Evidence map›Paper›PMID 42027897›Full record

ArticleClinical kidney journal2026

Neutral impact of mTOR inhibitors on cardiovascular outcomes after kidney transplantation.

Eulàlia Domingo-Pinent, Judit Cacho, Matthias Cassia, Verónica Torres, Hugo Vergara, Aileen Herceda, Paula Juarez, Ángela Gonzalez-Rojas, Diana Rodríguez-Espinosa, Enrique Montagud-Marrahi and 10 more

Abstract read
In one paragraph

Article in Clinical kidney journal, 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

20 authors.

Eulàlia Domingo-PinentUnidad de Trasplante Renal (UTR), Instituto Clínico de Nefrología y Urología (ICNU), Hospital Clínic, Barcelona, Spain.
Judit CachoUnidad de Trasplante Renal (UTR), Instituto Clínico de Nefrología y Urología (ICNU), Hospital Clínic, Barcelona, Spain.
Matthias CassiaUnidad de Trasplante Renal (UTR), Instituto Clínico de Nefrología y Urología (ICNU), Hospital Clínic, Barcelona, Spain.
Verónica TorresDepartment of Nephrology, Hospital Universitario Rio Ortega, Valladolid, Spain.
Hugo VergaraDepartment of Nephrology, Hospital General Universitario de Castellón, Castellón, Spain.ORCID https://orcid.org/0009-0002-4831-3797
Aileen HercedaUnidad de Trasplante Renal (UTR), Instituto Clínico de Nefrología y Urología (ICNU), Hospital Clínic, Barcelona, Spain.
Paula JuarezUnidad de Trasplante Renal (UTR), Instituto Clínico de Nefrología y Urología (ICNU), Hospital Clínic, Barcelona, Spain.
Ángela Gonzalez-RojasUnidad de Trasplante Renal (UTR), Instituto Clínico de Nefrología y Urología (ICNU), Hospital Clínic, Barcelona, Spain.ORCID https://orcid.org/0000-0001-7565-2167
Diana Rodríguez-EspinosaUnidad de Trasplante Renal (UTR), Instituto Clínico de Nefrología y Urología (ICNU), Hospital Clínic, Barcelona, Spain.ORCID https://orcid.org/0000-0002-1027-7156
Enrique Montagud-MarrahiUnidad de Trasplante Renal (UTR), Instituto Clínico de Nefrología y Urología (ICNU), Hospital Clínic, Barcelona, Spain.ORCID https://orcid.org/0000-0002-5940-8962
Carolt AranaUnidad de Trasplante Renal (UTR), Instituto Clínico de Nefrología y Urología (ICNU), Hospital Clínic, Barcelona, Spain.ORCID https://orcid.org/0000-0003-1100-5758
Alicia Molina-AndujarUnidad de Trasplante Renal (UTR), Instituto Clínico de Nefrología y Urología (ICNU), Hospital Clínic, Barcelona, Spain.ORCID https://orcid.org/0000-0002-6461-4170
Pedro Ventura-AguiarUnidad de Trasplante Renal (UTR), Instituto Clínico de Nefrología y Urología (ICNU), Hospital Clínic, Barcelona, Spain.
Nuria EsforzadoUnidad de Trasplante Renal (UTR), Instituto Clínico de Nefrología y Urología (ICNU), Hospital Clínic, Barcelona, Spain.
Ignacio RevueltaUnidad de Trasplante Renal (UTR), Instituto Clínico de Nefrología y Urología (ICNU), Hospital Clínic, Barcelona, Spain.
José Vicente TorregrosaUnidad de Trasplante Renal (UTR), Instituto Clínico de Nefrología y Urología (ICNU), Hospital Clínic, Barcelona, Spain.
Frederic OppenheimerUnidad de Trasplante Renal (UTR), Instituto Clínico de Nefrología y Urología (ICNU), Hospital Clínic, Barcelona, Spain.
Antonio FrancinoInstituto Clínico Cardiovascular, Hospital Clínic, Barcelona, Spain.
Fritz DiekmannUnidad de Trasplante Renal (UTR), Instituto Clínico de Nefrología y Urología (ICNU), Hospital Clínic, Barcelona, Spain.
David CucchiariUnidad de Trasplante Renal (UTR), Instituto Clínico de Nefrología y Urología (ICNU), Hospital Clínic, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In kidney transplantation, it remains unclear whether mammalian target of rapamycin inhibitors (mTORi) improve cardiovascular outcomes-through plaque stabilization and attenuation of left ventricular remodeling-or worsen them by deranging glucose and lipid metabolism. We aimed to assess the true impact of this drug class on major cardiovascular outcomes in a deeply phenotyped cohort with long-term follow-up. Materials and methods: All patients transplanted at our center between 1st June 2013 and 31st December 2019 ( Results: Baseline variables were adequately balanced after PSM (absolute standardized difference <0.10). Over a mean follow-up of 4.81 ± 2.49 years, MACE occurred in 78 patients (15.9%), with no significant difference between the mTORi and MPA groups (HR[95% CI] 0.84[0.54-1.30], Conclusions: Cardiovascular disease after kidney transplantation occurs due to non-modifiable risk factors and does not appear to be related to baseline immunosuppression.

Indexed as

acute myocardial infarctioncardiovascular outcomeskidney transplantationMACEmTOR inhibitors

Identifiers

PMID42027897
PMCPMC13100659

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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.