Evidence map›Paper›PMID 41824521›Full record

ArticleTransplant infectious disease : an official journal of the Transplantation Society

Comparative 3-Year Allograft Outcomes for Recipients of Kidneys From SARS-CoV-2 NAT-Positive Donors.

Christine E Koval, Mohamed Eltemamy, Nabin K Shrestha, Leal Herlitz, Emilio D Poggio, Alvin C Wee

Abstract readComparative Study
In one paragraph

Article in Transplant infectious disease : an official journal of the Transplantation Society. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Christine E KovalDepartment of Infectious Diseases, Respiratory Institute, Cleveland Clinic, Cleveland, Ohio, USA.ORCID https://orcid.org/0000-0002-8196-2601
Mohamed EltemamyDepartment of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio, USA.ORCID https://orcid.org/0000-0003-2947-179X
Nabin K ShresthaDepartment of Infectious Diseases, Respiratory Institute, Cleveland Clinic, Cleveland, Ohio, USA.ORCID https://orcid.org/0000-0001-6766-9874
Leal HerlitzDepartment of Pathology, Institute of Pathology and Laboratory Medicine, Cleveland Clinic, Cleveland, Ohio, USA.ORCID https://orcid.org/0000-0003-2665-8559
Emilio D PoggioDepartment of Kidney Medicine, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio, USA.ORCID https://orcid.org/0000-0003-1492-5103
Alvin C WeeDepartment of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio, USA.ORCID https://orcid.org/0000-0002-7368-9481

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundData demonstrates safety and short-term success of kidney transplantation (KT) from SARS-CoV-2 NAT-positive organ donors (NAT+) compared to NAT-negative donors. However, detailed reports of longer-term graft outcomes are limited and lack granular data on donor SARS-CoV-2 infection severity.

methodsWe retrospectively reviewed records from 220 recipients of KT (KTRs) at our institution from February 1, 2021, to January 31, 2022. We compared 1- and 3-year allograft-specific outcomes for KTRs from NAT+ (N = 59), CoV-COD (COVID as cause of death) (N = 56), and NAT-neg (N = 105) donors. We reviewed and compared pathology findings for allograft biopsies for all groups up to 1 year. We examined the association of eGFR at 3 years with CoV-donor status using multivariable linear regression.

resultsAt 1 year, there was no difference in rejection or kidney pathologies by CoV-donor status. At 3 years, there was no difference in patient death or graft loss by group. For subjects without graft loss, eGFR at 3 years for NAT+, CoV-COD, and NAT-neg donors was 54.8 (21.8), 45.6(17.9), and 48.4 (23.3) mL/min/m

conclusionsWe found no significant difference in pathological findings or 3-year allograft outcomes following KT from NAT-negative, NAT+, or CoV-COD donors. Despite modestly reduced eGFR for COV-COD on unadjusted analysis, kidneys from donors with a spectrum of COVID severities did not experience significantly poorer allograft outcomes over 3 years.

Indexed as

COVID-19Donor SelectionGraft RejectionKidney TransplantationSARS-CoV-2Tissue DonorsAdultAllograftsCOVID-19 Nucleic Acid TestingFemaleGlomerular Filtration RateGraft SurvivalHumansKidneyMaleMiddle Agedkidney transplantationSARS‐CoV‐2

Identifiers

PMID41824521
PMCPMC13450162

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