Evidence map›Paper›PMID 33311594›Full record

ArticleBone marrow transplantation2021

Cytomegalovirus retinitis after allogeneic hematopoietic stem cell transplantation under cytomegalovirus antigenemia-guided active screening.

Takehiko Mori, Taku Kikuchi, Miki Koh, Yuya Koda, Rie Yamazaki, Masatoshi Sakurai, Yohei Tomita, Yoko Ozawa, Sumiko Kohashi, Ryohei Abe and 2 more

Abstract read
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In one paragraph

Article in Bone marrow transplantation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.5field-weighted citation impact, top 16% 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

11 citing papers in PubMed, 16 citations in OpenAlex.

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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

12 authors at 3 institutions in 2 countries.

Takehiko MoriDivision of Hematology, Department of Medicine, Keio University School of Medicine, Tokyo, Japan. tmori@a3.keio.jp.ORCID http://orcid.org/0000-0002-8176-4760
Taku KikuchiDivision of Hematology, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
Miki KohDivision of Hematology, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
Yuya KodaDivision of Hematology, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
Rie YamazakiDivision of Hematology, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0001-7489-4180
Masatoshi SakuraiDivision of Hematology, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0002-6687-4136
Yohei TomitaDepartment of Ophthalmology, Keio University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0003-1013-5737
Yoko OzawaDepartment of Ophthalmology, Keio University School of Medicine, Tokyo, Japan.
Sumiko KohashiDivision of Hematology, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
Ryohei AbeDivision of Hematology, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
Masuho SaburiDivision of Hematology, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
Jun KatoDivision of Hematology, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0003-1869-5480
Keio University · JPBoston Children's Hospital · USOita University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although cytomegalovirus (CMV) remains a leading cause of morbidity and mortality after allogeneic hematopoietic stem cell transplantation (HSCT), the incidence of CMV retinitis is considered to be lower than the incidence of CMV infection in other organs following allogeneic HSCT. In this study, the incidence and characteristics of CMV retinitis were retrospectively evaluated in recipients of allogeneic HSCT. Ophthalmological screening was performed at the development of ocular symptoms or positive CMV infection using peripheral blood evaluated by pp65 antigenemia or polymerase chain reaction. Of the 514 patients, 13 patients developed CMV retinitis. The median onset of CMV retinitis was day 34 (range, 21-118) post transplant, and the cumulative incidence was 2.5% (95% CI, 1.6-4.2) at 6 months after transplantation. Five patients presented ocular symptoms at the onset. In the remaining eight asymptomatic patients, the diagnosis of CMV retinitis was made by the screening guided by positive CMV infection. All evaluable patients responded to antiviral treatment but three showed incomplete improvement with ocular sequela. Our results suggest that the incidence of CMV retinitis after allogeneic HSCT is not negligible and active ophthalmological screening based not only on symptoms but also positive CMV infection monitoring contributes to the early diagnosis of CMV retinitis.

Indexed as

Cytomegalovirus RetinitisHematopoietic Stem Cell TransplantationAntiviral AgentsCytomegalovirusHumansRetrospective StudiesAntiviral Agents

Identifiers

PMID33311594
OpenAlexW3116869125

What OpenQuestion holds

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Registered trials

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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.