Evidence map›Paper›PMID 32480425›Full record

ArticleTransplant international : official journal of the European Society for Organ Transplantation2020

Clinical consequences of primary CMV infection after renal transplantation: a case-control study.

Ramandeep Singh, Hessel Peters-Sengers, Ester B M Remmerswaal, Unsal Yapici, Karlijn A M I van der Pant, Neelke C van der Weerd, Joris J T H Roelofs, René A W van Lier, Fréderike J Bemelman, Sandrine Florquin and 1 more

Abstract read
In one paragraph

Article in Transplant international : official journal of the European Society for Organ Transplantation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Cytomegalovirus infection after renal transplantation.Journal of medicine and life · 2022
    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

11 authors.

Ramandeep SinghRenal Transplant Unit, Department of Internal Medicine, Academic Medical Center, Amsterdam, The Netherlands.ORCID 0000-0002-8473-0435
Hessel Peters-SengersRenal Transplant Unit, Department of Internal Medicine, Academic Medical Center, Amsterdam, The Netherlands.
Ester B M RemmerswaalRenal Transplant Unit, Department of Internal Medicine, Academic Medical Center, Amsterdam, The Netherlands.
Unsal YapiciDepartment of Pathology, Amsterdam University Medical Centers, location Academic Medical Center, Amsterdam, The Netherlands.
Karlijn A M I van der PantRenal Transplant Unit, Department of Internal Medicine, Academic Medical Center, Amsterdam, The Netherlands.
Neelke C van der WeerdRenal Transplant Unit, Department of Internal Medicine, Academic Medical Center, Amsterdam, The Netherlands.
Joris J T H RoelofsDepartment of Pathology, Amsterdam University Medical Centers, location Academic Medical Center, Amsterdam, The Netherlands.
René A W van LierSanquin Research and Landsteiner Laboratory, Amsterdam, The Netherlands.
Fréderike J BemelmanRenal Transplant Unit, Department of Internal Medicine, Academic Medical Center, Amsterdam, The Netherlands.
Sandrine FlorquinDepartment of Pathology, Amsterdam University Medical Centers, location Academic Medical Center, Amsterdam, The Netherlands.
Ineke J M Ten BergeRenal Transplant Unit, Department of Internal Medicine, Academic Medical Center, Amsterdam, The Netherlands.

Funding

Dutch Kidney Foundation CP09.04
6 · The paper itself

Abstract

The impact of primary cytomegalovirus infection (pCMV) on renal allograft function and histology is controversial. We evaluated the influence on incidence of acute rejection, allograft loss, allograft function and interstitial fibrosis/tubular atrophy (IF/TA). Retrospective case-control study, recipients transplanted between 2000 and 2014. Risk of acute rejection and allograft loss for those who experienced pCMV infection compared with those who did not, within an exposure period of two months after transplantation. Besides, its influence on allograft function and histology at one to three years after transplantation. Of 113 recipients experienced pCMV infection, 306 remained CMV seronegative. pCMV infection in the exposure period could not be proven as increasing the risk for acute rejection [HR = 2.18 (95% CI 0.80-5.97) P = 0.13] or allograft loss [HR = 1.11 (95%CI 0.33-3.72) P = 0.87]. Combination of pCMV infection and acute rejection posed higher hazard for allograft loss than acute rejection alone [HR = 3.69 (95% CI 1.21-11.29) P = 0.02]. eGFR(MDRD) values did not significantly differ at years one [46 vs. 50], two [46 vs. 51] and three [46 vs. 52]. No association between pCMV infection and IF/TA could be demonstrated [OR = 2.15 (95%CI 0.73-6.29) P = 0.16]. pCMV infection was not proven to increase the risk for acute rejection or allograft loss. However, it increased the risk for rejection-associated allograft loss. In remaining functioning allografts, it was not significantly associated with decline in function nor with presence of IF/TA.

Indexed as

Cytomegalovirus InfectionsKidney TransplantationCase-Control StudiesGraft RejectionHumansRetrospective StudiesRisk Factorsprimary CMV infectionrenal allograft outcomerenal transplantation

Identifiers

PMID32480425
PMCPMC7540315

What OpenQuestion holds

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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.