Evidence map›Paper›PMID 37940801›Full record

ArticleUpdates in surgery2024

Safety and safety protocols for living donor nephrectomy in Italy.

Niccolò Napoli, Emanuele F Kauffmann, Michael Ginesini, Cesare Gianfaldoni, Pamela Fiaschetti, Ilaria Lombardi, Massimo Cardillo, Fabio Vistoli, Ugo Boggi

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Updates in surgery, 2024. 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
0.3field-weighted citation impact, top 36% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

9 authors at 2 institutions in 2 countries.

Niccolò NapoliDivision of General and Transplant Surgery, University of Pisa, Pisa, Italy.
Emanuele F KauffmannDivision of General and Transplant Surgery, University of Pisa, Pisa, Italy.
Michael GinesiniDivision of General and Transplant Surgery, University of Pisa, Pisa, Italy.
Cesare GianfaldoniDivision of General and Transplant Surgery, University of Pisa, Pisa, Italy.
Pamela FiaschettiCentro Nazionale Trapianti - Italian National Transplant Centre (ISS-CNT), National Institute of Health, Rome, Italy.
Ilaria LombardiCentro Nazionale Trapianti - Italian National Transplant Centre (ISS-CNT), National Institute of Health, Rome, Italy.
Massimo CardilloCentro Nazionale Trapianti - Italian National Transplant Centre (ISS-CNT), National Institute of Health, Rome, Italy.
Fabio VistoliDivision of General and Transplant Surgery, University of Pisa, Pisa, Italy.
Ugo BoggiDivision of General and Transplant Surgery, University of Pisa, Pisa, Italy. u.boggi@med.unipi.it.ORCID http://orcid.org/0000-0002-7505-5896
University of Pisa · ITNational Institute of Health · AM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Living donor kidney transplantation (LDKTx) is recommended by all scientific societies. Living donor nephrectomy (LDN) is probably one of the safest surgical procedures, but it carries some risk for healthy donors. The aim of this study is to provide a snapshot of LDKTx activities in Italy and ask about safety measures implemented in LDN. Data on LDKTx were extracted from the national database. Safety measures were examined through a specific survey. Between 2001 and 2022 40,663 kidney transplants (31.4 per million population-pmp) were performed, including 4731 LDKTx (3.7 pmp). There was no postoperative death of the donor. After a median follow-up of 52.2 months [IQR:17.9-99.5], the 10-year donor survival rate was 93.38% (CI:97.52-98.94). There was evidence of renal disease in 65 donors (1.8%), including 42 (1.1%) with stage III end-stage renal disease. Twenty-nine out of 35 transplant centers (TC) involved in LDKTx responded to the survey (82.9%). Six TCs (21.4%) had a total experience of 20 or fewer LDN. Minimally invasive LDN was the first choice at 24 TC (82.8%). At 10 TC (37.0%) only one surgeon performed LDN. Nineteen TCs (65.5%) had a surgical safety checklist for LDN and 14 had a postoperative surveillance protocol. The renal artery was occluded in 3 TCs (10.3%) mainly by non-transfixion methods (including clips). Redundancy of key safety systems in the operating room was available in 22 of 29 centers (75.8%). In summary, LDKTx should be further implemented in Italy. Donor safety should be improved through the implementation of a national procedural protocol.

Indexed as

Kidney TransplantationLaparoscopyHumansItalyKidneyLiving DonorsNephrectomyDonor safetyDonor survivalLive donor nephrectomyLive donor renal transplantationSurvey

Identifiers

PMID37940801
PMCPMC10805880
OpenAlexW4388486916

What Socratic holds

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LicenceCC BY
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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.