Evidence map›Paper›PMID 41814221›Full record

Trial reportBMC nephrology2026

Effect of a transfer- and ambulation-focused early mobilization protocol on functional capacity after kidney transplantation: a randomized controlled trial.

Guo Li, Miao-Wei Wang, Xia Zhang, Ao Wang, Yu-Qi Wu, Li Zhang, Qiang Gao

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC nephrology, 2026. 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

7 authors.

Guo LiRehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, 610041, China.
Miao-Wei WangRehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, 610041, China.
Xia ZhangRehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, 610041, China.
Ao WangRehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, 610041, China.
Yu-Qi WuRehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, 610041, China.
Li ZhangRehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, 610041, China.
Qiang GaoRehabilitation Medicine Center and Institute of Rehabilitation Medicine, West China Hospital, Sichuan University, Chengdu, 610041, China. gaoqiang_hxkf@163.com.

Funding

1·3·5 project for disciplines of excellence-Clinical Research Incubation Project, West China Hospital, Sichuan University 2020HXFH051
6 · The paper itself

Abstract

backgroundEarly mobilization is recommended to improve postoperative recovery, yet implementation after kidney transplantation is often delayed or limited.

objectivesTo determine whether a transfer- and ambulation-focused early mobilization protocol improves early postoperative exercise capacity and mobilization in kidney transplant recipients(KTRs), and to evaluate its safety and feasibility.

methodsSingle-center, randomized, parallel-group controlled trial conducted at West China Hospital, Sichuan University (Chengdu, China). Fifty-four adults undergoing kidney transplantation were randomized 1:1 postoperatively to usual care (control group) or usual care plus an early transfer- and ambulation-focused mobilization protocol (early mobilization group, EMG). The primary outcome was the 6-minute walk distance (6-MWD) on postoperative day(POD) 7; secondary outcomes included 6-MWD change from baseline, grip strength, grip strength change from baseline, laboratory indices, prespecified safety and feasibility endpoints, postoperative complications, and hospital length of stay.

resultsBaseline characteristics were comparable between groups. Compared with CG, EMG achieved shorter bed rest time, better 6-MWD (with a smaller postoperative decline from baseline where available), and lower white blood cell (WBC) count on POD7 (all p < 0.05). No participant in EMG was graded as "unable to complete" the mobilization protocol, and no protocol-related adverse events were observed.

conclusionsA transfer- and ambulation-focused early mobilization protocol improved early postoperative functional capacity and mobilization in KTRs and appeared safe and feasible.

trial registrationhttp://www.chictr.org.cn ChiCTR2400086546(07/04/2024).

Indexed as

Early AmbulationKidney TransplantationAdultFeasibility StudiesFemaleHand StrengthHumansMaleMiddle AgedRecovery of FunctionWalkingWalk TestAmbulationEarly mobilizationExercise capacityKidney transplant recipientsTransferring

Identifiers

PMID41814221
PMCPMC13094030

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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.