Evidence map›Paper›PMID 42382229›Full record

ArticleTransplant international : official journal of the European Society for Organ Transplantation2026

Delayed graft function and long-term outcomes after deceased donor kidney transplantation: insights from mate-kidney analysis.

Oscar A Garcia Valencia, Ahmed Zeen Alabedeen Alrifai, Mohammed Y Mahgoub, Girish Mour, Byron Smith, Andrew J Bentall, Naim S Issa, Caroline C Jadlowiec, Alexander R Cortez, Hatem Amer and 1 more

Abstract read
In one paragraph

Article in Transplant international : official journal of the European Society for Organ Transplantation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

11 authors.

Oscar A Garcia ValenciaDepartment of Medicine, Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, United States.
Ahmed Zeen Alabedeen AlrifaiDepartment of Medicine, Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, United States.
Mohammed Y MahgoubDepartment of Medicine, Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, United States.
Girish MourDepartment of Medicine, Division of Nephrology and Hypertension, Mayo Clinic, Scottsdale, AZ, United States.
Byron SmithDepartment of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, United States.
Andrew J BentallDepartment of Medicine, Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, United States.
Naim S IssaDepartment of Medicine, Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, United States.
Caroline C JadlowiecDepartment of Surgery, Division of Transplantation Surgery, Mayo Clinic, Scottsdale, AZ, United States.
Alexander R CortezDepartment of Surgery, Division of Transplantation Surgery, Mayo Clinic, Rochester, MN, United States.
Hatem AmerDepartment of Medicine, Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, United States.
Samy RiadDepartment of Medicine, Division of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Delayed graft function (DGF) is a frequent complication after deceased donor kidney transplantation, yet its long-term impact remains understudied. Heterogeneous populations, short follow-up, and inadequate control of donor-related factors have limited prior studies. Using the Scientific Registry of Transplant Recipients (2005-2024), we evaluated the association between DGF and long-term graft outcomes, including a mate-kidney (same donor, discordant DGF status) analysis to isolate its independent effect. We identified 103,678 dialysis-dependent deceased donor kidney recipients maintained on tacrolimus and mycophenolate. Mixed-effects Cox models, adjusted for donor, recipient, immunologic, and procurement factors. DGF occurred in 30.1% of recipients and was associated with increased death-censored graft failure (HR 1.40; 95% CI 1.33-1.47) and overall graft failure (HR 1.27; 95% CI 1.23-1.31). DGF recipients had higher rejection rates at 6 (6.0% vs. 4.7%) and 12 months (8.9% vs. 7.3%), longer hospital stay, and higher 1-year rehospitalization. In the mate-kidney analysis (6,818 donors), DGF remained strongly associated with death-censored graft failure (HR 1.58; 95% CI 1.39-1.80) and overall graft failure (HR 1.35; 95% CI 1.25-1.46), confirming the independent effect of DGF. DGF is a strong predictor of adverse long-term outcomes irrespective of rejection and warrants targeted prevention strategies and intensified follow-up.

Indexed as

Delayed Graft FunctionGraft RejectionKidney TransplantationAdultAgedFemaleFollow-Up StudiesHumansImmunosuppressive AgentsKidney Failure, ChronicMaleMiddle AgedMycophenolic AcidRegistriesRenal DialysisTacrolimusImmunosuppressive AgentsMycophenolic AcidTacrolimusallocation policy changedelayed graft functionlong-term outcomesmate kidneyrejection

Identifiers

PMID42382229
PMCPMC13314580

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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.