Evidence map›Paper›PMID 32979369›Full record

ArticleKidney international2020

Results from the ERA-EDTA Registry indicate a high mortality due to COVID-19 in dialysis patients and kidney transplant recipients across Europe.

Kitty J Jager, Anneke Kramer, Nicholas C Chesnaye, Cécile Couchoud, J Emilio Sánchez-Álvarez, Liliana Garneata, Fréderic Collart, Marc H Hemmelder, Patrice Ambühl, Julia Kerschbaum and 11 more

Registry-linked trialAbstract read
In one paragraph

Article in Kidney international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04728828 (Immune Response After COVID19 Vaccination in a Multicenter Cohort of In-center Haemodialysis Patients in France), which is not on this map. Cited by 294 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
294citing papers in PubMed, 4 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.

NCT04728828 completednot on this mapstarted 2021, after this paper: background citation

Immune Response After COVID19 Vaccination in a Multicenter Cohort of In-center Haemodialysis Patients in France

TypeobservationalSponsorCentre Hospitalier de CornouailleRan2021 to 2023Enrolled500ConditionsCovid19ArmsSerological COVID-19 vaccine immunogenicity
3 · Its place in the literature

Who cites it

294 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Humoral and cellular response of COVID-19 vaccine among solid organ transplant recipients: A systematic review and meta-analysis.Transplant infectious disease : an official journal of the Transplantation Society · 2022
    Pooled it
  2. COVID-19 and solid organ transplantation: Finding the right balance.Transplantation reviews (Orlando, Fla.) · 2022
    Pooled it
  3. Pooled it
  4. A systematic review and meta-analysis of COVID-19 in kidney transplant recipients: Lessons to be learned.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    Pooled it
  5. Trial
  6. Trial
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  10. Kidney replacement therapy for men and women according to the ERA Registry and the USRDS.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Kidney involvement and anemia in COVID-19 infection.World journal of nephrology · 2025
    Review
  18. Article
  19. Article
  20. Article

234 more citing papers are in PubMed but not listed here.

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

21 authors.

Kitty J JagerERA-EDTA Registry, Department of Medical Informatics, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health research institute, Amsterdam, The Netherlands. Electronic address: k.j.jager@amsterdamumc.nl.
Anneke KramerERA-EDTA Registry, Department of Medical Informatics, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health research institute, Amsterdam, The Netherlands.
Nicholas C ChesnayeERA-EDTA Registry, Department of Medical Informatics, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health research institute, Amsterdam, The Netherlands.
Cécile CouchoudREIN Registry, Agence de la Biomédecine, Saint-Denis La Plaine, France.
J Emilio Sánchez-ÁlvarezDepartment of Nephrology, Hospital Universitario de Cabuenẽs, Gijón, Asturias, Spain.
Liliana GarneataRomanian Renal Registry, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania; Department of Internal Medicine and Nephrology, "Dr Carol Davila" Teaching Hospital of Nephrology, Bucharest, Romania.
Fréderic CollartFrench-Belgian ESRD Registry, Brussels, Belgium.
Marc H HemmelderDutch Renal Registry, Nefrovisie foundation, Utrecht, The Netherlands.
Patrice AmbühlInstitute of Nephrology, Waid and Triemli City Hospital, Zurich, Switzerland.
Julia KerschbaumAustrian Dialysis and Transplant Registry, Department of Internal Medicine IV-Nephrology and Hypertension, Medical University Innsbruck, Innsbruck, Austria.
Camille LegeaiDirection Prélèvement Greffe Organes-Tissus, Agence de la Biomédecine, Saint-Denis La Plaine, France.
María Dolores Del Pino Y PinoServicio de Nefrología, Complejo Hospitalario Torrecárdenas, Almería, Spain.
Gabriel MircescuRomanian Renal Registry, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania; Department of Internal Medicine and Nephrology, "Dr Carol Davila" Teaching Hospital of Nephrology, Bucharest, Romania.
Lionel MazzoleniCentre Hospitalier Universitaire, Ambroise Paré, Mons, Belgium.
Tiny HoekstraDutch Renal Registry, Nefrovisie foundation, Utrecht, The Netherlands.
Rebecca WinzelerInstitute of Nephrology, Waid and Triemli City Hospital, Zurich, Switzerland.
Gert MayerAustrian Dialysis and Transplant Registry, Department of Internal Medicine IV-Nephrology and Hypertension, Medical University Innsbruck, Innsbruck, Austria.
Vianda S StelERA-EDTA Registry, Department of Medical Informatics, Amsterdam UMC, University of Amsterdam, Amsterdam Public Health research institute, Amsterdam, The Netherlands.
Christoph WannerDivision of Nephrology, Department of Medicine, University Hospital of Würzburg, Würzburg, Germany.
Carmine ZoccaliClinical Epidemiology and Physiopathology of Renal Diseases and Hypertension, CNR-Institute of Clinical Physiology, Reggio Calabria, Italy.
Ziad A MassyDivision of Nephrology, Ambroise Paré University Hospital, APHP (Assistance Publique-Hôpitaux de Paris), Boulogne-Billancourt/Paris, France; Institut National de la Santé et de la Recherche Médicale (INSERM) Unit 1018 Team 5, Research Centre in Epidemiology and Population Health (CESP), University of Paris West-Versailles-St Quentin-en-Yveline (UVSQ), Villejuif, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to investigate 28-day mortality after COVID-19 diagnosis in the European kidney replacement therapy population. In addition, we determined the role of patient characteristics, treatment factors, and country on mortality risk with the use of ERA-EDTA Registry data on patients receiving kidney replacement therapy in Europe from February 1, 2020, to April 30, 2020. Additional data on all patients with a diagnosis of COVID-19 were collected from 7 European countries encompassing 4298 patients. COVID-19-attributable mortality was calculated using propensity score-matched historic control data and after 28 days of follow-up was 20.0% (95% confidence interval 18.7%-21.4%) in 3285 patients receiving dialysis and 19.9% (17.5%-22.5%) in 1013 recipients of a transplant. We identified differences in COVID-19 mortality across countries, and an increased mortality risk in older patients receiving kidney replacement therapy and male patients receiving dialysis. In recipients of kidney transplants ≥75 years of age, 44.3% (35.7%-53.9%) did not survive COVID-19. Mortality risk was 1.28 (1.02-1.60) times higher in transplant recipients compared with matched dialysis patients. Thus, the pandemic has had a substantial effect on mortality in patients receiving kidney replacement therapy, a highly vulnerable population due to underlying chronic kidney disease and a high prevalence of multimorbidity.

Indexed as

RegistriesAdolescentAdultAgedChildChild, PreschoolCOVID-19EuropeFemaleHumansInfantKidney Failure, ChronicKidney TransplantationMaleMiddle AgedPandemicsattributable mortalityCOVID-19dialysiskidney replacement therapyregistriestransplantation

Identifiers

PMID32979369
PMCPMC7560263

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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.