Evidence map›Paper›PMID 31972212›Full record

ArticleThe Journal of infection2020

The clinical benefit of instituting a prospective clinical community-acquired respiratory virus surveillance program in allogeneic hematopoietic stem cell transplantation.

JoséLuis Piñana, Juan Montoro, Carla Aznar, Ignacio Lorenzo, María Dolores Gómez, Manuel Guerreiro, Carlos Carretero, Eva María González-Barberá, Aitana Balaguer-Roselló, Rosa Sanz and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infection, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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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

15 authors at 3 institutions in 1 country.

JoséLuis PiñanaHematology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain; CIBERONC, Instituto Carlos III, Madrid, Spain. Electronic address: jlpinana@gmail.com.
Juan MontoroHematology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Carla AznarOutpatient hematology/Oncology nursing unit, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Ignacio LorenzoHematology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
María Dolores GómezMicrobiology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Manuel GuerreiroHematology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Carlos CarreteroHematology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Eva María González-BarberáMicrobiology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Aitana Balaguer-RosellóHematology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Rosa SanzOutpatient hematology/Oncology nursing unit, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
Miguel SalavertDepartment of Infectious Diseases, Hospital Universitari i Politècnic La Fe, Valencia, Spain.
David NavarroMicrobiology Department, Hospital Clínico Universitario, INCLIVA Research Institute, Valencia, Spain; Department of Medicine, School of Medicine, University of Valencia, Valencia, Spain.
Miguel A SanzHematology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain; CIBERONC, Instituto Carlos III, Madrid, Spain; Department of Medicine, School of Medicine, University of Valencia, Valencia, Spain.
Guillermo SanzHematology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain; CIBERONC, Instituto Carlos III, Madrid, Spain; Department of Medicine, School of Medicine, University of Valencia, Valencia, Spain.
Jaime SanzHematology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain; CIBERONC, Instituto Carlos III, Madrid, Spain; Department of Medicine, School of Medicine, University of Valencia, Valencia, Spain.
Hospital Universitari i Politècnic La Fe · ESInstituto de Salud Carlos III · ESUniversitat de València · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a lack of studies comparing clinical outcomes among retrospective versus prospective cohorts of allogeneic stem cell transplant (allo-HCT) recipients with community acquired respiratory virus (CARV) infections.

methodsWe compare outcomes in two consecutive cohorts of allo-HCT recipients with CARV infections. The retrospective cohort included 63 allo-HCT recipients with 108 CARV infections from January 2013 to April 2016 who were screened and managed following standard clinical practice based on influenza and respiratory syncytial virus rapid antigen detection methods. The prospective cohort was comprised of 144 consecutive recipients with 297 CARV episodes included in a prospective interventional clinical surveillance program (ProClinCarvSur-P) based on syndromic multiplex PCR as first-line test from May 2016 to December 2018 at a single transplant center.

resultsCARV infections in the retrospective cohort showed more severe clinical features at the time of diagnosis compared to the prospective cohort (fever 83% vs. 57%, hospital admission 69% vs. 28% and lower respiratory tract 58% vs. 31%, respectively, p ≤ 0.002 for all comparisons). Antiviral therapy was more commonly prescribed in the prospective cohort (69 vs. 43 treated CARV episodes), particularly at the upper respiratory tract disease stage (34 vs. 12 treated CARV episodes). Three-month all-cause mortality was significantly higher in the retrospective cohort (n = 23, 37% vs. n = 10, 7%, p < 0.0001). Multivariate logistic regression analysis showed that recipients included in ProClinCarvSur-P had lower mortality rate [odds ratio 0.31, 95% confidence interval 0.12-0.7, p = 0.01].

conclusionThis study report on outcome differences when reporting retrospective vs. prospective CARV infections after allo-HCT. Recipients included in a ProClinCarvSur-P had lower mortality.

Indexed as

Hematopoietic Stem Cell TransplantationRespiratory Tract InfectionsVirusesHumansProspective StudiesRetrospective StudiesAllogeneic hematopoietic stem cell transplantationCommunity-acquired respiratory virusImmunodeficiency score indexInfluenzaParainfluenza virusProspective respiratory virus surveillance programRespiratory syncytial virusRespiratory virus infection

Identifiers

PMID31972212
PMCPMC7112613
OpenAlexW3002820997

What OpenQuestion holds

Textmetadata
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.