Evidence map›Paper›PMID 42474592›Full record

ArticleJournal of robotic surgery2026

Robotic kidney transplantation with deceased donor grafts: a comparative analysis of outcomes following donation after brain death and donation after circulatory death.

Rossana Maffei, Haaris Kadri, Andrii Khomiak, Keith Hansen, Dor Yoeli, Wells B LaRiviere, Shannon Lyons, Sixto Giusti, Terri Montague, James Cooper and 11 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of robotic surgery, 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

21 authors.

Rossana Maffei *Division of Transplant Surgery, University of Colorado Anschutz Medical Campus, 1635 Aurora Ct, Aurora, CO, 80045, USA.
Haaris Kadri *School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Andrii KhomiakDivision of Transplant Surgery, University of Colorado Anschutz Medical Campus, 1635 Aurora Ct, Aurora, CO, 80045, USA.
Keith HansenDivision of Transplant Surgery, University of Colorado Anschutz Medical Campus, 1635 Aurora Ct, Aurora, CO, 80045, USA.
Dor YoeliDivision of Transplant Surgery, University of Colorado Anschutz Medical Campus, 1635 Aurora Ct, Aurora, CO, 80045, USA.
Wells B LaRiviereDivision of Transplant Surgery, University of Colorado Anschutz Medical Campus, 1635 Aurora Ct, Aurora, CO, 80045, USA.
Shannon LyonsDepartment of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Sixto GiustiDepartment of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Terri MontagueDepartment of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
James CooperDepartment of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Rashikh ChoudhuryDivision of Transplant Surgery, University of Colorado Anschutz Medical Campus, 1635 Aurora Ct, Aurora, CO, 80045, USA.
Kendra ConzenDivision of Transplant Surgery, University of Colorado Anschutz Medical Campus, 1635 Aurora Ct, Aurora, CO, 80045, USA.
Megan AdamsDivision of Transplant Surgery, University of Colorado Anschutz Medical Campus, 1635 Aurora Ct, Aurora, CO, 80045, USA.
Kristin MekeelDivision of Transplant Surgery, University of Colorado Anschutz Medical Campus, 1635 Aurora Ct, Aurora, CO, 80045, USA.
Peter KennealeyDivision of Transplant Surgery, University of Colorado Anschutz Medical Campus, 1635 Aurora Ct, Aurora, CO, 80045, USA.
Thomas BakDivision of Transplant Surgery, University of Colorado Anschutz Medical Campus, 1635 Aurora Ct, Aurora, CO, 80045, USA.
Jesse D ScholdDivision of Transplant Surgery, University of Colorado Anschutz Medical Campus, 1635 Aurora Ct, Aurora, CO, 80045, USA.
Trevor NydamDivision of Transplant Surgery, University of Colorado Anschutz Medical Campus, 1635 Aurora Ct, Aurora, CO, 80045, USA.
Thomas PshakDivision of Transplant Surgery, University of Colorado Anschutz Medical Campus, 1635 Aurora Ct, Aurora, CO, 80045, USA.
Lucrezia FurianDepartment of Surgery, Oncology, and Gastroenterology, University Hospital of Padova, Padova, Italy.
Phillipe AbreuDivision of Transplant Surgery, University of Colorado Anschutz Medical Campus, 1635 Aurora Ct, Aurora, CO, 80045, USA. dr.phillipeabreu@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Robotic kidney transplantation (RKT) has demonstrated favorable outcomes in living donor cases. However, evidence on its application using deceased donor grafts (dRKT) remains limited. We conducted a retrospective single-center analysis of RKT procedures performed at the University of Colorado Hospital between November 2021 and January 2026. Perioperative, postoperative, and functional outcomes were analyzed, with a sub-analysis comparing normothermic regional perfusion (NRP) and rapid recovery (RR) DCD techniques. A total of 69 dRKTs were performed, with 29 (42.0%) involving donation after brain death (DBD) and 40 (58.0%) from donation after circulatory death (DCD). No conversions to open surgery occurred. Operative parameters, blood loss, and hospital stay were comparable between DBD and DCD groups. Delayed graft function (DGF) occurred in 34.5% of DBD and 47.5% of DCD recipients (p = 0.404), with no significant differences in graft or patient survival. When comparing DCD NRP grafts to DCD RR grafts, the difference in DGF rates was not significant, and NRP and RR grafts had comparable graft and patient survival. Robotic kidney transplantation using deceased donor grafts appears technically feasible in selected DBD and DCD recipients at an experienced transplant center. Although outcome profiles may clinically differ between groups, these results did not meet statistical significance. Among DCD grafts, rates of DGF in NRP and RR cohorts were not statistically significant, a finding that should be considered exploratory.

Indexed as

Brain DeathKidney TransplantationRobotic Surgical ProceduresTissue and Organ ProcurementTissue DonorsAdultDelayed Graft FunctionFemaleGraft SurvivalHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeDeceased donor graftDonation after brain deathDonation after circulatory deathNormothermic regional perfusionRapid recoveryRobotic kidney transplantation

Identifiers

PMID42474592

What OpenQuestion holds

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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.