Evidence map›Paper›PMID 26900992›Full record

ReviewTransplantation2016

CMV Immunoglobulins for the Treatment of CMV Infections in Thoracic Transplant Recipients.

Uwe Schulz, Paolo Solidoro, Veronika Müller, Attila Szabo, Jens Gottlieb, Heinrike Wilkens, Frank Enseleit

Open access · hybridAbstract readCase ReportsReview
In one paragraph

Review in Transplantation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
5.2field-weighted citation impact, top 4% 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

20 citing papers in PubMed, 48 citations in OpenAlex.

  1. Article
  2. Article
  3. Advancements in Cytomegalovirus Management Among Solid Organ Transplant Recipients: Insights From the ESOT CMV Workshop 2023.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Article
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Anti-viral triterpenes: a review.Phytochemistry reviews : proceedings of the Phytochemical Society of Europe · 2022
    Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Advances in the treatment of cytomegalovirus.British medical bulletin · 2019
    Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Observational
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

7 authors at 2 institutions in 4 countries.

Uwe Schulz1 Department of Thoracic and Cardiovascular Surgery, Heart and Diabetes Center NRW, Bad Oeynhausen, Germany. 2 Cardiovascular and Thoracic Department, Lung Diseases Unit, A.O.U. Citta della Salute e della Scienza di Torino, Turin, Italy. 3 Department of Pulmonolgy, Semmelweis University, Budapest, Hungary. 4 Department of Pediatrics, Semmelweis University, Budapest, Hungary. 5 Department of Pneumology, Hannover Medical School, Hannover, Germany. 6 Department of Internal Medicine V-Saarland University Medical Center Homburg/Saar, Germany. 7 Clinic for Cardiology, University Heart Center, University Hospital Zürich, Zürich, Switzerland.
Paolo Solidoro
Veronika Müller
Attila Szabo
Jens Gottlieb
Heinrike Wilkens
Frank Enseleit
House of Representatives · NLSemmelweis University · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intravenous ganciclovir and, increasingly, oral valganciclovir are now considered the mainstay of treatment for cytomegalovirus (CMV) infection or CMV disease. Under certain circumstances, CMV immunoglobulin (CMVIG) may be an appropriate addition or, indeed, alternative. Data on monotherapy with CMVIG are limited, but encouraging, for example in cases of ganciclovir intolerance. In cases of recurrent CMV in thoracic transplant patients after a disease- and drug-free period, adjunctive CMVIG can be considered in patients with hypogammaglobulinemia. Antiviral-resistant CMV, which is more common among thoracic organ recipients than in other types of transplant, can be an indication for introduction of CMVIG, particularly in view of the toxicity associated with other options, such as foscarnet. Due to a lack of controlled trials, decision-making is based on clinical experience. In the absence of a robust evidence base, it seems reasonable to consider the use of CMVIG to treat CMV in adult or pediatric thoracic transplant patients with ganciclovir-resistant infection, or in serious or complicated cases. The latter can potentially include (i) treatment of severe clinical manifestations, such as pneumonitis or eye complications; (ii) patients with a positive biopsy in end organs, such as the lung or stomach; (iii) symptomatic cases with rising polymerase chain reaction values (for example, higher than 5.0 log10) despite antiviral treatment; (iv) CMV disease or CMV infection or risk factors, such as CMV-IgG-negative serostatus; (vi) ganciclovir intolerance; (vii) patients with hypogammaglobulinemia.

Indexed as

AdultAgammaglobulinemiaAntiviral AgentsCytomegalovirusCytomegalovirus InfectionsDrug Resistance, ViralFemaleHeart TransplantationHost-Pathogen InteractionsHumansImmunization, PassiveImmunocompromised HostImmunoglobulinsImmunoglobulins, IntravenousImmunosuppressive AgentsLung TransplantationAntiviral Agentscytomegalovirus-specific hyperimmune globulinImmunoglobulinsImmunoglobulins, IntravenousImmunosuppressive Agents

Identifiers

PMID26900992
PMCPMC4764017
OpenAlexW2324068529

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.