Evidence map›Paper›PMID 30980600›Full record

ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2019

Quantifying the risk of undetected HIV, hepatitis B virus, or hepatitis C virus infection in Public Health Service increased risk donors.

Jefferson M Jones, Brian M Gurbaxani, Alice Asher, Stephanie Sansom, Pallavi Annambhotla, Anne C Moorman, Saleem Kamili, John T Brooks, Sridhar V Basavaraju

Open access · greenAbstract read
In one paragraph

Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 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
2.1field-weighted citation impact, top 13% 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, 29 citations in OpenAlex.

  1. Donor heart selection: Evidence-based guidelines for providers.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2023
    Guideline
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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

9 authors at 1 institution in 1 country.

Jefferson M JonesDivision of Healthcare Quality and Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.ORCID 0000-0003-4974-9058
Brian M GurbaxaniOffice of Science and H. Milton Stewart School of Industrial and Systems Engineering, Georgia Institute of Technology, Centers for Disease Control and Prevention, Atlanta, Georgia.ORCID 0000-0002-9731-7359
Alice AsherDivision of Viral Hepatitis, Centers for Disease Control and Prevention, Atlanta, Georgia.
Stephanie SansomDivision of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
Pallavi AnnambhotlaDivision of Healthcare Quality and Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Anne C MoormanDivision of Viral Hepatitis, Centers for Disease Control and Prevention, Atlanta, Georgia.ORCID 0000-0003-2411-2798
Saleem KamiliDivision of Viral Hepatitis, Centers for Disease Control and Prevention, Atlanta, Georgia.
John T BrooksDivision of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.ORCID 0000-0002-2399-3389
Sridhar V BasavarajuDivision of Healthcare Quality and Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
Centers for Disease Control and Prevention · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

To reduce the risk of HIV, hepatitis B virus (HBV), and hepatitis C virus (HCV) transmission through organ transplantation, donors are universally screened for these infections by nucleic acid tests (NAT). Deceased organ donors are classified as "increased risk" if they engaged in specific behaviors during the 12 months before death. We developed a model to estimate the risk of undetected infection for HIV, HBV, and HCV among NAT-negative donors specific to the type and timing of donors' potential risk behavior to guide revisions to the 12-month timeline. Model parameters were estimated, including risk of disease acquisition for increased risk groups, number of virions that multiply to establish infection, virus doubling time, and limit of detection by NAT. Monte Carlo simulation was performed. The risk of undetected infection was <1/1 000 000 for HIV after 14 days, for HBV after 35 days, and for HCV after 7 days from the time of most recent potential exposure to the day of a negative NAT. The period during which reported donor risk behaviors result in an "increased risk" designation can be safely shortened.

Indexed as

Tissue DonorsDNA, ViralFemaleHepatitis BHepatitis CHIV InfectionsHumansMaleMonte Carlo MethodOrgan TransplantationPractice Guidelines as TopicProbabilityReproducibility of ResultsRisk AssessmentRisk-TakingSubstance Abuse, IntravenousDNA, Viraldonors and donation: deceaseddonors and donation: donor-derived infectionsethics and public policyinfection and infectious agents - viralinfectious diseasemathematical modelorgan procurement and allocationorgan transplantation in general

Identifiers

PMID30980600
PMCPMC6946117
OpenAlexW2940009989

What OpenQuestion holds

Textmetadata
LicenceTDM
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.