Evidence map›Paper›PMID 30789146›Full record

ArticleEmerging infectious diseases2019

Donor-Derived Genotype 4 Hepatitis E Virus Infection, Hong Kong, China, 2018.

Siddharth Sridhar, Vincent C C Cheng, Shuk-Ching Wong, Cyril C Y Yip, Shusheng Wu, Anthony W I Lo, Kit-Hang Leung, Winger W N Mak, Jianpiao Cai, Xin Li and 9 more

Open access · diamondAbstract readHistorical Article
In one paragraph

Article in Emerging infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Donor-derived viral infections: the usual suspects and the new kids on the block.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Animal Models for Hepatitis E Virus.Advances in experimental medicine and biology · 2023
    Article
  9. Puzzles for Hepatitis E Virus.Advances in experimental medicine and biology · 2023
    Article
  10. Article
  11. [Consensus on prevention and treatment of hepatitis E].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2022
    Article
  12. Article
  13. Risk assessment of hepatitis E transmission through tissue allografts.World journal of gastrointestinal pathophysiology · 2022
    Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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

19 authors at 2 institutions in 2 countries.

Siddharth Sridhar
Vincent C C Cheng
Shuk-Ching Wong
Cyril C Y Yip
Shusheng Wu
Anthony W I Lo
Kit-Hang Leung
Winger W N Mak
Jianpiao Cai
Xin Li
Jasper F W Chan
Susanna K P Lau
Patrick C Y Woo
Wai-Ming Lai
Tze-Hoi Kwan
Timmy W K Au
Chung-Mau Lo
Sally C Y Wong
Kwok-Yung Yuen
University of Hong Kong · HKTuen Mun Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatitis E virus (HEV) genotype 4 (HEV-4) is an emerging cause of acute hepatitis in China. Less is known about the clinical characteristics and natural history of HEV-4 than HEV genotype 3 infections in immunocompromised patients. We report transmission of HEV-4 from a deceased organ donor to 5 transplant recipients. The donor had been viremic but HEV IgM and IgG seronegative, and liver function test results were within reference ranges. After a mean of 52 days after transplantation, hepatitis developed in all 5 recipients; in the liver graft recipient, disease was severe and with progressive portal hypertension. Despite reduced immunosuppression, all HEV-4 infections progressed to persistent hepatitis. Four patients received ribavirin and showed evidence of response after 2 months. This study highlights the role of organ donation in HEV transmission, provides additional data on the natural history of HEV-4 infection, and points out differences between genotype 3 and 4 infections in immunocompromised patients.

Indexed as

GenotypeTissue DonorsAdultAgedChildDisease OutbreaksFemaleHepatitis EHepatitis E virusHistory, 21st CenturyHong KongHumansImmunohistochemistryMaleMiddle AgedMolecular TypingChinachronic hepatitishepatitishepatitis Ehepatitis E virusHong Kongimmune systemribavirintransplantationviruses

Identifiers

PMID30789146
PMCPMC6390757
OpenAlexW2912960168

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.