Evidence map›Paper›PMID 27481873›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2016

Universal Mask Usage for Reduction of Respiratory Viral Infections After Stem Cell Transplant: A Prospective Trial.

Anthony D Sung, Julia A M Sung, Samantha Thomas, Terry Hyslop, Cristina Gasparetto, Gwynn Long, David Rizzieri, Keith M Sullivan, Kelly Corbet, Gloria Broadwater and 2 more

Abstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

35 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  18. Maintaining mask momentum in transplant recipients.Transplant infectious disease : an official journal of the Transplantation Society · 2021
    Review
  19. C4 article: Implications of COVID-19 in transplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Anthony D SungDivision of Hematologic Malignancies and Cellular Therapy, Duke University Medical Center, Durham.
Julia A M SungDivision of Infectious Diseases, University of North Carolina at Chapel Hill.
Samantha ThomasDuke Cancer Institute Biostatistics, Duke University Medical Center, Durham, North Carolina.
Terry HyslopDuke Cancer Institute Biostatistics, Duke University Medical Center, Durham, North Carolina.
Cristina GasparettoDivision of Hematologic Malignancies and Cellular Therapy, Duke University Medical Center, Durham.
Gwynn LongDivision of Hematologic Malignancies and Cellular Therapy, Duke University Medical Center, Durham.
David RizzieriDivision of Hematologic Malignancies and Cellular Therapy, Duke University Medical Center, Durham.
Keith M SullivanDivision of Hematologic Malignancies and Cellular Therapy, Duke University Medical Center, Durham.
Kelly CorbetDivision of Hematologic Malignancies and Cellular Therapy, Duke University Medical Center, Durham.
Gloria BroadwaterDuke Cancer Institute Biostatistics, Duke University Medical Center, Durham, North Carolina.
Nelson J ChaoDivision of Hematologic Malignancies and Cellular Therapy, Duke University Medical Center, Durham.
Mitchell E HorwitzDivision of Hematologic Malignancies and Cellular Therapy, Duke University Medical Center, Durham.

Funding

THERAPEUTIC APPROACHES TO OVARIAN/BREAST CANCER--HIGH DOSE CHEMOTHERAPY AND ABMSP01CA047741 · NCI · DUKE UNIVERSITY · PI YANG, YIPING · 1990 to 2013
$19.5M
Training in Sexually Transmitted Infections and HIVT32AI007001 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SENA-SOBERANO, ARLENE C. · 1985 to 2025
$10.9M
TRANSFUSION MEDICINE AND RELATED AREAST32HL007057 · NHLBI · DUKE UNIVERSITY · PI Gowthami M Arepally · 1985 to 2026
$10.6M
North Carolina Translational & Clinical Sciences Institute (NC TraCS)KL2TR001109 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, CAREY, TIMOTHY S · 2013 to 2017
$5.7M
Duke CTSA (Composite)KL2TR001115 · NCATS · DUKE UNIVERSITY · PI BOULWARE, LEIGH E, KRAFT, MONICA · 2013 to 2017
$5.1M
NCATS NIH HHS KL2 TR001109NCATS NIH HHS KL2 TR001115NCI NIH HHS P01 CA047741NHLBI NIH HHS T32 HL007057NIAID NIH HHS T32 AI007001
6 · The paper itself

Abstract

backgroundRespiratory viral infections (RVIs) are frequent complications of hematopoietic stem cell transplant (HSCT). Surgical masks are a simple and inexpensive intervention that may reduce nosocomial spread.

methodsIn this prospective single-center study, we instituted a universal surgical mask policy requiring all individuals with direct contact with HSCT patients to wear a surgical mask, regardless of symptoms or season. The primary endpoint was the incidence of RVIs in the mask period (2010-2014) compared with the premask period (2003-2009).

resultsRVIs decreased from 10.3% (95/920 patients) in the premask period to 4.4% (40/911) in the mask period (P < .001). Significant decreases occurred after both allogeneic (64/378 [16.9%] to 24/289 [8.3%], P = .001) and autologous (31/542 [5.7%] to 16/622 [2.6%], P = .007) transplants. After adjusting for multiple covariates including season and year in a segmented longitudinal analysis, the decrease in RVIs remained significant, with risk of RVI of 0.4 in patients in the mask group compared with the premask group (0.19-0.85, P = .02). In contrast, no decrease was observed during this same period in an adjacent hematologic malignancy unit, which followed the same infection control practices except for the mask policy. The majority of this decrease was in parainfluenza virus 3 (PIV3) (8.3% to 2.2%, P < .001).

conclusionsRequiring all individuals with direct patient contact to wear a surgical mask is associated with a reduction in RVIs, particularly PIV3, during the most vulnerable period following HSCT.

Indexed as

Infection ControlMasksAdolescentAdultAgedAged, 80 and overConfounding Factors, EpidemiologicFemaleHematologic NeoplasmsHematopoietic Stem Cell TransplantationHumansImmunocompromised HostIncidenceMaleMiddle AgedRespiratory Tract Infectionshematopoietic stem cell transplantinfectionparainfluenza viruspreventionsurgical mask

Identifiers

PMID27481873
PMCPMC5036914

What OpenQuestion holds

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Registered trials

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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.