Evidence map›Paper›PMID 30488288›Full record

ArticleClinical and experimental nephrology2019

Factors affecting inadequate response to HBV vaccine in hemodialysis patients: northeast anatolia survey with six hemodialysis centers.

Halil İbrahim Erdoğdu, Eray Atalay, Gül Gürsoy, Başol Canbakan, Serkan Aktürk, Canan Yazıcı, Orhan Yücel, Sinan Mersin, Sengül Üçer, Özgür Merhametsiz and 2 more

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Article in Clinical and experimental nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 23% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Observational
  5. Observational
  6. Article
  7. Article
  8. 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

12 authors at 5 institutions in 1 country.

Halil İbrahim ErdoğduDepartment of Internal Medicine, Health Research Center, Kafkas University, Kars, Turkey. halil-dr@hotmail.com.
Eray AtalayDepartment of Internal Medicine, Health Research Center, Kafkas University, Kars, Turkey.
Gül GürsoyDepartment of Internal Medicine and Endocrinology, Kafkas University, Kars, Turkey.
Başol CanbakanDepartment of Internal Medicine and Neprology, Kafkas University, Kars, Turkey.
Serkan AktürkDepartment of Hemodialysis and Nephrology, Kars Harakani State Hospital, Kars, Turkey.
Canan YazıcıDepartement of Internal Medicine, Ardahan State Hospital, Ardahan, Turkey.
Orhan YücelDepartment of Hemodialysis and Nephrology, Kars Harakani State Hospital, Kars, Turkey.
Sinan MersinDepartment of Internal Medicine, Kartal Lütfi Kırdar Education and Research Hospital, Istanbul, Turkey.
Sengül ÜçerDepartment of Clinical Microbiology and Infectious diseases, Kafkas University, Kars, Turkey.
Özgür MerhametsizDepartment of Hemodialysis and Nephrology, Iğdır State Hospital, Iğdır, Turkey.
Can ÖnerDepartment of Family Medicine, Kartal Lütfi Kırdar Education and Research Hospital, Istanbul, Turkey.
Merve EratDepartment of Internal Medicine, Health Research Center, Kafkas University, Kars, Turkey.
Kafkas University · TRDr Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi · TRSivas State Hospital · TRArdahan University · TRIğdır Üniversitesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn hemodialysis patients Hepatitis B virus (HBV) infection is one of the problems. Because of HBV vaccine response is lower than in the general population, in this study it is aimed to determine the factors that may cause inadequate HBV vaccine response in hemodialysis patients.

methodsIn study, HBsAg, anti-HBs, anti-HBc IgG data belonging to 278 patients were obtained from file and computer records. It was seen that seronegative cases had been given recombinant HBV vaccine. Anti-HBs titers were monitored 1 month after vaccination was completed. According to this, the patients are divided into two groups. Those with anti-HBs < 10 IU/mL were identified as non-responders and with anti-HBs ≥ 10 IU/mL as responders. Factors such as age, serum albumin and urea reduction rate which may affect inadequate response to HBV vaccine were evaluated. As statistical examination, Chi-square test was used for the analysis of the data determined by counting, and logistic regression was used for statistically significant independent variables in chi-square test. p value of < 0.05 was considered statistically significant (Confidence interval: 95%).

resultsOut of 278 patients, according to exclusion criteria 81 patients were excluded. 13.2%(26/197) of HBV vaccinated patients had insufficient response. The inadequate response rate to HBV vaccination was found to be higher in patients with age ≥ 65 (p = 0.039), serum albumin < 3.5 g/dL (p = 0.024) and urea reduction rate ≤ 65 (p = 0.028). No statistically significant relationship was found between inadequate response to HBV vaccine and anti-HCV positivity, presence of diabetes mellitus, anemia status, vitamin D therapy and vascular access pathway variability.

conclusionWe conclude that relatively high patient age, low albumin level and insufficient urea reduction rate may cause inadequate HBV vaccine response. Taking these factors into consideration may provide a useful insight for an adequate response to vaccination.

Indexed as

AdultAgedAged, 80 and overAge FactorsAmbulatory Care FacilitiesCross-Sectional StudiesFemaleHepatitis B AntibodiesHepatitis B Core AntigensHepatitis B Surface AntigensHepatitis B VaccinesHumansImmunoglobulin GMaleMiddle AgedRenal DialysisHepatitis B AntibodiesHepatitis B Core AntigensHepatitis B Surface AntigensHepatitis B VaccinesImmunoglobulin GSerum AlbuminUreaVaccines, SyntheticHemodialysisHemodialysis adequacyHepatitis B vaccinesHumoral immune response

Identifiers

PMID30488288
OpenAlexW2903048911

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.