Evidence map›Paper›PMID 32646657›Full record

ReviewGastroenterologia y hepatologia2020

Liver transplant immunosuppression during the covid-19 pandemic.

Xavier Forns, Miquel Navasa

Open access · greenAbstract readReview
In one paragraph

Review in Gastroenterologia y hepatologia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.8field-weighted citation impact, top 11% 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

17 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Observational
  3. Observational
  4. Article
  5. Review
  6. Coronavirus Precautions: Experience of High Volume Liver Transplant Institute.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2022
    Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Solid organ transplantations and COVID-19 disease.World journal of transplantation · 2021
    Review
  12. Review
  13. Review
  14. Review
  15. Review
  16. Article
  17. 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

2 authors at 2 institutions in 1 country.

Xavier FornsUnidad de Hepatitis Víricas y Unidad de Trasplante Hepático, Servicio de Hepatología, Hospital Clínic. Universitat de Barcelona, IDIBAPS, CIBERehd, Barcelona, España.
Miquel NavasaUnidad de Hepatitis Víricas y Unidad de Trasplante Hepático, Servicio de Hepatología, Hospital Clínic. Universitat de Barcelona, IDIBAPS, CIBERehd, Barcelona, España. Electronic address: mnavasa@clinic.cat.
Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas · ESUniversitat de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

SARS-CoV-2 infection has produced a pandemic with serious consequences for our health care system. Although liver transplant patients represent only a minority of the population, the hepatologists who follow these patients have tried to coordinate efforts to produce a protocol the management of immunosuppression during SARS-CoV-2 infection. Although there are no solid studies to support general recommendations, experiences with other viral infections (hepatitis C, cytomegalovirus) suggest that management of immunosuppression without mycophenolate mofetil or m-Tor inhibitors (drugs that are also associated with leukopenia and lymphopenia) may be beneficial. It is also important to pay attention to possible drug interactions, especially in the case of tacrolimus, with some of the treatments with antiviral effect given in the context of COVID 19 (lopinavir/ritonavir, azithromycin). Finally, the immunosuppressive effect of immunomodulating drugs (tocilizumab and similar) administered to patients with severe lung disease should be taken into account. The mechanisms of action of the different immunosuppressive drugs are reviewed in this article, as well as their potential effect on SARS-CoV-2 infection, and suggests guidelines for the management of immunosuppression.

Indexed as

BetacoronavirusLiver TransplantationPandemicsAdaptive ImmunityAntiviral AgentsCalcineurin InhibitorsContraindications, DrugCoronavirus InfectionsCOVID-19COVID-19 Drug TreatmentDisease SusceptibilityDrug InteractionsEverolimusGlucocorticoidsHumansImmunity, InnateAntiviral AgentsCalcineurin InhibitorsEverolimusGlucocorticoidsImmunosuppressive AgentsMTOR protein, humanMycophenolic AcidSirolimusTOR Serine-Threonine KinasesCitoquinasCytokinesImmunomodulationImmunosuppressionInmunomoduladoresInmunosupresiónLiver transplantNeumoníaPneumoniaSARS-CoV-2Trasplante hepático

Identifiers

PMID32646657
PMCPMC7290227
OpenAlexW3035732641

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.