
Alessandro C RosaDepartment of Epidemiology, Lazio Regional Health Service, Rome, Italy.
Marco FinocchiettiDepartment of Epidemiology, Lazio Regional Health Service, Rome, Italy.
Arianna BelliniDepartment of Epidemiology, Lazio Regional Health Service, Rome, Italy.
Francesca R PoggiDepartment of Epidemiology, Lazio Regional Health Service, Rome, Italy.
Marco MassariNational Center for Drug Research and Evaluation, Istituto Superiore Di Sanità, Rome, Italy.
Stefania Spila AlegianiNational Center for Drug Research and Evaluation, Istituto Superiore Di Sanità, Rome, Italy.
Lucia MasieroItalian National Transplant Center, Istituto Superiore di Sanità, Rome, Italy.
Andrea RicciItalian National Transplant Center, Istituto Superiore di Sanità, Rome, Italy.
Gaia BedeschiItalian National Transplant Center, Istituto Superiore di Sanità, Rome, Italy.
Francesca PuotiItalian National Transplant Center, Istituto Superiore di Sanità, Rome, Italy.
Massimo CardilloItalian National Transplant Center, Istituto Superiore di Sanità, Rome, Italy.
Silvia PierobonAzienda Zero of the Veneto Region, Padua, Italy.
Maurizio NordioAzienda Zero of the Veneto Region, Padua, Italy.
Eliana FerroniAzienda Zero of the Veneto Region, Padua, Italy.
Martina ZanforliniAzienda Regionale per l'Innovazione e gli Acquisti, ARIA, S.p.A., Milan, Italy.
Giuseppe PiccoloRegional Transplant Coordination, Milan, Italy.
Olivia LeoniDirectorate General for Health, Milan, Italy.
Stefano LeddaGeneral Directorate for Health, Cagliari, Italy.
Paolo CartaGeneral Directorate for Health, Cagliari, Italy.
Donatella GarauGeneral Directorate for Health, Cagliari, Italy.
Ersilia LucenteforteDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Marina DavoliDepartment of Epidemiology, Lazio Regional Health Service, Rome, Italy.
Antonio AddisDepartment of Epidemiology, Lazio Regional Health Service, Rome, Italy.
Valeria BelleudiDepartment of Epidemiology, Lazio Regional Health Service, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In immunosuppression after transplantation, several multi-drug approaches are used, involving calcineurin inhibitors ( Methods: An Italian multicentre observational cohort study was conducted using health information systems. Patients with incident transplant during 2009-2019 and resident in four regions (Veneto, Lombardy, Lazio, and Sardinia) were enrolled. The post-transplant immunosuppressive regimen was evaluated by organ, region, and year. Results: The most dispensed regimen was triple-drug therapy for the kidneys [tacrolimus (TAC) + antiM + corticosteroids = 41.5%] and heart [cyclosporin  + antiM + corticosteroids = 36.6%] and double-drug therapy for liver recipients (TAC + corticosteroids = 35.4%). Several differences between regions and years emerged with regard to agents and the number of drugs used. Conclusion: A high heterogeneity in immunosuppressive therapy post-transplant was found. Further studies are needed in order to investigate the reasons for this variability and to evaluate the risk-benefit profile of treatment schemes adopted in clinical practice.

Indexed as

drug utilizationimmunosuppressive therapyreal-world evidencesolid organ transplantspace–time variability

Identifiers

PMID38994384
PMCPMC11235261

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