Evidence map›Paper›PMID 40034162›Full record

ArticleTransplantation direct2025

Impact of Therapeutic Plasma Exchange and Rituximab for Prevention of Idiopathic Focal Segmental Glomerulosclerosis Recurrence Post-Kidney Transplantation.

Allison N Yun, Alex W Rogers, Jill C Krisl, Anna Kagan, Horacio E Adrogue, Abdul J Khan, Pascale Khairallah, Stephanie G Yi, Mark J Hobeika, Lillian Gaber and 4 more

Abstract read
In one paragraph

Article in Transplantation direct, 2025. 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. 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

14 authors.

Allison N YunDepartment of Pharmacy, Houston Methodist Hospital, Houston, TX.
Alex W RogersDepartment of Pharmacy, Houston Methodist Hospital, Houston, TX.
Jill C KrislDepartment of Pharmacy, Houston Methodist Hospital, Houston, TX.
Anna KaganDivision of Nephrology, Department of Internal Medicine, Houston Methodist Hospital, Houston, TX.
Horacio E AdrogueDivision of Nephrology, Department of Internal Medicine, Houston Methodist Hospital, Houston, TX.
Abdul J KhanDivision of Nephrology, Department of Internal Medicine, Houston Methodist Hospital, Houston, TX.
Pascale KhairallahSection of Nephrology, Baylor College of Medicine, Houston, TX.
Stephanie G YiDepartment of Surgery, Houston Methodist Hospital, Houston, TX.
Mark J HobeikaDepartment of Surgery, Houston Methodist Hospital, Houston, TX.
Lillian GaberDepartment of Pathology and Genomic Medicine, Houston Methodist Hospital, Houston, TX.
Luan TruongDepartment of Pathology and Genomic Medicine, Houston Methodist Hospital, Houston, TX.
Hemangshu PodderDepartment of Surgery, Houston Methodist Hospital, Houston, TX.
Ahmed O GaberDepartment of Surgery, Houston Methodist Hospital, Houston, TX.
Richard J KnightDepartment of Surgery, Houston Methodist Hospital, Houston, TX.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Focal segmental glomerulosclerosis (FSGS) recurs after kidney transplantation (KT) in 30%-50% of recipients. Recurrence is associated with early graft loss in up to 60% of cases. This study aimed to assess the efficacy of therapeutic plasma exchange (TPE) combined with rituximab (RTX) in preventing early FSGS recurrence within 1 y post-KT. Methods: This single-center, retrospective cohort study included patients receiving KT for idiopathic FSGS between June 2013 and August 2021. In May 2016, a preventative FSGS protocol was implemented where KT recipients with idiopathic FSGS received perioperative sessions of TPE followed by a dose of RTX with or without IVIG. The incidence of recurrent FSGS within the first year posttransplantation was assessed between the FSGS protocol cohort versus the historical group of patients who did not undergo prophylactic treatment. Results: A total of 65 patients received KT for idiopathic FSGS during the study period. Forty patients were included in the FSGS protocol cohort and 25 in the control cohort. When assessing clinical recurrence with proteinuria, there were significantly fewer cases in the FSGS protocol cohort versus the control cohort, 1 versus 5 patients (3% versus 20%, Conclusions: TPE combined with RTX may prevent early FSGS recurrence without significant rates of infection.

Identifiers

PMID40034162
PMCPMC11875572

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.