Evidence map›Paper›PMID 39845391›Full record

ArticleSurgery in practice and science2023

Allocating deceased donors using local vs. imported renal allografts: Logistics are more important than distance.

Mahmoudreza Moein, Praise E Njoku Austin, Rauf Shahbazov, Matthew Hanlon, Alex Almonte, Oleh Pankewycz, Mark R Laftavi, Reza F Saidi

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Surgery in practice and science, 2023. 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
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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

8 authors.

Mahmoudreza MoeinDivision of Transplant Services, Department of Surgery, SUNY Upstate Medical University, Syracuse, NY, USA.
Praise E Njoku AustinDivision of Transplant Services, Department of Surgery, SUNY Upstate Medical University, Syracuse, NY, USA.
Rauf ShahbazovDivision of Transplant Services, Department of Surgery, SUNY Upstate Medical University, Syracuse, NY, USA.
Matthew HanlonDivision of Transplant Services, Department of Surgery, SUNY Upstate Medical University, Syracuse, NY, USA.
Alex AlmonteDivision of Transplant Services, Department of Surgery, SUNY Upstate Medical University, Syracuse, NY, USA.
Oleh PankewyczDivision of Transplant Services, Department of Surgery, SUNY Upstate Medical University, Syracuse, NY, USA.
Mark R LaftaviDivision of Transplant Services, Department of Surgery, SUNY Upstate Medical University, Syracuse, NY, USA.
Reza F SaidiDivision of Transplant Services, Department of Surgery, SUNY Upstate Medical University, Syracuse, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The deceased donor kidney allocation system (KAS) aims to optimize and equalize organ access for candidates nationwide and facilitate organ matching for candidates who are harder to match due to biological reasons. In March 2021, UNOS implanted a new allocation of KT based on distance from the donor hospitals. A distance within 250 nautical miles will receive additional proximity points to access KT. Material and Method: This retrospective single-center study assessed the Cold ischemic time (CIT) and Delayed graft function (DGF) in allograft kidneys from January 2014 to December 2020. We studied 221 import KT, compared the outcomes to locally procured KT ( Results: Donor and recipient demographics were similar in both groups. Induction and maintenance immunosuppression was similar in both groups. CIT was significantly higher in the imported group (27.6 vs. 15.9 h, Conclusions: We conclude that distance alone does not correlate with CIT and DGF and it is not a great single predictable factor for the outcomes. There are many logistical factors and OPO factors that have a significant impact on CIT and DGF occurrence, which should be considered, and the new UNOS allocation changes can help in terms of equal distribution of available allografts.

Indexed as

DistanceKidneyNew allocationSurvival rateTransplant

Identifiers

PMID39845391
PMCPMC11749408

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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.