Evidence mapPaperPMID 37664967Full record

ReviewPediatric transplantation2023

Understanding the impact of pediatric kidney transplantation on cognition: A review of the literature.

Olivia Lullmann, Ellen van der Plas, Lyndsay A Harshman

Open access · hybridAbstract readReview
In one paragraph

Review in Pediatric transplantation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Overcoming anatomical barriers in pediatric kidney transplantation.Pediatric nephrology (Berlin, Germany) · 2026
    Article
  4. 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

3 authors at 2 institutions in 1 country.

Olivia LullmannStead Family Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.ORCID 0000-0002-2521-8300
Ellen van der PlasDepartment of Hematology/Oncology, Arkansas Children's Hospital, Little Rock, Arkansas, USA.ORCID 0000-0002-7490-6636
Lyndsay A HarshmanStead Family Department of Pediatrics, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.ORCID 0000-0003-4952-8132
University of Iowa · USArkansas Children's Hospital · US

Funding

Brain anatomical imaging and neurocognition in pediatric kidney disease (BRAIN KID)R01DK128835 · UNIVERSITY OF IOWA · 2025 to 2025
$268k
NCI NIH HHSNIDDK NIH HHS R01 DK128835
6 · The paper itself

Abstract

backgroundChronic kidney disease (CKD) is a relatively rare childhood disease that is associated with a wide array of medical comorbidities. Roughly half of all pediatric patients acquire CKD due to congenital anomalies of the kidneys and urinary tract, and of those with congenital disease, 50% will progress to end-stage kidney disease (ESKD) necessitating a kidney transplantation. The medical sequelae of advanced CKD/ESKD improve dramatically following successful kidney transplantation; however, the impact of kidney transplantation on neurocognition in children is less clear. It is generally thought that cognition improves following kidney transplantation; however, our knowledge on this topic is limited by the sparsity of high-quality data in the context of the relative rarity of pediatric CKD/ESKD.

methodWe conducted a narrative review to gauge the scope of the literature, using the PubMed database and the following keywords: cognition, kidney, brain, pediatric, neurocognition, intelligence, executive function, transplant, immunosuppression, and neuroimaging.

resultsThere are few published longitudinal studies, and existing work often includes wide heterogeneity in age at transplant, variable dialysis exposure/duration prior to transplant, and unaccounted cofounders which persist following transplantation, including socio-economic status. Furthermore, the impact of long-term maintenance immunosuppression on the brain and cognitive function of pediatric kidney transplant (KT) recipients remains unknown.

conclusionIn this educational review, we highlight what is known on the topic of neurocognition and neuroimaging in the pediatric KT population.

Indexed as

Kidney Failure, ChronicKidney TransplantationRenal Insufficiency, ChronicChildCognitionHumansRenal Dialysiscognitiveimmunosuppressionpediatric kidney transplant

Identifiers

PMID37664967
PMCPMC11034761
OpenAlexW4386408051

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.