Evidence map›Paper›PMID 32330343›Full record

ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2020

COVID-19 in solid organ transplant recipients: Initial report from the US epicenter.

Marcus R Pereira, Sumit Mohan, David J Cohen, Syed A Husain, Geoffrey K Dube, Lloyd E Ratner, Selim Arcasoy, Meghan M Aversa, Luke J Benvenuto, Darshana M Dadhania and 16 more

Registry-linked trialOpen access · hybridAbstract 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, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05116748 (Safety and Immunogenicity of the SARS-CoV2 Vaccine in Solid Organ Transplantation), which is not on this map. Cited by 495 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
495citing papers in PubMed, 6 pooled it
19.5field-weighted citation impact, top 1% 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.

NCT05116748 completednot on this mapstarted 2021, after this paper: background citation

Safety and Immunogenicity of the SARS-CoV2 Vaccine in Solid Organ Transplantation (Lung and / or Liver) Adult Recipients

TypeobservationalSponsorFondazione IRCCS Ca' Granda, Ospedale Maggiore PoliclinicoRan2021 to 2023Enrolled364ConditionsCOVID-19, Vaccine Adverse Reaction, Vaccine Response Impaired, Vaccine ReactionArmsCOVID19 mRNA vaccine
3 · Its place in the literature

Who cites it

495 citing papers in PubMed, 6 syntheses or guidelines pooled it, 832 citations in OpenAlex.

  1. Pooled it
  2. 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
  3. COVID-19 and solid organ transplantation: Finding the right balance.Transplantation reviews (Orlando, Fla.) · 2022
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Trial
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article

435 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 2 institutions in 1 country.

Marcus R PereiraDepartment of Medicine, Division of Infectious Disease, Columbia University College of Physicians & Surgeons, New York, New York, USA.ORCID 0000-0002-9214-9122
Sumit MohanDepartment of Medicine, Division of Nephrology, Columbia University College of Physicians & Surgeons, New York, New York, USA.ORCID 0000-0002-5305-9685
David J CohenDepartment of Medicine, Division of Nephrology, Columbia University College of Physicians & Surgeons, New York, New York, USA.
Syed A HusainDepartment of Medicine, Division of Nephrology, Columbia University College of Physicians & Surgeons, New York, New York, USA.ORCID 0000-0002-1823-0117
Geoffrey K DubeDepartment of Medicine, Division of Nephrology, Columbia University College of Physicians & Surgeons, New York, New York, USA.ORCID 0000-0003-0206-5652
Lloyd E RatnerDepartment of Surgery, Columbia University College of Physicians & Surgeons, New York, New York, USA.
Selim ArcasoyLung Transplant Program, Division of Division of Pulmonary, Allergy and Critical Care Medicine, Columbia University College of Physicians & Surgeons, New York, New York, USA.
Meghan M AversaLung Transplant Program, Division of Division of Pulmonary, Allergy and Critical Care Medicine, Columbia University College of Physicians & Surgeons, New York, New York, USA.ORCID 0000-0002-7361-0024
Luke J BenvenutoLung Transplant Program, Division of Division of Pulmonary, Allergy and Critical Care Medicine, Columbia University College of Physicians & Surgeons, New York, New York, USA.ORCID 0000-0001-8005-8074
Darshana M DadhaniaDepartment of Medicine, Division of Nephrology and Hypertension, Weill Cornell Medicine, New York, New York, USA.
Sandip KapurDepartment of Surgery, Division of Transplant Surgery, Weill Cornell Medicine, New York, New York, USA.
Lorna M DoveDepartment of Medicine, Division of Digestive & Liver Diseases, Columbia University College of Physicians & Surgeons, New York, New York, USA.
Robert S BrownDepartment of Medicine, Division of Gastroenterology and Hepatology, Weill Cornell Medicine, New York, New York, USA.
Russell E RosenblattDepartment of Medicine, Division of Gastroenterology and Hepatology, Weill Cornell Medicine, New York, New York, USA.ORCID 0000-0003-3981-7053
Benjamin SamsteinDepartment of Surgery, Division of Transplant Surgery, Weill Cornell Medicine, New York, New York, USA.
Nir UrielDepartment of Medicine, Division of Cardiology, Columbia University College of Physicians & Surgeons, New York, New York, USA.
Maryjane A FarrDepartment of Medicine, Division of Cardiology, Columbia University College of Physicians & Surgeons, New York, New York, USA.
Michael SatlinDepartment of Medicine, Division of Infectious Diseases, Weill Cornell Medicine, New York, New York, USA.
Catherine B SmallDepartment of Medicine, Division of Infectious Diseases, Weill Cornell Medicine, New York, New York, USA.ORCID 0000-0002-0601-6615
Thomas J WalshDepartment of Medicine, Division of Infectious Diseases, Weill Cornell Medicine, New York, New York, USA.
Rosy P KodiyanplakkalDepartment of Medicine, Division of Infectious Diseases, Weill Cornell Medicine, New York, New York, USA.
Benjamin A MikoDepartment of Medicine, Division of Infectious Disease, Columbia University College of Physicians & Surgeons, New York, New York, USA.
Justin G AaronDepartment of Medicine, Division of Infectious Disease, Columbia University College of Physicians & Surgeons, New York, New York, USA.
Demetra S TsapepasDepartment of Surgery, Columbia University College of Physicians & Surgeons, New York, New York, USA.ORCID 0000-0001-6428-5525
Jean C EmondDepartment of Surgery, Columbia University College of Physicians & Surgeons, New York, New York, USA.
Elizabeth C VernaDepartment of Medicine, Division of Digestive & Liver Diseases, Columbia University College of Physicians & Surgeons, New York, New York, USA.ORCID 0000-0002-9658-3751
Columbia University · USCornell University · US

Funding

Institutional Career Development CoreKL2TR001874 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GENKINGER, JEANINE M., SHIMBO, DAICHI · 2016 to 2025
$13.6M
5/14 APOL1 Long-term Kidney Transplantation Outcomes Network (APOLLO) Clinical CenterU01DK116066 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Sumit Mohan, Deirdre Sawinski · 2017 to 2026
$2.5M
Identifying and exploring solutions to the ethical challenges of ApoL1 testing of donors with recent African ancestry through mixed methods research with stakeholdersR01MD014161 · NIMHD · WASHINGTON UNIVERSITY · PI DUBOIS, JAMES M, MOHAN, SUMIT · 2019 to 2021
$1.2M
Increasing Minority Population Awareness through Community Teaching for Improved Organ Donation (IMPACT for Improved Organ Donation)R01DK114893 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MOHAN, SUMIT · 2017 to 2021
$1.2M
NCATS NIH HHS KL2 TR001874NIDDK NIH HHS DK116066NIDDK NIH HHS U01NIMHD NIH HHS R01 MD14161
6 · The paper itself

Abstract

Solid organ transplant recipients may be at a high risk for SARS-CoV-2 infection and poor associated outcomes. We herein report our initial experience with solid organ transplant recipients with SARS-CoV-2 infection at two centers during the first 3 weeks of the outbreak in New York City. Baseline characteristics, clinical presentation, antiviral and immunosuppressive management were compared between patients with mild/moderate and severe disease (defined as ICU admission, intubation or death). Ninety patients were analyzed with a median age of 57 years. Forty-six were kidney recipients, 17 lung, 13 liver, 9 heart, and 5 dual-organ transplants. The most common presenting symptoms were fever (70%), cough (59%), and dyspnea (43%). Twenty-two (24%) had mild, 41 (46%) moderate, and 27 (30%) severe disease. Among the 68 hospitalized patients, 12% required non-rebreather and 35% required intubation. 91% received hydroxychloroquine, 66% azithromycin, 3% remdesivir, 21% tocilizumab, and 24% bolus steroids. Sixteen patients died (18% overall, 24% of hospitalized, 52% of ICU) and 37 (54%) were discharged. In this initial cohort, transplant recipients with COVID-19 appear to have more severe outcomes, although testing limitations likely led to undercounting of mild/asymptomatic cases. As this outbreak unfolds, COVID-19 has the potential to severely impact solid organ transplant recipients.

Indexed as

Transplant RecipientsAdenosine MonophosphateAdultAgedAlanineAntibodies, Monoclonal, HumanizedAntiviral AgentsAzithromycinBetacoronavirusCoronavirus InfectionsCOVID-19COVID-19 Drug TreatmentCritical CareFemaleHospitalizationHumansAdenosine MonophosphateAlanineAntibodies, Monoclonal, HumanizedAntiviral AgentsAzithromycinHydroxychloroquineImmunosuppressive AgentsremdesivirSteroidstocilizumabantibiotic: antiviralclinical research/practicecomplication: infectiousimmunosuppression/immune modulationinfection and infectious agents - viralinfectious diseaseorgan transplantation in general

Identifiers

PMID32330343
PMCPMC7264777
OpenAlexW3017734961

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.