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Updated: Oct 1, 2025

Murine Kidney Transplant Technique
Published on: October 20, 2015
Publication rate and research topics of studies in pediatric kidney transplantation
Christian Patry1, Stefanie Cordts1, Lukas Baumann2
1Department of Pediatrics I, University Children's Hospital Heidelberg, Heidelberg, Germany.
Insights
Nearly half of pediatric kidney transplant studies remain unpublished, potentially biasing clinical decisions. Industry-funded research shows higher publication rates, with faster publication times in recent years.
Area of Science:
- Pediatric Nephrology
- Transplantation Research
- Clinical Trial Publication
Background:
- High-quality medical care for pediatric kidney transplant recipients relies on robust evidence from clinical trials.
- Understanding publication trends is crucial for assessing the evidence base in this field.
Purpose of the Study:
- To analyze the publication rate, time to publication, and influencing factors for studies in pediatric kidney transplantation.
- To identify research areas with low publication rates and potential publication bias.
Main Methods:
- A comprehensive review of pediatric kidney transplantation studies registered on ClinicalTrials.gov from 1999 to 2020.
- Analysis of publication status, time to publication, research topics, and funding sources.
Main Results:
- Out of 136 studies (36,255 participants), only 58.8% were published, leaving data from 14,350 participants unpublished.
- Median time to publication was 25 months, with faster publication in recent years.
- Industry-funded studies had a significantly higher 5-year publication rate (p=0.019).
Conclusions:
- A significant proportion of pediatric kidney transplantation research remains unpublished, raising concerns about publication bias.
- This lack of publication may negatively impact clinical decision-making and patient care.
- Industry funding appears to be associated with improved study publication rates.
Background:
The quality of medical care for pediatric kidney transplant recipients depends on sound evidence from published clinical trials.
Methods:
We examined the publication rate, time to publication, and factors associated with publication of studies in pediatric kidney transplantation registered on ClinicalTrials.gov from 1999 to 2020.
Results:
We identified 136 studies with an overall enrollment of 36255 study participants, of which only 58.8% have been published yet. Unpublished studies included data from 14 350 participants. The median time to publication was 25 months (range, 0-117) with a significantly shorter time to publication in more recent years. The most frequently investigated research topic was immunosuppressants (49.3%), followed by perioperative management (11.0%) and infectiology (10.3%). The percentage of published studies was highest for the topic steroid withdrawal (87.5%), followed by infectiology (78.6%), and nutrition, sports and quality of life (71.4%). Studies, which were co-funded by industry, showed a significantly higher 5-year publication rate (p = 0.019).
Conclusions:
In conclusion, nearly half of all studies in pediatric kidney transplantation remain unpublished. Non-publication of studies might lead to a publication bias with a negative impact on clinical decision-making.
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Kidney Transplant II: Surgical Procedure
Kidney Transplant III: Nursing Management
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Acute Kidney Injury II: Pathophysiology
Acute Kidney Injury I: Introduction

