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02 January 2024 : Original article  

Current Trends and Future Directions of Malignancy After kidney Transplantation: A 1970-2022 Bibliometric Analysis

Fan Jiang123BCD, Fang Wang4BF, Tianyu Zhang1BF, Hongmei Dong1BF, Hongwei Bai1ACE, Liping Chen1ACEF*

DOI: 10.12659/AOT.942074

Ann Transplant 2024; 29:e942074

Abstract

BACKGROUND: Malignancy after kidney transplantation (MKT) remains a leading cause of death in transplant recipients and over the past few decades there have been many reports on this topic. However, the task of extracting crucial information from intricate events poses a significant challenge in guiding clinical work. Hence, bibliometrics was employed to summarize and predict the future in this study.

MATERIAL AND METHODS: Reviews and articles on MKT were extracted from the Web of Science Core Collection (WoSCC) and were analyzed by the software VOSviewer, CiteSpace, Scimago Graphica, and R package Bibliometrix for bibliometric analysis.

RESULTS: The analysis considered 5700 publications from 28 647 authors and 4924 institutions across 100 countries, spanning the years 1970-2022. Reference co-citation analysis showed that “renal cell carcinoma”, “skin cancer”, “post-transplant lymphoproliferative disorder” and “COVID-19 vaccine” were research hotspots. Keywords that co-occurred early were “immunosuppressant”, “cancer”, “Epstein-Barr virus”, “squamous cell carcinoma”, and “infection”, etc., while “impact”,”risk factor”, “outcomes”, “mortality”, “management” frequently co-occurred later. From 2020 to 2022, newly emerging keywords such as “SARS-CoV-2” and “COVID-19”, together with citation bursts for “immune checkpoint inhibitors” and “ipilimumab,” were observed.

CONCLUSIONS: The focus of MKT-related studies has evolved from exploring the spectrum, risk factors, and outcomes of MKT, to examining the pathogenesis, individualized screening, prevention, and treatment, including appropriate use of immune checkpoint inhibitors. Reports of renal transplant recipients infected with SARS-CoV-2 or COVID-19 have also gained attention since 2019. These suggest that individualized management remains a frontier for research and a future direction in MKT topics.

Keywords: Kidney Transplantation, Bibliometrics, Immune Checkpoint Inhibitors, Neoplasms

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Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358