Evidence map›Paper›PMID 10973389›Full record

ArticleAnnals of surgery2000

Increased rates of donation with laparoscopic donor nephrectomy.

E J Schweitzer, J Wilson, S Jacobs, C H Machan, B Philosophe, A Farney, J Colonna, B E Jarrell, S T Bartlett

Open access · greenAbstract read
In one paragraph

Article in Annals of surgery, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
28.6field-weighted citation impact, top 1% of its field
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

47 citing papers in PubMed, 299 citations in OpenAlex.

  1. Trial
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  6. Current practice of live donor nephrectomy in Turkey.World journal of transplantation · 2022
    Article
  7. Zoning inside the renal fascia: The anatomical relationship between the urinary system and perirenal fat.International journal of urology : official journal of the Japanese Urological Association · 2020
    Article
  8. Article
  9. Article
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  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Hand-assisted laparoscopic donor nephrectomy: a single centre experience.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2016
    Article
  18. Article
  19. Review
  20. Review
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

9 authors at 1 institution in 1 country.

E J SchweitzerJoseph and Corrine Schwartz Division of Transplantation, Department of Surgery, University of Maryland, Baltimore, Maryland, USA. gschweitzer@umm.edu
J Wilson
S Jacobs
C H Machan
B Philosophe
A Farney
J Colonna
B E Jarrell
S T Bartlett
University of Maryland, Baltimore · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo examine the impact of laparoscopic nephrectomy and recipient education on the proportion of kidney recipients who could identify a potential live donor, and on the live donor (LD) transplantation rate. SUMMARY BACKGROUND DATA: Laparoscopic donor nephrectomy (LDN) results in less postoperative surgical pain, a shorter hospital stay, and quicker recovery than the standard open donor nephrectomy (ODN). The authors hypothesized that the availability of this less invasive surgical technique would enhance the willingness of family and friends to donate.

methodsThe study population consisted of 3,298 end-stage renal disease patients referred for kidney transplant evaluation between November 1991 and February 2000, divided into three groups. The first group received no formal LD education and had only ODN available. The second group received formal education about the LD process and had only ODN available. The third group had both formal LD education and LDN available. Records were examined to determine what proportion of each group had any potential donors tissue-typed, and the rate at which they received an LD transplant.

resultsBefore LDN availability and formal LD education, only 35.1% of referrals found a potential donor, and only 12.2% received an LD transplant within 3 years. Institution of a formal education program increased the volunteer rate to 39.0%, and 16.5% received an LD transplant. When LDN became available, 50% of patients were able to find at least one potential donor, and within 3 years 24.7% received an LD transplant. Regression analysis indicated that availability of LDN was independently associated with a 1.9 relative risk of receiving an LD transplant. Kaplan-Meier death-censored 1- and 3-year graft survival rates for ODN transplants were 95.8% and 90.6%, versus 97.5% and 94. 8% for LDN.

conclusionsThe availability of LDN and an LD family education program has doubled the live donor transplantation rate, and outcomes remain excellent.

Indexed as

AdolescentAdultAgedAged, 80 and overChildChild, PreschoolFemaleHumansLaparoscopyLiving DonorsMaleMiddle AgedNephrectomyPatient Acceptance of Health CarePatient Education as TopicPostoperative Pain

Identifiers

PMID10973389
PMCPMC1421152
OpenAlexW1972346670

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 Socratic graph.