Evidence map›Paper›PMID 36562176›Full record

Observational studyProgress in transplantation (Aliso Viejo, Calif.)2023

Tacrolimus Formulation, Exposure Variability, and Outcomes in Kidney Transplant Recipients.

Elaine F Lai, Huong Thao Nguyen, Olusegun Famure, Yanhong Li, S Joseph Kim

Abstract readObservational Study
In one paragraph

Observational study in Progress in transplantation (Aliso Viejo, Calif.), 2023. 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. Observational
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.

Elaine F LaiAjmera Transplant Center, 33540Toronto General Hospital, University Health Network, Toronto, Canada.ORCID 0000-0003-1046-5648
Huong Thao NguyenAjmera Transplant Center, 33540Toronto General Hospital, University Health Network, Toronto, Canada.ORCID 0000-0001-9804-819X
Olusegun FamureAjmera Transplant Center, 33540Toronto General Hospital, University Health Network, Toronto, Canada.ORCID 0000-0003-0826-0133
Yanhong LiAjmera Transplant Center, 33540Toronto General Hospital, University Health Network, Toronto, Canada.
S Joseph KimAjmera Transplant Center, 33540Toronto General Hospital, University Health Network, Toronto, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFew studies have compared within-patient variability measures of tacrolimus trough levels by formulation and assessed within-patient variability on outcomes of kidney transplant recipients. RESEARCH QUESTIONS: (1) To compare within-patient variability of trough levels when converting from twice-daily to once-daily tacrolimus using standard deviation, coefficient of variation, and intrapatient variability percent. (2) To use the 3 measures of variability to examine the relationship between tacrolimus once-daily within-patient variability and total graft failure (i.e., return to chronic dialysis, pre-emptive retransplant, death with graft function).

designIn this observational cohort study, within-patient variability of trough levels pre- and post-conversion from twice-daily to once-daily tacrolimus were compared using Wilcoxon matched-pairs signed-rank test. Graft outcomes were analyzed using Kaplan-Meier curves and multivariable Cox proportional hazards models.

resultsIn 463 patients, within-patient variability differences pre- and post-conversion of median standard deviation, coefficient of variation, and intrapatient variability percent were -0.16 ( DISCUSSION: Under a program-wide conversion, no significant difference was observed in within-patient variability post-conversion from twice-daily to once-daily tacrolimus using the three measures of variability. High within-patient variability was associated with adverse transplant outcomes post-conversion.

Indexed as

Kidney TransplantationTacrolimusGraft RejectionHumansImmunosuppressive AgentsProportional Hazards ModelsTransplant RecipientsImmunosuppressive AgentsTacrolimusAdherenceGraft FailureTacrolimusVariability

Identifiers

PMID36562176
PMCPMC9968997

What Socratic holds

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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.