Evidence map›Paper›PMID 33098200›Full record

ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2021

COVID-19 in transplant recipients: The Spanish experience.

Elisabeth Coll, Mario Fernández-Ruiz, J Emilio Sánchez-Álvarez, José R Martínez-Fernández, Marta Crespo, Jorge Gayoso, Teresa Bada-Bosch, Federico Oppenheimer, Francesc Moreso, María O López-Oliva and 20 more

Open access · hybridAbstract read
In one paragraph

Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 119 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed, 9 pooled it
4.5field-weighted citation impact, top 3% 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

119 citing papers in PubMed, 9 syntheses or guidelines pooled it, 199 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. COVID-19 and solid organ transplantation: Finding the right balance.Transplantation reviews (Orlando, Fla.) · 2022
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Article
  11. Article
  12. Article
  13. Article
  14. Observational
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

30 authors at 19 institutions in 1 country.

Elisabeth CollOrganización Nacional de Trasplantes (Spanish National Transplant Organization), Madrid, Spain.
Mario Fernández-RuizUnit of Infectious Diseases, Hospital Universitario 12 de Octubre. Instituto de Investigación Sanitaria, Hospital Universitario 12 de Octubre (imas12), President of the Group for the Study of Infection in Transplantation and the Immunocompromised Host (GESITRA-IC) of the Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC), Madrid, Spain.ORCID 0000-0002-0315-8001
J Emilio Sánchez-ÁlvarezDepartment of Nephrology, Hospital Universitario de Cabueñes, Gijón, Spain.
José R Martínez-FernándezOrganización Nacional de Trasplantes (Spanish National Transplant Organization), Madrid, Spain.
Marta CrespoDepartment of Nephrology, Hospital del Mar, Barcelona, Spain.ORCID 0000-0001-6992-6379
Jorge GayosoOrganización Nacional de Trasplantes (Spanish National Transplant Organization), Madrid, Spain.
Teresa Bada-BoschDepartment of Nephrology, Hospital Universitario 12 de Octubre, Madrid, Spain.
Federico OppenheimerDepartment of Nephrology, Hospital Clinic, Barcelona, Spain.
Francesc MoresoKidney Transplant Unit, Department of Nephrology, Hospital Universitario Vall d´Hebrón, Barcelona, Spain.ORCID 0000-0002-7267-3963
María O López-OlivaDepartment oof Nephrology, Hospital Universitario La Paz, Madrid, Spain.ORCID 0000-0003-3503-3518
Edoardo MelilliKidney Transplant Unit, Department of Nephrology, Hospital Universitario de Bellvitge, Barcelona, Spain.ORCID 0000-0001-6965-3745
Marisa L Rodríguez-FerreroDepartment of Nephrology, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Carlos BravoDepartment of Pulmonology, Lung transplant Unit, Hospital Universitario Vall d´Hebrón, Barcelona, Spain.
Elena BurgosDepartment of Nephrology, Hospital Germans Trias i Pujol, Badalona, Spain.
Carme FacundoKidney Transplant Unit, Fundación Puigvert, Barcelona, Spain.
Inmaculada LorenzoDepartment of Nephrology, Complejo Hospitalario Universitario de Albacete, Albacete, Spain.
Íñigo YañezDepartment of Nephrology, Hospital Universitario de Cruces, Barakaldo, Spain.
Cristina GaleanoKidney Transplant Unit, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Ana RocaDepartment of Nephrology, Complejo Hospitalario Universitario de Toledo, Toledo, Spain.
Mercedes CabelloDepartment of Nephrology, Hospital Regional Universitario de Málaga, Málaga, Spain.
Manuel Gómez-BuenoDepartment of Cardiology, Hospital Universitario Puerta de Hierro, Madrid, Spain.
MªDolores García-CosíoCardiology Service, Hospital Universitario 12 de Octubre, Instituto de Investigación Sanitaria Hospital 12 de Octubre (imas12), Madrid, Spain.
Javier GrausDepartment of Gastroenterology, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Laura LladóLiver Transplant Unit, Hospital Universitario de Bellvitge, Barcelona, Spain.ORCID 0000-0002-3717-3306
Alicia de PabloLung Transplant Unit, Department of Pneumology, Hospital Universitario 12 de Octubre, Madrid, Spain.
Carmelo LoinazTransplant Unit, Department of General Surgery, Digestive Tract and Abdominal Organ Transplantation, Hospital Universitario 12 de Octubre, Madrid, Spain.ORCID 0000-0002-1873-0568
Beatriz AguadoTransplant Unit. Department of Hematology, Hospital Universitario La Princesa, Madrid, Spain.
Domingo HernándezDepartment of Nephrology, Hospital Regional Universitario, Málaga, Spain.ORCID 0000-0001-5469-2119
Beatriz Domínguez-GilOrganización Nacional de Trasplantes (Spanish National Transplant Organization), Madrid, Spain.ORCID 0000-0002-5695-8993
Spanish Group for the Study of COVID-19 in Transplant Recipients
Hospital Universitario 12 De Octubre · ESOrganización Nacional de Trasplantes · ESBellvitge University Hospital · ESHospital Regional Universitario de Málaga · ESHospital Universitario Ramón y Cajal · ESVall d'Hebron Hospital Universitari · ESCentro de Investigación en Red en Enfermedades Cardiovasculares · ESComplejo Hospitalario Universitario de Albacete · ESComplejo Hospitalario Universitario de Toledo · ESHospital Clínic de Barcelona · ESHospital de Cruces · ESHospital Del Mar · ESHospital General Universitario Gregorio Marañón · ESHospital Universitari Germans Trias i Pujol · ESHospital Universitario De Cabueñes · ESHospital Universitario de La Princesa · ESHospital Universitario La Paz · ESHospital Universitario Puerta de Hierro Majadahonda · ESPuigvert Foundation · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report the nationwide experience with solid organ transplant (SOT) and hematopoietic stem cell transplant (HSCT) recipients diagnosed with coronavirus disease 2019 (COVID-19) in Spain until 13 July 2020. We compiled information for 778 (423 kidney, 113 HSCT, 110 liver, 69 heart, 54 lung, 8 pancreas, 1 multivisceral) recipients. Median age at diagnosis was 61 years (interquartile range [IQR]: 52-70), and 66% were male. The incidence of COVID-19 in SOT recipients was two-fold higher compared to the Spanish general population. The median interval from transplantation was 59 months (IQR: 18-131). Infection was hospital-acquired in 13% of cases. No donor-derived COVID-19 was suspected. Most patients (89%) were admitted to the hospital. Therapies included hydroxychloroquine (84%), azithromycin (53%), protease inhibitors (37%), and interferon-β (5%), whereas immunomodulation was based on corticosteroids (41%) and tocilizumab (21%). Adjustment of immunosuppression was performed in 85% of patients. At the time of analysis, complete follow-up was available from 652 patients. Acute respiratory distress syndrome occurred in 35% of patients. Ultimately, 174 (27%) patients died. In univariate analysis, risk factors for death were lung transplantation (odds ratio [OR]: 2.5; 95% CI: 1.4-4.6), age >60 years (OR: 3.7; 95% CI: 2.5-5.5), and hospital-acquired COVID-19 (OR: 3.0; 95% CI: 1.9-4.9).

Indexed as

Hematopoietic Stem Cell TransplantationOrgan TransplantationTransplant RecipientsCOVID-19FemaleHumansMaleMiddle AgedSARS-CoV-2Spainantibiotic: antiviralclinical decision-makingclinical research/practicecomplication: infectiousinfection and infectious agents - viralinfectious disease

Identifiers

PMID33098200
PMCPMC9906239
OpenAlexW3093758440

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.