Evidence map›Paper›PMID 28405601›Full record

ArticleTransplantation direct2017

Risk for

Erik R Dubberke, Kimberly A Reske, Margaret A Olsen, Kerry M Bommarito, Sondra Seiler, Fernanda P Silveira, Tom M Chiller, John DiPersio, Victoria J Fraser

Open access · goldAbstract read
In one paragraph

Article in Transplantation direct, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 16% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Prevalence ofFrontiers in cellular and infection microbiology · 2022
    Pooled it
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Comorbidity and severity-of-illness risk adjustment for hospital-onsetInfection control and hospital epidemiology · 2021
    Article
  9. Article
  10. Review
  11. Review
  12. Epidemiology and outcomes of Clostridium difficile infection in allogeneic hematopoietic cell and lung transplant recipients.Transplant infectious disease : an official journal of the Transplantation Society · 2018
    Article
  13. 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

9 authors at 3 institutions in 1 country.

Erik R DubberkeDivision of Infectious Diseases, Washington University School of Medicine, St. Louis, MO.
Kimberly A ReskeDivision of Infectious Diseases, Washington University School of Medicine, St. Louis, MO.
Margaret A OlsenDivision of Infectious Diseases, Washington University School of Medicine, St. Louis, MO.
Kerry M BommaritoDivision of Infectious Diseases, Washington University School of Medicine, St. Louis, MO.
Sondra SeilerDivision of Infectious Diseases, Washington University School of Medicine, St. Louis, MO.
Fernanda P SilveiraDivision of Infectious Diseases, University of Pittsburgh, Pittsburgh, PA.
Tom M ChillerCenters for Disease Control and Prevention, Atlanta, GA.
John DiPersioDivision of Hematology and Oncology, Washington University School of Medicine, St. Louis, MO.
Victoria J FraserDivision of Infectious Diseases, Washington University School of Medicine, St. Louis, MO.
Washington University in St. Louis · USCenters for Disease Control and Prevention · USUniversity of Pittsburgh · US

Funding

C. DIFFICILE DISEASE IN STEM CELL TRANSPLANT RECIPIENTSK23AI065806 · NIAID · WASHINGTON UNIVERSITY · PI DUBBERKE, ERIK R · 2009 to 2011
$374k
NCEZID CDC HHS U01 CK000134NIAID NIH HHS K23 AI065806
6 · The paper itself

Abstract

background

methodsWe performed a 3-year prospective cohort study of CDI in allogeneic HCT recipients. Participants were enrolled during their transplant hospitalizations. Clinical assessments were performed weekly during hospitalizations and for 12 weeks posttransplant, and monthly for 30 months thereafter. Data were collected through patient interviews and chart review, and included CDI diagnosis, demographics, transplant characteristics, medications, infections, and outcomes. CDI cases were included if they occurred within 1 year of HCT and were stratified by time from transplant. Multivariable logistic regression was used to determine risk factors for CDI.

resultsOne hundred eighty-seven allogeneic HCT recipients were enrolled, including 63 (34%) patients who developed CDI. 38 (60%) CDI cases occurred during the preengraftment period (days 0-30 post-HCT) and 25 (40%) postengraftment (day >30). Lack of any preexisting comorbid disease was significantly associated with lower risk of CDI preengraftment (odds ratio [OR], 0.3; 95% confidence interval [CI], 0.1-0.9). Relapsed underlying disease (OR, 6.7; 95% CI, 1.3-33.1), receipt of any high-risk antimicrobials (OR, 11.8; 95% CI, 2.9-47.8), and graft-versus-host disease (OR, 7.8; 95% CI, 2.0-30.2) were significant independent risk factors for CDI postengraftment.

conclusionsA large portion of CDI cases occurred during the postengraftment period in allogeneic HCT recipients, suggesting that surveillance for CDI should continue beyond the transplant hospitalization and preengraftment period. Patients with continued high underlying severity of illness were at increased risk of CDI postengraftment.

Identifiers

PMID28405601
PMCPMC5381738
OpenAlexW2596516057

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.