Evidence map›Paper›PMID 32717978›Full record

ArticleJournal of clinical medicine2020

Prevention and Management of CMV Infections after Liver Transplantation: Current Practice in German Transplant Centers.

Cornelius Engelmann, Martina Sterneck, Karl Heinz Weiss, Silke Templin, Steffen Zopf, Gerald Denk, Dennis Eurich, Johann Pratschke, Johannes Weiss, Felix Braun and 12 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Advancements in Cytomegalovirus Management Among Solid Organ Transplant Recipients: Insights From the ESOT CMV Workshop 2023.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Article
  5. Review
  6. Article
  7. Applied physiology: gut microbiota and antimicrobial therapy.European journal of applied physiology · 2024
    Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Review
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

22 authors at 20 institutions in 2 countries.

Cornelius EngelmannDepartment of Hepatology and Gastroenterology, Campus Virchow-Klinikum, Charité University Medicine Berlin, 13353 Berlin, Germany.
Martina SterneckDepartment of Medicine I, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany.
Karl Heinz WeissDepartment of Gastroenterology and Hepatology, University of Heidelberg, 69117 Heidelberg, Germany.
Silke TemplinDepartment of General, Visceral and Transplant Surgery, University Hospital Tübingen, 72076 Tübingen, Germany.
Steffen ZopfDepartment of Medicine 1, University of Erlangen-Nürnberg, 91054 Erlangen, Germany.
Gerald DenkMedical clinic and policlinic II, Campus Grosshadern, Ludwig Maximilians University (LMU), 80333 Munich, Germany.
Dennis EurichDepartment of Surgery Campus Charité Mitte/Campus Virchow-Klinikum, 13353 Berlin, Germany.
Johann PratschkeDepartment of Surgery Campus Charité Mitte/Campus Virchow-Klinikum, 13353 Berlin, Germany.
Johannes WeissDepartment of Medicine II, University Hospital Würzburg, 97080 Würzburg, Germany.
Felix BraunDepartment of General, Visceral, Thoracic, Transplant and Pediatric Surgery, University Medical Center Schleswig-Holstein, 24105 Kiel, Germany.
Martin-Walter WelkerDepartment of Medicine I, University Hospital Frankfurt, 60590 Frankfurt, Germany.
Tim ZimmermannDepartment of Medicine, Hepatology, University of Mainz, 55101 Mainz, Germany.
Petra KnipperDepartment of Internal Medicine I, University Hospital Bonn, 53127 Bonn, Germany.
Dirk NierhoffDepartment of Gastroenterology and Hepatology, University Hospital Köln, 50937 Köln, Germany.
Thomas LorfClinic for General, Visceral and Pediatric Surgery, University Medical Center Goettingen, 37075 Goettingen, Germany.
Elmar JäckelDepartment of Gastroenterology, Hepatology & Endocrinology, Hannover Medical School, 30625 Hannover, Germany.
Hans-Michael HauDepartment of Visceral, Transplantation, Thoracic, and Vascular Surgery, University Hospital Leipzig, 04103 Leipzig, Germany.
Tung Yu TsuiSection of Oncological Surgery and Transplantation, Rostock University Medical Center, 18057 Rostock, Germany.
Aristoteles PerrakisDepartment of General, Visceral, Vascular and Transplant Surgery, University Hospital Magdeburg, 39120 Magdeburg, Germany.
Hans-Jürgen SchlittDepartment of Surgery, University of Regensburg, 93053 Regensburg, Germany.ORCID 0000-0002-3874-0296
Kerstin HerzerKnappschafts-Hospital Bad Neuenahr, Deutsche Rentenversicherung, Knappschaft-Bahn-See, 53474 Bad Neuenahr-Ahrweiler, Germany.
Frank TackeDepartment of Hepatology and Gastroenterology, Campus Virchow-Klinikum, Charité University Medicine Berlin, 13353 Berlin, Germany.ORCID 0000-0001-6206-0226
Charité - Universitätsmedizin Berlin · DEDeutsche Rentenversicherung Bund · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DEGoethe University Frankfurt · DEHeidelberg University · DEJohannes Gutenberg University Mainz · DELMU Klinikum · DEMedizinische Hochschule Hannover · DEThe Royal Free Hospital · GBUniversität Hamburg · DEUniversitätsklinikum Aachen · DEUniversitätsklinikum Würzburg · DEUniversity Children's Hospital Tübingen · DEUniversity Hospital Bonn · DEUniversity Hospital Cologne · DEUniversity Hospital Leipzig · DEUniversity Hospital Magdeburg · DEUniversity Hospital Schleswig-Holstein · DEUniversity of Regensburg · DEUniversity of Rostock · DE

Funding

Novartis Pharma not applicable
6 · The paper itself

Abstract

Human cytomegalovirus (CMV) remains a major cause of mortality and morbidity in human liver transplant recipients. Anti-CMV therapeutics can be used to prevent or treat CMV in liver transplant recipients, but their toxicity needs to be balanced against the benefits. The choice of prevention strategy (prophylaxis or preemptive treatment) depends on the donor/recipient sero-status but may vary between institutions. We conducted a series of consultations and roundtable discussions with German liver transplant center representatives. Based on 20 out of 22 centers, we herein summarize the current approaches to CMV prevention and treatment in the context of liver transplantation in Germany. In 90% of centers, transient prophylaxis with ganciclovir or valganciclovir was standard of care in high-risk (donor CMV positive, recipient CMV naive) settings, while preemptive therapy (based on CMV viremia detected during (bi) weekly PCR testing for circulating CMV-DNA) was preferred in moderate- and low-risk settings. Duration of prophylaxis or intense surveillance was 3-6 months. In the case of CMV infection, immunosuppression was adapted. In most centers, antiviral treatment was initiated based on PCR results (median threshold value of 1000 copies/mL) with or without symptoms. Therefore, German transplant centers report similar approaches to the prevention and management of CMV infection in liver transplantation.

Indexed as

ganciclovirmTOR inhibitorOLTvalganciclovir

Identifiers

PMID32717978
PMCPMC7465768
OpenAlexW3044792068

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.