Evidence map›Paper›PMID 40599625›Full record

ArticleClinical kidney journal2025

Bilateral nephrectomy in autosomal dominant polycystic kidney disease patients before or after renal transplantation: data from a retrospective cohort study.

Philipp Tessmer, Anna Meyer, Clara A Weigle, Wilfried Gwinner, Gunilla Einecke, Jürgen Klempnauer, Florian W R Vondran, Nicolas Richter, Felix Oldhafer, Oliver Beetz

Abstract read
In one paragraph

Article in Clinical kidney journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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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

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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

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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. 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

10 authors.

Philipp TessmerDepartment of General, Visceral and Transplant Surgery, Hannover Medical School, Hannover, Germany.ORCID https://orcid.org/0009-0002-4092-3259
Anna MeyerDepartment of General, Visceral and Transplant Surgery, Hannover Medical School, Hannover, Germany.
Clara A WeigleDepartment of General, Visceral and Transplant Surgery, Hannover Medical School, Hannover, Germany.
Wilfried GwinnerDepartment of Nephrology and Hypertension, Hannover Medical School, Hannover, Germany.ORCID https://orcid.org/0000-0003-1703-893X
Gunilla EineckeDepartment of Nephrology and Hypertension, Hannover Medical School, Hannover, Germany.
Jürgen KlempnauerDepartment of General, Visceral and Transplant Surgery, Hannover Medical School, Hannover, Germany.
Florian W R VondranDepartment of General, Visceral and Transplant Surgery, Hannover Medical School, Hannover, Germany.
Nicolas RichterDepartment of General, Visceral and Transplant Surgery, Hannover Medical School, Hannover, Germany.
Felix OldhaferDepartment of General, Visceral and Transplant Surgery, Hannover Medical School, Hannover, Germany.
Oliver BeetzDepartment of General, Visceral and Transplant Surgery, Hannover Medical School, Hannover, Germany.ORCID https://orcid.org/0000-0002-9213-5353

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The indication and timing of native nephrectomy in autosomal dominant polycystic kidney disease (ADPKD) kidney transplant recipients are a matter of ongoing debate. Data on bilateral nephrectomy in such patients is scarce. This study therefore compares the clinical outcome of ADPKD patients undergoing bilateral nephrectomy before or after transplantation. Methods: This retrospective single-center study analyzed all ADPKD patients undergoing kidney transplantation at our department between January 2007 and December 2017. Surgical complications, according to the Clavien-Dindo classification, and long-term graft outcomes were compared between ADPKD kidney transplant recipients undergoing bilateral nephrectomy pre- vs posttransplant. Results: A total of 273 kidney transplants were performed in ADPKD patients. Of these, 107 (39.2%) patients required native nephrectomy. Unilateral and bilateral nephrectomy was performed in 36 (33.6%) and 71 (66.4%) patients, respectively. We compared seven patients with bilateral nephrectomy before vs 20 patients after kidney transplantation. Pain and cyst infections were the most common indications in both groups. Operation time ( Conclusions: A posttransplant nephrectomy appears to be a relatively safe procedure. However, bilateral nephrectomies are highly invasive and should be avoided unless absolutely necessary. The timing and surgical outcome after nephrectomy do not significantly affect long-term graft or patient survival.

Indexed as

autosomal dominant polycystic kidney diseasegraft survivalkidney transplantationnephrectomypolycystic kidney disease

Identifiers

PMID40599625
PMCPMC12209793

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