ArticleTransplantation direct2025
Timing of Transplant Surgery and Its Impact on Short- and Long-term Outcome After Renal Transplantation.
Article in Transplantation direct, 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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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.
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Who cites it
1 citing paper in PubMed.
- "See You in the Morning?" -Can Hypothermic Machine Perfusion Allow Longer Ischemic Times without Compromising Transplant Outcomes?Clinical journal of the American Society of Nephrology : CJASN · 2026Article
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Authors and funding
17 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Literature reports higher error rates in professions such as police officers and nurses during night shifts. Additionally, there is evidence of a higher rate of surgical complications and mortality rate if surgery is performed at night. Currently, kidney transplantations are performed at any time of day to minimize the cold ischemia time. Recent studies investigating the outcomes of kidney transplantation in relation to daytime have produced varying results. Methods: A retrospective analysis was conducted on data from all patients who received a deceased donor kidney transplant at the University Medical Center Mannheim between January 1, 1997, and January 31, 2015. All recipients were followed for 2.5 y after the last kidney transplant. Daytime was divided into 2 categories: day (from 8 am to 7:59 pm) and night (from 8 pm to 7:59 am). Four operation intervals were defined on the basis of incision and suturing time (day/day, day/night, night/night, and night/day). Endpoints of primary interest were surgical complications, delayed onset of renal function requiring renal replacement therapy, transplant failure, and death. Results: We analyzed 363 patients who underwent kidney transplantation during our study period. The incidence of surgical complications tended to be higher at night ( Conclusions: In summary, the effect of the timing of transplant surgery on long- and short-term outcomes of kidney transplantation appears to be rather minor. Hence, reducing cold ischemia time should be the primary goal to improve the outcome of kidney transplantation.
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Registered trials
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