Evidence map›Paper›PMID 41790972›Full record

ArticleJornal brasileiro de nefrologia

Kidney Paired Donation (KPD) in Brazil: first 3-way case report.

Juliana Bastos, Glaucio Silva de Souza, Marcio Luiz de Sousa, Pedro Bastos Guimarães de Almeida, Thais Freesz, David Jose de Barros Machado, Elias David-Neto, Gustavo Fernandes Ferreira

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In one paragraph

Article in Jornal brasileiro de nefrologia. 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
–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

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.

Juliana BastosSanta Casa de Misericórdia de Juiz de Fora, Unidade de Transplante, Juiz de Fora, MG, Brazil.ORCID http://orcid.org/0000-0001-9440-1398
Glaucio Silva de SouzaSanta Casa de Misericórdia de Juiz de Fora, Unidade de Transplante, Juiz de Fora, MG, Brazil.ORCID http://orcid.org/0009-0007-7514-4390
Marcio Luiz de SousaSanta Casa de Misericórdia de Juiz de Fora, Unidade de Transplante, Juiz de Fora, MG, Brazil.ORCID http://orcid.org/0009-0003-6520-6501
Pedro Bastos Guimarães de AlmeidaSanta Casa de Misericórdia de Juiz de Fora, Unidade de Transplante, Juiz de Fora, MG, Brazil.ORCID http://orcid.org/0009-0005-0677-9347
Thais FreeszSanta Casa de Misericórdia de Juiz de Fora, Unidade de Transplante, Juiz de Fora, MG, Brazil.ORCID http://orcid.org/0009-0005-3695-8186
David Jose de Barros MachadoUniversidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Unidade de Transplante Renal, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-3874-7957
Elias David-NetoUniversidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Unidade de Transplante Renal, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-8264-8326
Gustavo Fernandes FerreiraSanta Casa de Misericórdia de Juiz de Fora, Unidade de Transplante, Juiz de Fora, MG, Brazil.ORCID http://orcid.org/0000-0002-0036-0298

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Kidney Paired Donation (KPD) is a transformative strategy in living kidney donor transplantation (LDKT), particularly for overcoming immunological barriers that preclude direct donation. In 2021, KPD accounted for one-fifth of adult LDKT and for half of LDKT for sensitized recipients in the United States. In Brazil, with a high prevalence of chronic kidney disease (CKD) and over 30,000 patients on transplant waiting lists, the demand for compatible donors far exceeds supply. This article presents a case report of KPD in the Brazilian context, illustrating its feasibility and highlighting challenges and considerations for broader implementation. The case demonstrates KPD's potential to increase transplant rates, improve outcomes, and reduce dialysis costs. Nevertheless, structural, ethical, and regulatory challenges remain. This report emphasizes the implications of expanding KPD as a sustainable, life-saving strategy in Brazil.

Indexed as

Kidney TransplantationLiving DonorsTissue and Organ ProcurementBrazilFemaleHumansMale

Identifiers

PMID41790972
PMCPMC12965706

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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.