Evidence map›Paper›PMID 23206898›Full record

Trial reportBMC nephrology2012

Risk factors affecting seroconversion after influenza A/H1N1 vaccination in hemodialysis patients.

Sung Jin Moon, Sang Hun Lee, Young-Ho Byun, Gi Young Yun, Seung Kyu Kim, Baik-Lin Seong, Ah Reum Kim, Eun Sun Park, Hyung-Jong Kim, Jung Eun Lee and 3 more

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in BMC nephrology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.8field-weighted citation impact, top 26% 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

12 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Excess Deaths Attributable to Influenza-Like Illness in the ESRD Population.Journal of the American Society of Nephrology : JASN · 2019
    Article
  8. Article
  9. Article
  10. Article
  11. Infections Requiring Hospitalization in Patients on Hemodialysis.Clinical journal of the American Society of Nephrology : CJASN · 2015
    Article
  12. Review
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 5 institutions in 1 country.

Sung Jin Moon1Myongji Hospital, College of Medicine, Kwandong University, Goyang, Korea.
Sang Hun Lee
Young-Ho Byun
Gi Young Yun
Seung Kyu Kim
Baik-Lin Seong
Ah Reum Kim
Eun Sun Park
Hyung-Jong Kim
Jung Eun Lee
Sung Kyu Ha
Jae Myun Lee
Hyeong-Cheon Park
Yonsei University · KRGangnam Severance Hospital · KRSeverance Hospital · KRCatholic Kwandong University · KRCHA University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHemodialysis (HD) patients have multiple causes of immune dysfunction and poor immune response to influenza vaccination. We investigated the antibody response rate to a pandemic H1N1/2009 influenza vaccination and clinical parameters influencing the induction of antibody responses in HD patients.

methodsA total of 114 HD patients were vaccinated with a monovalent adjuvanted H1N1 inactivated influenza vaccine. Titers of neutralizing antibodies were evaluated by hemagglutination inhibition (HI) assay at pre- and 4 weeks after vaccination. Seroconversion was defined as either a pre-vaccination HI titer < 1:10 and a post vaccination HI titer > 1:40 or a pre-vaccination HI titer ≥ 1:10 and a minimum four-fold rise in post-vaccination HI antibody titer. Seventeen out of 114 HD patients (14.9%) tested positive for antibodies against influenza A/H1N1/2009 before vaccination. The remaining 97 baseline sero-negative patients were included in the analysis.

resultsOnly 30 (30.9%) HD patients had seroconversion 4 weeks after vaccination. The elderly patients, those over 65 years of age, showed significantly lower seroconversion rate compared to younger HD patients (20.5% vs. 39.6%, p = 0.042). Furthermore, patients with hemoglobin values less than 10 g/dL had a significantly lower seroconversion rate compared to those with higher hemoglobin values (20.0 vs. 38.6%, p = 0.049). By multivariate logistic regression analysis, only age ≥65 years (OR = 0.336, 95% confidence interval (CI) 0.116-0.971, p = 0.044) and hemoglobin levels <10 g/dL (OR = 0.315, 95% CI 0.106-0.932, p = 0.037) were independently associated with seroconversion after vaccination.

conclusionsOur data show that HD patients, especially who are elderly with low hemoglobin levels, are at increased risk for lower seroconversion rate after influenza A/H1N1 vaccination. Further studies are needed to improve the efficacy of vaccination in these high risk patients.

Indexed as

Influenza A Virus, H1N1 SubtypeAntibodies, ViralComorbidityFemaleHumansInfluenza, HumanInfluenza VaccinesKidney Failure, ChronicMaleMass VaccinationMiddle AgedPrevalenceRenal DialysisRepublic of KoreaRisk FactorsTreatment OutcomeAntibodies, ViralInfluenza Vaccines

Identifiers

PMID23206898
PMCPMC3560184
OpenAlexW2070111695

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.