Evidence map›Paper›PMID 33331113›Full record

ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2021

Association of time-updated plasma calcium and phosphate with graft and patient outcomes after kidney transplantation.

Willemijn Y van der Plas, António W Gomes Neto, Stefan P Berger, Robert A Pol, Schelto Kruijff, Stephan J L Bakker, Martin H de Borst

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07415421 (Subtotal Parathyroidectomy for the Treatment of Persistent Hyperparathyroidism After Kidney Transplantation), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.3field-weighted citation impact, top 20% 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.

NCT07415421 narecruitingnot on this mapstarted 2026, after this paper: background citation

Subtotal Parathyroidectomy for the Treatment of Persistent Hyperparathyroidism After Kidney Transplantation

TypeinterventionalSponsorAarhus University HospitalRan2026 to 2030Enrolled85ConditionsHyperparathyroidism, Kidney Transplantation RecipientsArmsSubtotal Parathyroidectomy, Conservative Management
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Pre-Transplant Hyperparathyroidism and Graft or Patient Outcomes After Kidney Transplantation.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Bone Mineral Disease After Kidney Transplantation.Calcified tissue international · 2021
    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

7 authors at 1 institution in 1 country.

Willemijn Y van der PlasDepartment of Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.ORCID 0000-0002-5758-2959
António W Gomes NetoDepartment of Internal Medicine Division of Nephrology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
Stefan P BergerDepartment of Internal Medicine Division of Nephrology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.ORCID 0000-0003-2228-4676
Robert A PolDepartment of Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.ORCID 0000-0002-2236-5233
Schelto KruijffDepartment of Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.ORCID 0000-0002-5151-7320
Stephan J L BakkerDepartment of Internal Medicine Division of Nephrology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.ORCID 0000-0003-3356-6791
Martin H de BorstDepartment of Internal Medicine Division of Nephrology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.ORCID 0000-0002-4127-8733
University Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Disturbances in calcium-phosphate homeostasis are common after kidney transplantation. We aimed to assess the relationship between deregulations in plasma calcium and phosphate over time and mortality and death-censored graft failure (DCGF). In this prospective cohort study, we included kidney transplant recipients with ≥2 plasma calcium and phosphate measurements. Data were analyzed using time-updated Cox regression analyses adjusted for potential confounders including time-updated kidney function. We included 2769 patients (mean age 47 ± 14 years, 42.3% female) with 138 496 plasma calcium and phosphate levels (median [IQR] 43 [31-61] measurements per patient). During follow-up of 16.3 [8.7-25.2] years, 17.2% developed DCGF and 7.9% died. Posttransplant hypercalcemia was associated with an increased risk of mortality (1.63 [1.31-2.00], p < 0.0001), but not with DCGF. Hyperphosphatemia was associated with both DCGF (2.59 [2.05-3.27], p < .0001) and mortality (3.14 [2.58-3.82], p <  .0001). Only the association between hypercalcemia and mortality remained significant in sensitivity analyses censored by a simultaneous eGFR <45 mL/min/1.73 m

Indexed as

Kidney Failure, ChronicKidney TransplantationAdultCalciumFemaleGraft RejectionGraft SurvivalHumansMaleMiddle AgedPhosphatesProspective StudiesRisk FactorsCalciumPhosphatesclinical research/practicehealth services and outcomes researchhyperparathyrodismkidney (allograft) function/dysfunctionkidney transplantation/nephrology

Identifiers

PMID33331113
PMCPMC8359271
OpenAlexW3112940104

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.