Evidence map›Paper›PMID 33519822›Full record

ArticleFrontiers in immunology

Minor Clinical Impact of COVID-19 Pandemic on Patients With Primary Immunodeficiency in Israel.

Nufar Marcus, Shirly Frizinsky, David Hagin, Adi Ovadia, Suhair Hanna, Michael Farkash, Ramit Maoz-Segal, Nancy Agmon-Levin, Arnon Broides, Amit Nahum and 13 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 3 pooled it
7.8field-weighted citation impact, top 2% 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

66 citing papers in PubMed, 3 syntheses or guidelines pooled it, 99 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Asymptomatic SARS-CoV-2 infection: A systematic review and meta-analysis.Proceedings of the National Academy of Sciences of the United States of America · 2021
    Pooled it
  4. Article
  5. Article
  6. Review
  7. Article
  8. Pre-existing Immunocompromising Conditions and Outcomes of Acute COVID-19 Patients Admitted for Pediatric Intensive Care.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Article
  16. Severity of SARS-CoV-2 infection in children with inborn errors of immunity (primary immunodeficiencies): a systematic review.Allergy, asthma, and clinical immunology : official journal of the Canadian Society of Allergy and Clinical Immunology · 2023
    Article
  17. Review
  18. Article
  19. COVID-19 in immunocompromised children and adolescents.Clinical and experimental pediatrics · 2023
    Article
  20. Review

6 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

23 authors at 13 institutions in 2 countries.

Nufar MarcusAllergy and Immunology Unit, Schneider Children's Medical Center of Israel, Felsenstein Medical Research Center, Kipper Institute of Immunology, Petach Tikva, Israel.
Shirly FrizinskySackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
David HaginSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Adi OvadiaThe Jeffrey Modell Foundation Israeli Network for Primary Immunodeficiency, New York, NY, United States.
Suhair HannaThe Jeffrey Modell Foundation Israeli Network for Primary Immunodeficiency, New York, NY, United States.
Michael FarkashAllergy and Immunology Unit, Schneider Children's Medical Center of Israel, Felsenstein Medical Research Center, Kipper Institute of Immunology, Petach Tikva, Israel.
Ramit Maoz-SegalSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Nancy Agmon-LevinSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Arnon BroidesThe Jeffrey Modell Foundation Israeli Network for Primary Immunodeficiency, New York, NY, United States.
Amit NahumThe Jeffrey Modell Foundation Israeli Network for Primary Immunodeficiency, New York, NY, United States.
Elli RosenbergThe Jeffrey Modell Foundation Israeli Network for Primary Immunodeficiency, New York, NY, United States.
Amir Asher KupermanAzrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel.
Yael Dinur-SchejterThe Jeffrey Modell Foundation Israeli Network for Primary Immunodeficiency, New York, NY, United States.
Yackov BerkunThe Jeffrey Modell Foundation Israeli Network for Primary Immunodeficiency, New York, NY, United States.
Ori TokerThe Jeffrey Modell Foundation Israeli Network for Primary Immunodeficiency, New York, NY, United States.
Shmuel GoldbergFaculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Ronit Confino-CohenSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Oded ScheuermanPediatrics B, Schneider Children Medical Center Israel, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Basel BadarnehAllergy and Immunology Unit, Schneider Children's Medical Center of Israel, Felsenstein Medical Research Center, Kipper Institute of Immunology, Petach Tikva, Israel.
Na'ama Epstein-RigbiInstitute of Allergy, Immunology and Pediatric Pulmonology, Shamir (Former Assaf Harofeh) Medical Center, Zerifin, Israel.
Amos EtzioniThe Jeffrey Modell Foundation Israeli Network for Primary Immunodeficiency, New York, NY, United States.
Ilan DalalSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Raz SomechThe Jeffrey Modell Foundation Israeli Network for Primary Immunodeficiency, New York, NY, United States.
Jeffrey Modell Foundation · USSchneider Children's Medical Center · ILBen-Gurion University of the Negev · ILShaare Zedek Medical Center · ILTel Aviv University · ILAssaf Harofeh Medical Center · ILBar-Ilan University · ILCarmel Medical Center · ILEdmond and Lily Safra Children's Hospital · ILMeir Medical Center · ILSheba Medical Center · ILTel Aviv Sourasky Medical Center · ILWolfson Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the last few months the world has witnessed a global pandemic due to severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) infection causing coronavirus disease 2019 (COVID-19). Obviously, this pandemic affected individuals differently, with a significant impact on populations considered to be at high-risk. One such population, was assumed to be patients with primary genetic defect involving components or pathways of the immune system. While human immunity against COVID-19 is not fully understood, it is, so far, well documented, that both adaptive and innate cells have a critical role in protection against SARS-CoV-2. Here, we aimed to summarize the clinical and laboratory data on primary immunodeficiency (PID) patients in Israel, who were tested positive for SARS-CoV-2, in order to estimate the impact of COVID-19 on such patients. Data was collected from mid-February to end-September. During this time Israel experienced two "waves" of COVID-19 diseases; the first, from mid-February to mid-May and the second from mid-June and still ongoing at the end of data collection. A total of 20 PID patients, aged 4 months to 60 years, were tested positive for SARS-CoV-2, all but one, were detected during the second wave. Fourteen of the patients were on routine monthly IVIG replacement therapy at the time of virus detection. None of the patients displayed severe illness and none required hospitalization; moreover, 7/20 patients were completely asymptomatic. Possible explanations for the minimal clinical impact of COVID-19 pandemic observed in our PID patients include high level of awareness, extra-precautions, and even self-isolation. It is also possible that only specific immune pathways (e.g. type I interferon signaling), may increase the risk for a more severe course of disease and these are not affected in many of the PID patients. In some cases, lack of an immune response actually may be a protective measure against the development of COVID-19 sequelae.

Indexed as

SARS-CoV-2AdolescentAdultChildChild, PreschoolCOVID-19FemaleHealth Impact AssessmentHumansInfantIsraelMaleMiddle AgedPrimary Immunodeficiency DiseasesPublic Health SurveillanceYoung Adultagammaglobulinemiacoronavirus disease 2019COVID-19inborn errors of immunitypandemicprimary immunodeficiencySARS-CoV-2severe acute respiratory syndrome-coronavirus-2

Identifiers

PMID33519822
PMCPMC7840610
OpenAlexW3120327534

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.