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Yao Z, Kuang M, Li Z. Global trends of delayed graft function in kidney transplantation from 2013 to 2023: a bibliometric analysis. Ren Fail 2024; 46:2316277. [PMID: 38357764 PMCID: PMC10877662 DOI: 10.1080/0886022x.2024.2316277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2024] [Accepted: 02/03/2024] [Indexed: 02/16/2024] Open
Abstract
Delayed graft function (DGF) is an early complication after kidney transplantation. The literature on DGF has experienced substantial growth. However, there is a lack of bibliometric analysis of DGF. This study aimed to analyze the scientific outputs of DGF and explore its hotspots from 2013 to 2023 by using CiteSpace and VOSviewer. The 2058 pieces of literature collected in the Web of Science Core Collection (WOSCC) from 1 January 2013 to 31 December 2023 were visually analyzed in terms of the annual number of publications, authors, countries, journals, literature co-citations, and keyword clustering by using CiteSpace and VOSviewer. We found that the number of papers published in the past ten years showed a trend of first increasing and then decreasing; 2021 was the year with the most posts. The largest number of papers was published by the University of California System, and the largest number of papers was published by the United States. The top five keyword frequency rankings are: 'delayed graft function', 'kidney transplantation', 'renal transplantation', 'survival', and 'recipients'. These emerging trends include 'brain death donors', 'blood absence re-injection injuries', 'tacrolimus', 'older donors and recipients', and 'artificial intelligence and DGF'. In summary, this study reveals the authors and institutions that could be cooperated with and discusses the research hotspots in the past ten years. It provides a reference and direction for future research and application of DGF.
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Affiliation(s)
- Zhiling Yao
- Department of Organ Transplantation, First Affiliated Hospital of Kunming Medical University, Kunming City, Yunnan Province, China
| | - Mingqian Kuang
- Department of Organ Transplantation, First Affiliated Hospital of Kunming Medical University, Kunming City, Yunnan Province, China
| | - Zhen Li
- Department of Organ Transplantation, First Affiliated Hospital of Kunming Medical University, Kunming City, Yunnan Province, China
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Piana A, Pecoraro A, Dönmez Mİ, Prudhomme T, Bañuelos Marco B, López Abad A, Campi R, Boissier R, Checcucci E, Amparore D, Porpiglia F, Breda A, Territo A. New frontiers in kidney transplantation: Towards the extended reality. Actas Urol Esp 2024; 48:337-339. [PMID: 37981169 DOI: 10.1016/j.acuroe.2023.11.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2023] [Accepted: 10/04/2023] [Indexed: 11/21/2023]
Affiliation(s)
- Alberto Piana
- Departmento de Urología, Universidad de Turín, Turín, Italy; Servicio de Urología, Hospital Romolo, Rocca di Neto, Italy.
| | - Alessio Pecoraro
- Departmento de Medicina Experimental y Clínica, Universidad de Florencia, Florencia, Italy
| | - Muhammet İrfan Dönmez
- Departmento de Urología, Facultad de Medicina de la Universidad de Estambul, Estambul, Turkey
| | - Thomas Prudhomme
- Servicio de Urología, Trasplante Renal y Andrología, Hospital Universitario de Rangueil, Toulouse, France
| | - Beatriz Bañuelos Marco
- Sección de Trasplante Renal y Urología Reconstructiva, Hospital Universitario Clínico San Carlos, Madrid, Spain
| | - Alicia López Abad
- Departmento de Medicina Experimental y Clínica, Universidad de Florencia, Florencia, Italy; Servicio de Urología, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain
| | - Riccardo Campi
- Departmento de Medicina Experimental y Clínica, Universidad de Florencia, Florencia, Italy
| | - Romain Boissier
- Servicio de Urología y Trasplante Renal, Hospital Universitario La Conception, Marsella, France
| | - Enrico Checcucci
- Servicio de Cirugía, Instituto de Candiolo FPO-IRCCS, Candiolo, Turín, Italy
| | | | | | - Alberto Breda
- Unidad de Uro-oncología y Trasplante Renal, Servicio de Urología, Fundación Puigvert, Universidad Autónoma de Barcelona (UAB), Barcelona, Spain
| | - Angelo Territo
- Unidad de Uro-oncología y Trasplante Renal, Servicio de Urología, Fundación Puigvert, Universidad Autónoma de Barcelona (UAB), Barcelona, Spain
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Haberal HB, Donmez MI, Piana A, Pecoraro A, Prudhomme T, Bañuelos Marco B, López-Abad A, Campi R, Boissier R, Breda A, Territo A. A systematic review of kidney transplantation outcomes in patients with end-stage renal disease due to childhood lower urinary tract malformations. Int Urol Nephrol 2024:10.1007/s11255-024-04079-5. [PMID: 38772965 DOI: 10.1007/s11255-024-04079-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2024] [Accepted: 05/11/2024] [Indexed: 05/23/2024]
Abstract
PURPOSE Patients with lower urinary tract malformations (LUTM) were suspended from kidney transplantation (KT) programs in the past due to various concerns. Consequently, only a limited number of studies have explored this topic at hand. In this study, our objective was to perform a systematic review (SR) to evaluate the current evidence regarding KT outcomes as well as patient survival (PS), postoperative complications and urinary tract infections (UTI) in individuals with childhood LUTM. METHODS The search encompassed databases of Web of Science, Medline (via PubMed), and Embase (via Scopus) to identify all studies reporting outcomes on KT for patients with LUTM. The research included articles published in English from January 1995 till September 2023. RESULTS Of the 2634 yielded articles, 15 met the inclusion criteria, enrolling a total of 284,866 KT patients. There was significantly better 5-year graft survival (GS) in recipients with LUTM compared to the control group (RR, 1.04; 95% CI 1.02-1.06); while GS at 1-year and 10-year, and PS at 1-year, 5-year and 10-year were similar between groups. On the other hand, the postoperative UTI rate was significantly higher in the LUTM group (RR: 4.46; 95% CI 1.89-10.51). However, data on serum creatinine and estimated glomerular filtration rate on follow-up were insufficient. CONCLUSION GS and PS rates appear to be similar in patients with childhood LUTM and those with normal lower urinary tract functions. Despite a higher postoperative UTI rate within this patient group, it appears that this has no effect on GS rates.
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Affiliation(s)
- Hakan Bahadir Haberal
- Department of Urology, Ankara Ataturk Sanatorium Training and Research Hospital, Ministry of Health, University of Health Sciences, 06290, Ankara, Turkey.
| | - Muhammet Irfan Donmez
- Department of Urology, Division of Pediatric Urology, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey
| | - Alberto Piana
- Department of Urology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Turin, Italy
| | - Alessio Pecoraro
- Unit of Urological Robotic Surgery and Renal Transplantation, Careggi Hospital, University of Florence, Florence, Italy
| | - Thomas Prudhomme
- Department of Urology and Kidney Transplantation, Rangueil University Hospital, Toulouse, France
| | - Beatriz Bañuelos Marco
- Department of Urology, Renal Transplant Division, University Hospital Clínico San Carlos, Madrid, Spain
| | - Alicia López-Abad
- Department of Urology, Virgen de La Arrixaca University Hospital, Murcia, Spain
| | - Riccardo Campi
- Unit of Urological Robotic Surgery and Renal Transplantation, Careggi Hospital, University of Florence, Florence, Italy
- Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy
| | - Romain Boissier
- Department of Urology and Renal Transplantation, La Conception University Hospital, Marseille, France
| | - Alberto Breda
- Uro-Oncology and Kidney Transplant Unit, Department of Urology at "Fundació Puigvert" Hospital, Autonoma University of Barcelona, Barcelona, Spain
| | - Angelo Territo
- Uro-Oncology and Kidney Transplant Unit, Department of Urology at "Fundació Puigvert" Hospital, Autonoma University of Barcelona, Barcelona, Spain
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Veroux M, Sanfilippo F, Roscitano G, Giambra M, Giaquinta A, Riccioli G, Zerbo D, Corona D, Sorbello M, Veroux P. Prevention of Delayed Graft Function in Kidney Transplant Recipients through a Continuous Infusion of the Prostaglandin Analogue Iloprost: A Single-Center Prospective Study. Biomedicines 2024; 12:290. [PMID: 38397892 PMCID: PMC10886744 DOI: 10.3390/biomedicines12020290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2023] [Revised: 01/20/2024] [Accepted: 01/24/2024] [Indexed: 02/25/2024] Open
Abstract
BACKGROUND Delayed graft function (DGF) is common after kidney transplantation from deceased donors and may significantly affect post-transplant outcomes. This study aimed to evaluate whether an innovative approach, based on the administration of the intravenous prostaglandin analogue iloprost, could be beneficial in reducing the incidence of DGF occurring after kidney transplantation from deceased donors. METHODS This prospective, randomized (1:1), placebo-controlled study enrolled all consecutive patients who received a kidney transplant from a deceased donor from January 2000 to December 2012 and who were treated in the peri-transplant period with the prostaglandin analogue iloprost at 0.27 μg/min through an elastomeric pump (treatment group) or with a placebo (control group). RESULTS A total of 476 patients were included: DGF was reported in 172 (36.1%) patients in the entire cohort. The multivariate analysis showed that the donor's age > 70 years (OR 2.50, 95% confidence interval (CI): 1.40-3.05, p < 0.001), cold ischemia time > 24 h (OR 2.60, 95% CI: 1.50-4.51, p < 0.001), the donor's acute kidney injury (OR 2.71, 95% CI: 1.61-4.52, p = 0.021) and, above all, the recipient's arterial hypotension (OR 5.06, 95% CI: 2.52-10.1, p < 0.0001) were the strongest risk factors for developing post-transplant DGF. The incidence of DGF was 21.4% in the treatment group and 50.9% in the control group (p < 0.001). Interestingly, among patients who developed DGF, those who received iloprost had a shorter duration of post-transplant DGF (10.5 ± 8.3 vs. 13.4 ± 6.7, days, p = 0.016). CONCLUSIONS This study showed that the use of a continuous infusion of iloprost could safely and effectively reduce the incidence of DGF in recipients of deceased-donor kidneys, allowing a better graft functionality as well as a better graft survival.
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Affiliation(s)
- Massimiliano Veroux
- General Surgery Unit, Azienda Policlinico San Marco, University of Catania, 95124 Catania, Italy; (F.S.); (G.R.)
- Vascular Surgery and Organ Transplant Unit, Azienda Policlinico San Marco, University of Catania, 95124 Catania, Italy; (G.R.); (M.G.); (A.G.); (D.Z.); (D.C.); (P.V.)
| | - Floriana Sanfilippo
- General Surgery Unit, Azienda Policlinico San Marco, University of Catania, 95124 Catania, Italy; (F.S.); (G.R.)
| | - Giuseppe Roscitano
- Vascular Surgery and Organ Transplant Unit, Azienda Policlinico San Marco, University of Catania, 95124 Catania, Italy; (G.R.); (M.G.); (A.G.); (D.Z.); (D.C.); (P.V.)
| | - Martina Giambra
- Vascular Surgery and Organ Transplant Unit, Azienda Policlinico San Marco, University of Catania, 95124 Catania, Italy; (G.R.); (M.G.); (A.G.); (D.Z.); (D.C.); (P.V.)
| | - Alessia Giaquinta
- Vascular Surgery and Organ Transplant Unit, Azienda Policlinico San Marco, University of Catania, 95124 Catania, Italy; (G.R.); (M.G.); (A.G.); (D.Z.); (D.C.); (P.V.)
| | - Giordana Riccioli
- General Surgery Unit, Azienda Policlinico San Marco, University of Catania, 95124 Catania, Italy; (F.S.); (G.R.)
| | - Domenico Zerbo
- Vascular Surgery and Organ Transplant Unit, Azienda Policlinico San Marco, University of Catania, 95124 Catania, Italy; (G.R.); (M.G.); (A.G.); (D.Z.); (D.C.); (P.V.)
| | - Daniela Corona
- Vascular Surgery and Organ Transplant Unit, Azienda Policlinico San Marco, University of Catania, 95124 Catania, Italy; (G.R.); (M.G.); (A.G.); (D.Z.); (D.C.); (P.V.)
| | | | - Pierfrancesco Veroux
- Vascular Surgery and Organ Transplant Unit, Azienda Policlinico San Marco, University of Catania, 95124 Catania, Italy; (G.R.); (M.G.); (A.G.); (D.Z.); (D.C.); (P.V.)
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Territo A, Selvi İ, Malçok A, Boissier R, Campi R, Prudhomme T, Pecoraro A, Piana A, Lopez-Abad A, Bañuelos Marco B, Breda A, Dönmez Mİ. Graft survival and postoperative complications following orthotopic renal transplantation. Clin Transplant 2024; 38:e15220. [PMID: 38078675 DOI: 10.1111/ctr.15220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Revised: 10/30/2023] [Accepted: 11/27/2023] [Indexed: 01/31/2024]
Abstract
The iliac fossa is the most commonly used site to place the graft in renal transplantation in adults. However, iliac fossa may not be used in various conditions. Thus, orthotopic renal transplantation becomes a viable alternative for these selected patients. Given the technically challenging surgery and limited number of patients, data on the long-term outcomes on this regard are scarce. This narrative review serves as an update on the clinical outcomes after orthotopic renal transplantation, focusing on overall recipient survival and renal graft survival, as well as postoperative complications. We found that studies to date showed a comparable survival rate in both recipients and renal grafts in the postoperative follow-up period after orthotopic renal transplantation with a lower complication rate compared to the published data on heterotopic renal transplantation. The results of our review may encourage transplant centers to reevaluate their policies to consider orthotopic renal transplantation as an alternative technique in cases where heterotopic kidney transplantation is not possible.
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Affiliation(s)
- Angelo Territo
- Uro-Oncology and Kidney Transplant Unit, Department of Urology at "Fundació Puigvert" Hospital, Autonoma, University of Barcelona, Barcelona, Spain
| | - İsmail Selvi
- Department of Urology, Istanbul University Istanbul Faculty of Medicine, İstanbul, Turkey
| | - Aydan Malçok
- Department of Biostatistics, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey
| | - Romain Boissier
- Department of Urology and Kidney Transplantation, La Conception University Hospital, Marseille, France
| | - Riccardo Campi
- Unit of Urologic Robotic, Minimally-Invasive Surgery and Renal Transplantation, Careggi University Hospital, Florence, Italy
| | - Thomas Prudhomme
- Department of Urology and Kidney Transplantation, Toulouse University Hospital, Toulouse, France
| | - Alessio Pecoraro
- Unit of Urologic Robotic, Minimally-Invasive Surgery and Renal Transplantation, Careggi University Hospital, Florence, Italy
| | - Alberto Piana
- Department of Urology, San Luigi Gonzaga Hospital University of Turin, Orbassano, Turin, Italy
| | - Alicia Lopez-Abad
- Department of Urology, Virgen de la Arrixaca Hospital, Murcia, Spain
| | | | - Alberto Breda
- Department of Urology, Fundació Puigvert, Autonomous University of Barcelona, Barcelona, Spain
| | - M İrfan Dönmez
- Department of Urology, Istanbul University Istanbul Faculty of Medicine, İstanbul, Turkey
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