Evidence map›Paper›PMID 29087035›Full record

Trial reportAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2018

Postoperative cognitive dysfunction and mortality following lung transplantation.

P J Smith, J A Blumenthal, B M Hoffman, R D Davis, S M Palmer

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 6% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Psychosocial challenges with transplantation.Current opinion in pulmonary medicine · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Impairment of Cognitive Function in Different Domains Early After Lung Transplantation.Journal of clinical psychology in medical settings · 2022
    Observational
  14. Article
  15. Article
  16. Article
  17. The role of palliative care in lung transplantation.Journal of thoracic disease · 2021
    Review
  18. Frailty and aging-associated syndromes in lung transplant candidates and recipients.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    Review
  19. Article
  20. 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

5 authors at 1 institution in 1 country.

P J SmithDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.ORCID 0000-0002-6374-0298
J A BlumenthalDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
B M HoffmanDepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
R D DavisCardiovascular Institute, Florida Hospital, Orlando, FL, USA.
S M PalmerDepartment of Medicine, Duke University Medical Center, Durham, NC, USA.
Duke Medical Center · US

Funding

TELEPHONE STRESS MANAGEMENT FOR LUNG TRANSPLANT PATIENTSR01HL065503 · NHLBI · DUKE UNIVERSITY · PI BLUMENTHAL, JAMES A · 2000 to 2012
$6.9M
NHLBI NIH HHS R01 HL065503
6 · The paper itself

Abstract

Preliminary evidence suggests that postoperative cognitive dysfunction (POCD) is common after lung transplantation. The impact of POCD on clinical outcomes has yet to be studied. The association between POCD and longer-term survival was therefore examined in a pilot study of posttransplantation survivors. Forty-nine participants from a prior randomized clinical trial underwent a neurocognitive assessment battery pretransplantation and 6 months posttransplantation, including assessments of the domains of Executive Function (Trail Making Test, Stroop, Digit Span), Processing Speed (Ruff 2 and 7 Test, Digit Symbol Substitution Test), and Verbal Memory (Verbal Paired Associates, Logical Memory, Animal Naming, and Controlled Oral Word Association Test). During a 13-year follow-up, 33 (67%) participants died. Greater neurocognition was associated with longer survival (hazard ratio [HR] = 0.49 [0.25-0.96], P = .039), and this association was strongest on tests assessing Processing Speed (HR = 0.58 [0.36-0.95], P = .03) and Executive Function (HR = 0.52 [0.28-0.97], P = .040). In addition, unadjusted analyses suggested an association between greater Memory performance and lower risk of CLAD (HR = 0.54 [0.29-1.00], P = .050). Declines in Executive Function tended to be predictive of worse survival. These preliminary findings suggest that postoperative neurocognition is predictive of subsequent mortality among lung transplant recipients. Further research is needed to confirm these findings in a larger sample and to examine mechanisms responsible for this relationship.

Indexed as

Postoperative ComplicationsQuality of LifeCognition DisordersFemaleFollow-Up StudiesGraft RejectionGraft SurvivalHumansLung TransplantationMaleMiddle AgedNeuropsychological TestsPilot ProjectsPrognosisRisk FactorsSurvival Rateallied health/nursingclinical research/practicelung diseasetransplant social worker

Identifiers

PMID29087035
PMCPMC5820215
OpenAlexW2766973076

What Socratic holds

Textmetadata
LicenceTDM
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.