Evidence map›Paper›PMID 33354635›Full record

ArticleKidney international reports2021

Use of Remdesivir in Patients With COVID-19 on Hemodialysis: A Study of Safety and Tolerance.

Dhanapalan Aiswarya, Venkatesh Arumugam, Thanigachalam Dineshkumar, Natarajan Gopalakrishnan, Tanuj Moses Lamech, Govindasamy Nithya, Bhagavatula V R H Sastry, Paulpandian Vathsalyan, Jeyachandran Dhanapriya, Ramanathan Sakthirajan

Open access · goldAbstract read
In one paragraph

Article in Kidney international reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 8% 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

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 87 citations in OpenAlex.

  1. Pooled it
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  12. [Treatment of patients with COVID-19 on Hemodialysis: Efficacy of Remdesivir].Nefrologia : publicacion oficial de la Sociedad Espanola Nefrologia · 2022
    Article
  13. Remdesivir use in COVID-19 patients with end-stage kidney disease on intermittent hemodialysis: An absolute contraindication?Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy · 2022
    Article
  14. Observational
  15. Pharmacologic Treatment and Management of Coronavirus Disease 2019.Infectious disease clinics of North America · 2022
    Review
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  18. Safety and Tolerability of Remdesivir in Patients with End-stage Renal Disease on Maintenance Hemodialysis.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2022
    Article
  19. Observational
  20. Article
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

10 authors at 1 institution in 1 country.

Dhanapalan AiswaryaInstitute of Nephrology, Madras Medical College, Chennai, India.
Venkatesh ArumugamInstitute of Nephrology, Madras Medical College, Chennai, India.
Thanigachalam DineshkumarInstitute of Nephrology, Madras Medical College, Chennai, India.
Natarajan GopalakrishnanInstitute of Nephrology, Madras Medical College, Chennai, India.
Tanuj Moses LamechInstitute of Nephrology, Madras Medical College, Chennai, India.
Govindasamy NithyaInstitute of Nephrology, Madras Medical College, Chennai, India.
Bhagavatula V R H SastryInstitute of Nephrology, Madras Medical College, Chennai, India.
Paulpandian VathsalyanInstitute of Nephrology, Madras Medical College, Chennai, India.
Jeyachandran DhanapriyaInstitute of Nephrology, Madras Medical College, Chennai, India.
Ramanathan SakthirajanInstitute of Nephrology, Madras Medical College, Chennai, India.
Madras Medical College · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are scarce data regarding the use of remdesivir in patients with severe acute respiratory distress syndrome coronavirus 2 (SARS-CoV-2) and end-stage renal disease as US Food and Drug Administration cautions against its use in patients with an estimated glomerular filtration rate <30 ml/min/1.73m

methodsWe conducted an observational prospective study in 48 dialysis-dependent patients with SARS-CoV-2 infection who received remdesivir as part of institutional treatment protocol. During the treatment period, 100 mg of remdesivir was given 4 hours before hemodialysis sessions. Liver function tests, inflammatory markers such as serum C-reactive protein, serum ferritin and lactate dehydrogenase levels, and oxygen requirement before and after remdesivir treatment were compared.

resultsThere were no events of significant liver function test alterations with the administration of 2 to 6 doses of remdesivir. A significant decline in serum C-reactive protein level (

conclusionRemdesivir was well tolerated and found safe in our study. If initiated within 48 hours of hospitalization, it reduces recovery time. Assessing the mortality benefits of remdesivir in these patients requires a randomized controlled trial with a larger population.

Indexed as

COVID-19dialysisESRDremdesivirSARS-CoV-2

Identifiers

PMID33354635
PMCPMC7746511
OpenAlexW3112424624

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.