Timing of Kidney Clamping and Deceased Donor Kidney Transplant Outcomes Article Swipe
Simon Ville
,
Marine Lorent
,
Clarisse Kerleau
,
Anders Åsberg
,
Christophe Legendre
,
Emmanuel Morélon
,
Fanny Buron
,
Valérie Garrigue
,
Moglie Le Quintrec
,
Sophie Girerd
,
Marc Ladrière
,
Laetitia Albano
,
A Sicard
,
Denis Glotz
,
Carmen Lefaucheur
,
Julien Branchereau
,
David Jacobi
,
Magali Giral
·
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.2215/cjn.03290321
YOU?
·
· 2021
· Open Access
·
· DOI: https://doi.org/10.2215/cjn.03290321
Background and objectives The fact that metabolism and immune function are regulated by an endogenous molecular clock that generates circadian rhythms suggests that the magnitude of ischemia reperfusion, and subsequent inflammation on kidney transplantation, could be affected by the time of the day. Design, setting, participants, & measurements We evaluated 5026 individuals who received their first kidney transplant from deceased heart-beating donors. In a cause-specific multivariable analysis, we compared delayed graft function and graft survival according to the time of kidney clamping and declamping. Participants were divided into those clamped between midnight and noon ( ante meridiem [ am ] clamping group; 65%) or clamped between noon and midnight ( post meridiem [ pm ] clamping group; 35%), and, similarly, those who underwent am declamping (25%) or pm declamping (75%). Results Delayed graft function occurred among 550 participants (27%) with am clamping and 339 (34%) with pm clamping (adjusted odds ratio, 0.81; 95% confidence interval, 0.67 to 0.98; P =0.03). No significant association was observed between clamping time and overall death-censored graft survival (hazard ratio, 0.92; 95% confidence interval, 0.77 to 1.10; P =0.37). No significant association of declamping time with delayed graft function or graft survival was observed. Conclusions Clamping between midnight and noon was associated with a lower incidence of delayed graft function, whereas declamping time was not associated with kidney graft outcomes.
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Concepts
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.2215/cjn.03290321
- OA Status
- green
- Cited By
- 7
- References
- 43
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W3204348143
All OpenAlex metadata
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- OpenAlex ID
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https://openalex.org/W3204348143Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.2215/cjn.03290321Digital Object Identifier
- Title
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Timing of Kidney Clamping and Deceased Donor Kidney Transplant OutcomesWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2021Year of publication
- Publication date
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2021-10-08Full publication date if available
- Authors
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Simon Ville, Marine Lorent, Clarisse Kerleau, Anders Åsberg, Christophe Legendre, Emmanuel Morélon, Fanny Buron, Valérie Garrigue, Moglie Le Quintrec, Sophie Girerd, Marc Ladrière, Laetitia Albano, A Sicard, Denis Glotz, Carmen Lefaucheur, Julien Branchereau, David Jacobi, Magali GiralList of authors in order
- Landing page
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https://doi.org/10.2215/cjn.03290321Publisher landing page
- Open access
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YesWhether a free full text is available
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greenOpen access status per OpenAlex
- OA URL
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https://hal.umontpellier.fr/hal-03644517Direct OA link when available
- Concepts
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Medicine, Clamping, Kidney transplantation, Kidney, Kidney transplant, Intensive care medicine, Urology, Internal medicine, Engineering, Mechanical engineeringTop concepts (fields/topics) attached by OpenAlex
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7Total citation count in OpenAlex
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2025: 3, 2024: 1, 2023: 1, 2022: 2Per-year citation counts (last 5 years)
- References (count)
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43Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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