Evidence map›Paper›PMID 28852482›Full record

ArticleClinical kidney journal2017

Infectious complications of a rituximab-based immunosuppressive regimen in patients with glomerular disease.

Claire Trivin, Antoine Tran, Bruno Moulin, Gabriel Choukroun, Philippe Gatault, Cécile Courivaud, Jean-François Augusto, Maxence Ficheux, Cécile Vigneau, Eric Thervet and 1 more

Open access · goldAbstract read
In one paragraph

Article in Clinical kidney journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

40 citing papers in PubMed, 54 citations in OpenAlex.

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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

11 authors at 10 institutions in 1 country.

Claire TrivinDepartment of Nephrology, Hopital Europeen Georges Pompidou, Paris, France.
Antoine TranPediatric Emergency, Hopitaux pediatrique CHU Nice Lenval, France.
Bruno MoulinDepartment of Nephrology, Hôpitaux Universitaires de Strasbourg, France.
Gabriel ChoukrounNephrology and Transplantation, CHU Amiens, France.
Philippe GataultImmunology Laboratory, CHU Tours, France.
Cécile CourivaudNephrology, Dialysis and Renal Transplantation, CHU Saint Jacques, Besançon, France.
Jean-François AugustoDepartment of Nephrology-Dialysis-Transplantation, University Hospital of Angers, France.
Maxence FicheuxDepartment of Nephrology, CHU Caen, France.
Cécile VigneauService de Néphrologie, CHU Rennes, France.
Eric ThervetDepartment of Nephrology, Hopital Europeen Georges Pompidou, Paris, France.
Alexandre KarrasDepartment of Nephrology, Hopital Europeen Georges Pompidou, Paris, France.
Hôpital Européen Georges-Pompidou · FRCentre de Recherche en Cancérologie et Immunologie Intégrée Nantes Angers · FRCentre Hospitalier Universitaire Amiens-Picardie · FRCentre Hospitalier Universitaire de Caen · FRCentre Hospitalier Universitaire de Rennes · FRCentre Hospitalier Universitaire de Tours · FRFondation Lenval · FRHôpital Européen · FRHôpital Saint-Jacques · FRHôpitaux Universitaires de Strasbourg · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent years have seen increasing use of rituximab (RTX) for various types of primary and secondary glomerulopathies. However, there are no studies that specifically address the risk of infection related to this agent in patients with these conditions.

methodsWe reviewed the outcomes of all patients who received RTX therapy for glomerular disease between June 2000 and October 2011 in eight French nephrology departments. Each case was analysed for survival, cause of death if a non-survivor and/or the presence of infectious complications, including severe or opportunistic infection occurring within the 12 months following RTX infusion.

resultsAmong 98 patients treated with RTX, 25 presented with at least one infection. We report an infection rate of 21.6 per 100 patient-years. Five patients died within 12 months following an RTX infusion, of whom four also presented with an infection. The median interval between the last RTX infusion and the first infectious episode was 2.1 months (interquartile range 0.5-5.1). Most infections were bacterial (79%) and pneumonia was the most frequent infection reported (27%). The presence of diabetes mellitus (P = 0.006), the cumulative RTX dose (P = 0.01) and the concomitant use of azathioprine (P = 0.03) were identified as independent risk factors. Renal failure was significantly associated with an increased infection risk by bivariate analysis (P = 0.03) and was almost significant by multivariate analysis (P = 0.05). Nephrotic syndrome did not further increase the risk of infection and/or death.

conclusionThe risk of infection after RTX-based immunosuppression among patients with glomerulopathy must be considered and patients should receive close monitoring and appropriate infection prophylaxis, especially in those with diabetes and high-dose RTX regimens.

Indexed as

glomerulonephritisimmunosuppressionrituximabsafetysepsis

Identifiers

PMID28852482
PMCPMC5570029
OpenAlexW2556665052

What OpenQuestion holds

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LicenceCC BY-NC
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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.