Evidence map›Paper›PMID 40181098›Full record

Trial reportScientific reports2025

Results of a multicenter, randomized trial examining a new transition model for post-kidney transplant adolescents.

Martin Kreuzer, Jenny Prüfe, Marie-Luise Dierks, Silvia Müther, Dirk Bethe, Anja Büscher, Krisztina Heindl-Rusai, Sabine Hollenbach, Bernd Hoppe, Ulrike John-Kroegel and 15 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. [Transition in nephrology].Innere Medizin (Heidelberg, Germany) · 2025
    Review
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.

Martin Kreuzer *Clinic of Pediatrics II, Essen University Hospital, Hufelandstrasse 55, 45147, Essen, Germany.
Jenny Prüfe *Clinic of Pediatrics II, Essen University Hospital, Hufelandstrasse 55, 45147, Essen, Germany.
Marie-Luise DierksDepartment of Epidemiology, Social Medicine and Health System Research, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany.
Silvia MütherBerliner TransitionsProgramm (BTP), DRK-Kliniken Berlin Westend, Spandauer Damm 130, 14050, Berlin, Germany.
Dirk BetheDivision of Pediatric Nephrology, Center for Child and Adolescent Medicine, Heidelberg University Hospital, Im Neuenheimer Feld 672, 69120, Heidelberg, Germany.
Anja BüscherClinic of Pediatrics II, Essen University Hospital, Hufelandstrasse 55, 45147, Essen, Germany.
Krisztina Heindl-RusaiUniversity Children's Hospital, Währinger Gürtel 18-20, Vienna, 1090, Austria.
Sabine HollenbachKfH Center of Pediatric Nephrology, St. Georg Hospital, Delitzscher Str. 141, 04129, Leipzig, Germany.
Bernd HoppeBonn Center of Pediatric Nephrology, Im Mühlenbach 2b, 53127, Bonn, Germany.
Ulrike John-KroegelPediatric Nephrology, Universitätsklinikum Jena, Kastanienstraße 1, 07747, Jena, Germany.
Nele Kirsten KanzelmeyerDepartment of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Carl- Neuberg-Strasse 1, 30625, Hannover, Germany.
Günter KlausKfH Center of Pediatric Nephrology, University Hospital of Marburg, Baldingerstraße, 35043, Marburg, Germany.
Birgitta KranzUniversity Children's Hospital Münster, Albert-Schweitzer-Campus 1, 48149, Munster, Germany.
Jun OhUniversity Children's Hospital Eppendorf, Martinistraße 52, 20251, Hamburg, Germany.
Martin PohlDepartment of General Pediatrics, Adolescent Medicine and Neonatology, Freiburg University Hospital, Heiliggeiststraße 1, 79106, Freiburg im Breisgau, Germany.
Susanne RiegerDivision of Pediatric Nephrology, Center for Child and Adolescent Medicine, Heidelberg University Hospital, Im Neuenheimer Feld 672, 69120, Heidelberg, Germany.
Bettina RuckenbrodtChildren's Hospital, Olgahospital Klinikum Stuttgart, Kriegsbergstraße 60, 70174, Stuttgart, Germany.
Katja SauersteinChildren's Hospital, University of Erlangen, Maximiliansplatz 2, 91054, Erlangen, Germany.
Hagen StaudeUniversity Children's Hospital, Ernst-Heydemann-Straße 8, 18057, Rostock, Germany.
Christina TaylanPediatric Nephrology, University Hospital of Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
Julia ThumfartDepartment of Pediatric Nephrology, Campus Charité Virchow Klinikum, Augustenburger Platz 1, 13353, Berlin, Germany.
Marcus WeitzUniversity Children's Hospital Tübingen, Geissweg 3, 72076, Tübingen, Germany.
Rieke RinglstetterInstitute of Biostatistics, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany.
Anika Großhennig *Institute of Biostatistics, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany.
Lars Pape *Clinic of Pediatrics II, Essen University Hospital, Hufelandstrasse 55, 45147, Essen, Germany. Lars.Pape@uk-essen.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Allograft loss after pediatric kidney transplantation (KTx) is highest in adolescents and young adults. Non-adherence and Health Care Transition (HCT) are important factors, but others also contribute. In the TransNephro study patients were randomized 1:1. The intervention group was included in the Berlin Transition Program (BTP) and incorporated a central case manager, a communication app, and joined transition rounds for one year before and one year after transfer. Primary endpoint was the coefficient of variation (CoV) of the trough level of the calcineurin inhibitor as a surrogate marker for medication adherence associated with graft loss. Least square (LS) mean differences and corresponding 95% confidence intervals (CIs) were estimated using an analysis of covariance (ANCOVA) model. We assessed 220 patients for eligibility. 49 patients were randomized to the intervention group and 53 to the control group. We analyzed 84 patients in the modified intention-to-treat analysis (38 intervention, 46 controls) and 60 in the per protocol analysis (25 intervention, 35 controls). We found no difference in CoV. We saw low numbers of graft-related events and observed no differences with respect to quality of life. BTP did not improve adherence and other outcome parameters. Non-adherent patients may have decided not to participate, whilst adherence of participants was already good at study start. It is therefore achallenge to design future multicenter trials on HCT that include multiple interventions.Trial registration: ISRCTN22988897, 24/04/2014, https://doi.org/10.1186/ISRCTN22988897 .

Indexed as

Graft RejectionKidney TransplantationTransition to Adult CareAdolescentCalcineurin InhibitorsChildFemaleHumansImmunosuppressive AgentsMaleMedication AdherenceQuality of LifeYoung AdultCalcineurin InhibitorsImmunosuppressive Agents

Identifiers

PMID40181098
PMCPMC11968839

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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.