Evidence map›Paper›PMID 40248161›Full record

SynthesisFrontiers in transplantation2025

Donor's therapeutic hypothermia vs. normothermia in kidney transplantation: a meta-analysis of randomized controlled trials.

Luccas Marcolin Miranda, Pedro Emanuel Carneiro De Lima, Nathalia De Carvalho Dias Miranda, Giovanna Zaniolo Margraf, Juliano Riella

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in transplantation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Luccas Marcolin MirandaDepartment of Medicine and Health Sciences, Pontifical Catholic University of Paraná, Curitiba, Paraná, Brazil.
Pedro Emanuel Carneiro De LimaDepartment of Medicine, Federal University of Latin American Integration, Foz do Iguaçu, Paraná, Brazil.
Nathalia De Carvalho Dias MirandaDepartment of Medicine, Bahiana's School of Medicine and Public Health, Salvador, Bahia, Brazil.
Giovanna Zaniolo MargrafDepartment of Medicine and Health Sciences, Pontifical Catholic University of Paraná, Curitiba, Paraná, Brazil.
Juliano RiellaDepartment of Surgery, Emory Transplant Center, School of Medicine, Emory University Atlanta, Atlanta, GA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The shortage of organs remains one of the most challenging global problems nowadays. Donor's therapeutic hypothermia was suggested to decrease kidney delayed graft function (DGF) when compared to normothermia in previous trials, but the role of such intervention is still controversial. To assess this, we performed a systematic review and meta-analysis of randomized clinical trials (RCTs) investigating the benefits of donor hypothermia in DGF rate and Graft Failure. Methods: MEDLINE, Embase, and Cochrane databases were systematically searched for studies of deceased organ donors who underwent hypothermia or normothermia prior to kidney transplantation. Statistical analysis was performed using R Studio version 3.6. Heterogeneity was assessed using Results: Four different RCTs were analyzed, including more than 3,000 recipients. Donor hypothermia was associated with a lower, but not statistically significant, rate of DGF (RR 0.87; 95% CI 0.71-1.08; Conclusion: Our meta-analysis could not find a statistical difference between donor therapeutic hypothermia and normothermia in preventing DGF or Graft Failure. However, these results may be influenced by outliers and the limitations of the included studies. Further research is needed to clarify the role of donor hypothermia in kidney transplantation. If proven beneficial, it could be a promising alternative to sites where preservation techniques are limited, such as low-income countries. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD42024581665, PROSPERO (CRD42024581665).

Indexed as

delayed graft functiongraft failuregraft survivalhypothermiakidney transplantation

Identifiers

PMID40248161
PMCPMC12003384

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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.