Evidence map›Paper›PMID 39261378›Full record

SynthesisEuropean journal of clinical pharmacology2024

Efficacy of tacrolimus versus cyclosporine after lung transplantation: an updated systematic review, meta-analysis, and trial sequential analysis of randomized controlled trials.

Husam Abu Suilik, Ali Saad Al-Shammari, Youssef Soliman, Mohamed Abu Suilik, Kamal A Naeim, Ahmad Nawlo, Mohamed Abuelazm

Abstract readComparative StudyMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European journal of clinical pharmacology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. 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

7 authors.

Husam Abu SuilikFaculty of Medicine, Hashemite University, Zarqa, Jordan.
Ali Saad Al-ShammariCollege of Medicine, University of Baghdad, Baghdad, Iraq. allawy1234@gmail.com.
Youssef SolimanFaculty of Medicine, Assiut University, Assiut, Egypt.
Mohamed Abu SuilikFaculty of Medicine, Yarmouk University, Irbid, Jordan.
Kamal A NaeimFaculty of Medicine, Tanta University, Tanta, Egypt.
Ahmad NawloDepartment of Infectious Disease, Brigham and Women's Hospital, Harvard Medical School, Boston, USA.
Mohamed AbuelazmFaculty of Medicine, Tanta University, Tanta, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle data supports using tacrolimus versus cyclosporin for immunosuppression concerning acute rejection and bronchiolitis obliterans syndrome/Chronic Lung Allograft Dysfunction CLAD complications following lung transplantation (LTx). Our goal was to evaluate the use of tacrolimus versus cyclosporine in preventing these complications after LTx.

methodsWe included randomized controlled trials (RCTs) by searching PubMed, Web of Science, SCOPUS, and Cochrane through January 10th, 2024. We pooled dichotomous data using the risk ratio (RR) and continuous data using the mean difference (MD) with a 95% confidence interval (CI).

resultsWe included Four RCTs with a total of 677 patients. Tacrolimus was significantly associated with decreased risk of acute rejection (RR: 1.21, 95% CI [1.03, 1.42], I

conclusionTacrolimus has decreased acute rejection episodes and CLAD rate than cyclosporine, but it increased the risk of new-onset diabetes and kidney dysfunction.

Indexed as

CyclosporineGraft RejectionImmunosuppressive AgentsLung TransplantationTacrolimusBronchiolitis ObliteransHumansRandomized Controlled Trials as TopicCyclosporineImmunosuppressive AgentsTacrolimusClinical trialCyclosporineLung transplantationMeta-analysisTacrolimus

Identifiers

What OpenQuestion holds

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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.