Evidence map›Paper›PMID 32480420›Full record

ReviewBritish journal of haematology2020

Challenges in the management of patients with systemic light chain (AL) amyloidosis during the COVID-19 pandemic.

Efstathios Kastritis, Ashutosh Wechalekar, Stefan Schönland, Vaishali Sanchorawala, Giampaolo Merlini, Giovanni Palladini, Monique Minnema, Murielle Roussel, Arnaud Jaccard, Ute Hegenbart and 4 more

Open access · bronzeAbstract readReview
In one paragraph

Review in British journal of haematology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

14 citing papers in PubMed, 21 citations in OpenAlex.

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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

14 authors at 9 institutions in 7 countries.

Efstathios KastritisPlasma Cell Dyscrasia Unit, Department of Clinical Therapeutics, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0000-0001-8191-5832
Ashutosh WechalekarNational Amyloidosis Centre, London, UK.
Stefan SchönlandMedical Department V, Amyloidosis Centre, University Hospital Heidelberg, Heidelberg, Germany.
Vaishali SanchorawalaAmyloidosis Center, School of Medicine and Boston Medical Center, Boston University, Boston, MA, USA.ORCID 0000-0002-6307-2445
Giampaolo MerliniDepartment of Molecular Medicine, Amyloidosis Research and Treatment Center, Foundation "Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Policlinico San Matteo", University of Pavia, Pavia, Italy.
Giovanni PalladiniDepartment of Molecular Medicine, Amyloidosis Research and Treatment Center, Foundation "Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Policlinico San Matteo", University of Pavia, Pavia, Italy.
Monique MinnemaDepartment of Hematology, UMC Utrecht Cancer Center, Utrecht, The Netherlands.
Murielle RousselClinical Hematology, IUC Oncopole/CHU Toulouse, Toulouse, France.
Arnaud JaccardCHU Poitiers, Poitiers, France.
Ute HegenbartMedical Department V, Amyloidosis Centre, University Hospital Heidelberg, Heidelberg, Germany.
Shaji KumarDivision of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0001-5392-9284
Maria T CibeiraHematology Department, Amyloidosis and Myeloma Unit, Hospital Clínic of Barcelona, University of Barcelona, IDIBAPS, Barcelona, Spain.
Joan BladeHematology Department, Amyloidosis and Myeloma Unit, Hospital Clínic of Barcelona, University of Barcelona, IDIBAPS, Barcelona, Spain.
Meletios A DimopoulosPlasma Cell Dyscrasia Unit, Department of Clinical Therapeutics, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0000-0001-8990-3254
Consorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESHeidelberg University · DENational and Kapodistrian University of Athens · GRUniversity of Pavia · ITBoston University · USCentre Hospitalier Universitaire de Poitiers · FRInstitut universitaire du cancer de Toulouse Oncopole · FRMayo Clinic in Arizona · USUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-associated coronavirus disease 2019 (COVID-19) is primarily manifested as a respiratory tract infection, but may affect and cause complications in multiple organ systems (cardiovascular, gastrointestinal, kidneys, haematopoietic and immune systems), while no proven specific therapy exists. The challenges associated with COVID-19 are even greater for patients with light chain (AL) amyloidosis, a rare multisystemic disease affecting the heart, kidneys, liver, gastrointestinal and nervous system. Patients with AL amyloidosis may need to receive chemotherapy, which probably increases infection risk. Management of COVID-19 may be particularly challenging in patients with AL amyloidosis, who often present with cardiac dysfunction, nephrotic syndrome, neuropathy, low blood pressure and gastrointestinal symptoms. In addition, patients with AL amyloidosis may be more susceptible to toxicities of drugs used to manage COVID-19. Access to health care may be difficult or limited, diagnosis of AL amyloidosis may be delayed with detrimental consequences and treatment administration may need modification. Both patients and treating physicians need to adapt in a new reality.

Indexed as

Antiviral AgentsBetacoronavirusCoronavirus InfectionsCOVID-19Health Services AccessibilityHumansImmunoglobulin Light-chain AmyloidosisImmunologic FactorsPandemicsPneumonia, ViralSARS-CoV-2Antiviral AgentsImmunologic FactorsamyloidosisCOVID-19hydroxychloroquineremdesivirtocilizumab

Identifiers

PMID32480420
PMCPMC7300844
OpenAlexW3029596590

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.