Evidence map›Paper›PMID 33914397›Full record

ArticleTherapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy2022

Performance, clinical effectiveness, and safety of immunoadsorption in a wide range of indications.

Kornelius Fuchs, Silke Rummler, Wolfgang Ries, Matthias Helmschrott, Jochen Selbach, Friedlinde Ernst, Christian Morath, Adelheid Gauly, Saynab Atiye, Manuela Stauss-Grabo and 1 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in 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. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Clinical efficacy of protein A immunoadsorption therapy on severe ANCA-associated vasculitis renal injury.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2023
    Article
  16. Review
  17. Immune Checkpoint Inhibitors Related to Cardiotoxicity.Journal of cardiovascular development and disease · 2022
    Review
  18. Performance, clinical effectiveness, and safety of immunoadsorption in a wide range of indications.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
  19. Article
  20. Review
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

11 authors at 8 institutions in 3 countries.

Kornelius FuchsDepartment of Neurology, University Hospital, Regensburg, Germany.
Silke RummlerInstitute for Transfusion Medicine, University Hospital, Jena, Germany.
Wolfgang RiesInternal Medicine, Department of Nephrology, Diakonissenkrankenhaus, Flensburg, Germany.
Matthias HelmschrottDepartment of Cardiology, University Hospital Heidelberg, Heidelberg, Germany.
Jochen SelbachDepartment of Nephrology, Caritas Hospital, Bad Mergentheim, Germany.
Friedlinde ErnstCenter for Internal Medicine and Dialysis, Kempten, Germany.
Christian MorathDepartment for Dialysis, Nierenzentrum Heidelberg, Heidelberg, Germany.
Adelheid GaulyFresenius Medical Care, Global Medical Office, Bad Homburg, Germany.ORCID https://orcid.org/0000-0002-2554-0711
Saynab AtiyeFresenius Medical Care, Global Medical Office, Bad Homburg, Germany.
Manuela Stauss-GraboFresenius Medical Care, Global Medical Office, Bad Homburg, Germany.
Mareike GieferFresenius Medical Care, Global Medical Office, Bad Homburg, Germany.
Fresenius Medical Care (Germany) · DECaritas Hospital · INDiakonissenkrankenhaus · DEHeidelberg University · DEInstitute for Transfusion Medicine · USKempten University of Applied Sciences · DENierenzentrum Heidelberg · DEUniversity Hospital Regensburg · DE

Funding

Fresenius Medical Care Deutschland GmbH
6 · The paper itself

Abstract

Immunoadsorption is well known to selectively remove immunoglobulins and immune complexes from plasma and is applied in a variety of autoimmune diseases and for desensitization before, or at acute rejection after organ transplantation. Performance, safety, and clinical effectiveness of immunoadsorption were the aim of this study. This prospective, noninterventional, multicentre cohort study included patients treated with immunoadsorption (Immunosorba or GLOBAFFIN adsorbers) for any indication. Clinical effectiveness was assessed after termination of the patient's individual treatment schedule. Eighty-one patients were included, 69 were treated with Immunosorba, 11 with GLOBAFFIN, one patient with both adsorbers. A majority of patients was treated for neurological indications, dilated cardiomyopathy, and before or after kidney or heart transplantation. Mean IgG reduction from pre- to post-treatment was 69.9% ± 11.5% for Immunosorba and 74.1% ± 5.0% for GLOBAFFIN, respectively. The overall IgG reduction over a complete treatment block was 68%-93% with Immunosorba and 62%-90% with GLOBAFFIN depending on the duration of the overall treatment. After termination of the immunoadsorption therapy, an improvement of clinical status was observed in 63.0%, stabilization of symptoms in 29.6%, and a deterioration in 4.9% of patients. Changes in fibrinogen, thrombocytes, and albumin were mostly classified as noncritical. Overall, the treatments were well tolerated. Immunoadsorption in routine clinical practice with both GLOBAFFIN and Immunosorba has been safely performed, was well tolerated by patients, and effective in lowering immunoglobulins with an improvement or maintenance of clinical status, thus represents an additional therapeutic option for therapy refractory immune disorders.

Indexed as

Immunosorbent TechniquesAutoimmune DiseasesCardiomyopathy, DilatedCohort StudiesFemaleHumansMaleMiddle AgedNervous System DiseasesPostoperative CarePreoperative CareProspective StudiesTransplant RecipientsTreatment Outcomeclinical effectivenessdilated cardiomyopathyimmunoadsorptionneurologytransplantation

Identifiers

PMID33914397
PMCPMC9291474
OpenAlexW3158893997

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.