Evidence map›Paper›PMID 21921153›Full record

ArticleClinical journal of the American Society of Nephrology : CJASN2011

Influenza A/H1N1 vaccine in patients treated by kidney transplant or dialysis: a cohort study.

Nilufer E Broeders, Anneleen Hombrouck, Anne Lemy, Karl Martin Wissing, Judith Racapé, Karine Gastaldello, Annick Massart, Steven Van Gucht, Laura Weichselbaum, Aurelie De Mul and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical journal of the American Society of Nephrology : CJASN, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 6% of its field
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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

  1. Immunological and clinical efficacy of COVID-19 vaccines in immunocompromised populations: a systematic review.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2022
    Pooled it
  2. Trial
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Humoral antibody response to the first dose of the ChAdOx1 nCoV-19 vaccine in Asian patients undergoing hemodialysis.Hemodialysis international. International Symposium on Home Hemodialysis · 2022
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Antibody maintenance 3 months after complete messenger RNA COVID-19 vaccination in haemodialysis patients.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2021
    Article
  13. SARS-CoV-2 vaccine antibody response and breakthrough infection in dialysis.medRxiv : the preprint server for health sciences · 2021
    Article
  14. SARS-CoV-2 vaccination in solid-organ transplant recipients: What the clinician needs to know.Transplant international : official journal of the European Society for Organ Transplantation · 2021
    Review
  15. Review
  16. Humoral and Cellular Responses to mRNA-1273 and BNT162b2 SARS-CoV-2 Vaccines Administered to Hemodialysis Patients.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2021
    Observational
  17. Article
  18. Antibody Response to COVID-19 vaccination in Patients Receiving Dialysis.medRxiv : the preprint server for health sciences · 2021
    Article
  19. Article
  20. Article
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

13 authors at 3 institutions in 1 country.

Nilufer E BroedersRenal Transplantation Clinic, Hospital Erasme, Brussels, Belgium. broedersnilufer@gmail.com
Anneleen Hombrouck
Anne Lemy
Karl Martin Wissing
Judith Racapé
Karine Gastaldello
Annick Massart
Steven Van Gucht
Laura Weichselbaum
Aurelie De Mul
Bernard Brochier
Isabelle Thomas
Daniel Abramowicz
Universitair Ziekenhuis Brussel · BEInstitut Scientifique de Santé Publique · BEUniversité Libre de Bruxelles · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesIn 2009, the pandemic influenza A/H1N1 accounted for worldwide recommendations about vaccination. There are few data concerning the immunogenicity or the security of the adjuvanted-A/H1N1 vaccine in transplanted and hemodialyzed patients. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: Sera from 21 controls, 53 hemodialyzed (HD) patients, and 111 renal transplant recipients (RT) were sampled before (T0) and 1 month after (T1) a single dose of Pandemrix® vaccine (GSK Biologicals, AS03-adjuvanted). We measured the neutralizing antibodies against A/H1N1/2009, the geometric mean (GM) titers, the GM titer ratios (T1/T0) with 95% confidence intervals, and the seroconversion rate (responders: ≥4-fold increase in titer). The HLA and MICA immunization was determined by Luminex technology.

resultsThe GM titer ratio was 38 (19 to 78), 9 (5 to 16), and 5 (3 to 6) for controls, HD patients, and RT patients, respectively (P < 0.001). The proportion of responders was 90%, 57%, and 44%, respectively (P < 0.001). In RT patients, the prevalence of histocompatibility leukocyte antigen (HLA) class I, histocompatibility leukocyte antigen class II, and MHC class I-related chain A immunization, was, respectively, 15%, 14%, and 14% before and 14%, 14%, and 11% after vaccination (P = 1, 1, and 0.39).

conclusionsThe influenza A/H1N1-adjuvanted vaccine is of limited efficacy but is safe in renal disease populations. The humoral response is lower in transplanted versus hemodialyzed patients. Further studies are needed to improve the efficacy of vaccination in those populations.

Indexed as

Kidney TransplantationRenal DialysisAdultAgedalpha-TocopherolAnalysis of VarianceAntibodies, NeutralizingAntibodies, ViralBelgiumCase-Control StudiesChi-Square DistributionCohort StudiesDrug CombinationsFemaleHistocompatibility Antigens Class IHistocompatibility Antigens Class IIalpha-TocopherolAntibodies, NeutralizingAntibodies, ViralAS03 adjuvantDrug CombinationsHistocompatibility Antigens Class IHistocompatibility Antigens Class IIImmunosuppressive AgentsInfluenza VaccinesMHC class I-related chain ApandemrixPolysorbatesSqualene

Identifiers

PMID21921153
PMCPMC3359578
OpenAlexW2149252150

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.