Evidence map›Paper›PMID 32726431›Full record

Trial reportThe Journal of infectious diseases2021

Risk Factors for Cytomegalovirus Viremia following Liver Transplantation With a Seropositive Donor and Seronegative Recipient Receiving Antiviral Therapy.

Nina Singh, Drew J Winston, Raymund R Razonable, G Marshall Lyon, Fernanda P Silveira, Marilyn M Wagener, Ajit P Limaye

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01552369 (Prophylaxis Versus Preemptive Therapy for the Prevention of CMV in High-Risk R-D+ Liver Transplant Recipients), which is not on this map. Cited by 2 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 2 pooled it
0.4field-weighted citation impact, top 35% 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.

NCT01552369 phase4completednot on this map

Prophylaxis Versus Preemptive Therapy for the Prevention of CMV in High-Risk R-D+ Liver Transplant Recipients

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2012 to 2018Enrolled205ConditionsCytomegalovirus InfectionArmsValganciclovir
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 syntheses or guidelines pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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

7 authors at 6 institutions in 1 country.

Nina SinghUniversity of Pittsburgh and VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA.
Drew J WinstonUniversity of California Los Angeles Medical Center, Los Angeles, California, USA.
Raymund R RazonableMayo Clinic, Rochester, Minnesota, USA.
G Marshall LyonEmory University, Atlanta, Georgia, USA.
Fernanda P SilveiraUniversity of Pittsburgh and University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Marilyn M WagenerUniversity of Pittsburgh and VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA.
Ajit P LimayeUniversity of Washington, Seattle, Washington, USA.
VA Pittsburgh Healthcare System · USEmory University · USLos Angeles Medical Center · USMayo Clinic · USUniversity of Pittsburgh Medical Center · USUniversity of Washington · US

Funding

NIAID NIH HHS HHSN272201100041C
6 · The paper itself

Abstract

backgroundThe risk factors for development of viremia in high-risk donor cytomegalovirus (CMV)-seropositive and recipient CMV-seronegative (D+R-) transplant recipients are incompletely defined.

methodsThe study population comprised patients in the preemptive therapy (PET) arm of a randomized, controlled trial of PET versus prophylaxis using valganciclovir in D+R- liver transplant recipients. Weekly surveillance monitoring for viremia for 100 days was performed using a sensitive CMV-DNA polymerase chain reaction assays. Risk factors for viremia and time to onset (≤4 vs >4 weeks) of viremia were examined using logistic regression models.

resultsViremia developed in 84% (79/94) of recipients and older donor age was the only independent factor associated with viremia (odds ratio, 2.20 for each quartile increase in donor age; 95% confidence interval [CI], 1.07-4.52; P = .031). Recipients who developed early-onset viremia (within 4 weeks) also had significantly older donors than those with later-onset viremia (difference in age 10.1 years; 95% CI, 2-19; P = .03).

conclusionsOlder donor age was an independent predictor of viremia and earlier-onset of viremia in D+R- liver transplant recipients. Future studies should assess the mechanistic links underlying this novel association. CLINICAL

trial registrationNCT01552369.

Indexed as

Antiviral AgentsCytomegalovirus InfectionsLiver TransplantationViremiaAge FactorsCytomegalovirusGanciclovirHumansRisk FactorsTissue DonorsAntiviral AgentsGanciclovircytomegalovirusprimary CMV infectiontransplantviremia

Identifiers

PMID32726431
PMCPMC8006424
OpenAlexW3045769909

What OpenQuestion holds

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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.