Evidence map›Paper›PMID 34133062›Full record

Observational studyHemodialysis international. International Symposium on Home Hemodialysis2021

Efficacy and safety of convalescent plasma therapy in SARS-CoV2 patients on hemodialysis.

Shaji Sajmi, Kamalakannan Goutham, Venkatesh Arumugam, Natarajan Gopalakrishnan, Tanuj Moses Lamech, Dhanapalan Aiswarya, Ravindran Krishna, Paulpandian Vathsalyan, Badri Srinivasan Kannan, Dolphin Solomon and 3 more

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Hemodialysis international. International Symposium on Home Hemodialysis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 37% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Severe COVID-19: Drugs and Clinical Trials.Journal of clinical medicine · 2023
    Review
  4. Efficacy and safety of convalescent plasma therapy in SARS-CoV2 patients on hemodialysis.Hemodialysis international. International Symposium on Home Hemodialysis · 2021
    Observational
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

13 authors at 1 institution in 1 country.

Shaji SajmiInstitute of Nephrology, Madras Medical College, Rajiv Gandhi Government General Hospital, Park Town, Chennai, Tamil Nadu, India.ORCID 0000-0002-4637-3043
Kamalakannan GouthamInstitute of Nephrology, Madras Medical College, Rajiv Gandhi Government General Hospital, Park Town, Chennai, Tamil Nadu, India.
Venkatesh ArumugamInstitute of Nephrology, Madras Medical College, Rajiv Gandhi Government General Hospital, Park Town, Chennai, Tamil Nadu, India.ORCID 0000-0002-9296-5445
Natarajan GopalakrishnanInstitute of Nephrology, Madras Medical College, Rajiv Gandhi Government General Hospital, Park Town, Chennai, Tamil Nadu, India.
Tanuj Moses LamechInstitute of Nephrology, Madras Medical College, Rajiv Gandhi Government General Hospital, Park Town, Chennai, Tamil Nadu, India.ORCID 0000-0002-5564-6736
Dhanapalan AiswaryaInstitute of Nephrology, Madras Medical College, Rajiv Gandhi Government General Hospital, Park Town, Chennai, Tamil Nadu, India.
Ravindran KrishnaInstitute of Nephrology, Madras Medical College, Rajiv Gandhi Government General Hospital, Park Town, Chennai, Tamil Nadu, India.
Paulpandian VathsalyanInstitute of Nephrology, Madras Medical College, Rajiv Gandhi Government General Hospital, Park Town, Chennai, Tamil Nadu, India.
Badri Srinivasan KannanInstitute of Nephrology, Madras Medical College, Rajiv Gandhi Government General Hospital, Park Town, Chennai, Tamil Nadu, India.
Dolphin SolomonInstitute of Nephrology, Madras Medical College, Rajiv Gandhi Government General Hospital, Park Town, Chennai, Tamil Nadu, India.
Govindasamy NithyaInstitute of Nephrology, Madras Medical College, Rajiv Gandhi Government General Hospital, Park Town, Chennai, Tamil Nadu, India.
Bhagavatula V R H SastryInstitute of Nephrology, Madras Medical College, Rajiv Gandhi Government General Hospital, Park Town, Chennai, Tamil Nadu, India.
Ramanathan SakthirajanInstitute of Nephrology, Madras Medical College, Rajiv Gandhi Government General Hospital, Park Town, Chennai, Tamil Nadu, India.
Madras Medical College · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe passive immunization of patients with SARS-CoV2 with convalescent plasma (CP) is theoretically beneficial in patients with end-stage renal disease who are immunosuppressed and unable to mount an adequate immune response. Hence, this study was conducted to evaluate the safety and efficacy of CP in patients with chronic kidney disease on hemodialysis with moderate-to-severe SARS-CoV2 infection.

methodsA prospective observational cohort study was conducted in consecutive 68 moderate-to-severe SARS-CoV2 infected patients who were on maintenance hemodialysis or with acute worsening of chronic kidney disease which required initiation of hemodialysis. Patients who received CP were compared with those who did not. The primary outcome was death during hospitalization. Clinical characteristics, duration of hospitalization and inflammatory parameters were compared between the two groups. A subgroup analysis was done to find whether early initiation of plasma was associated with better outcome.

resultsSixteen patients (44%) in the plasma group and 14 (45%) patients in the control group died during hospitalization (p = 0.95). The median duration of hospitalization was 9 (6-14) days in the plasma group and 9 (6-16) in the control group (p = 0.60). There was no difference in mortality or duration of hospitalization with respect to early initiation of CP (p = 0.29). Fistula thrombosis occurred in two patients (11.1%) in the plasma group.

conclusionTherapy with CP does not appear to confer any clinical benefit in moderate-to-severe SARS-CoV-2 infected patients with chronic kidney disease on hemodialysis.

Indexed as

COVID-19RNA, ViralCOVID-19 SerotherapyHumansImmunization, PassiveProspective StudiesRenal DialysisSARS-CoV-2Treatment OutcomeRNA, Viralchronic kidney diseaseCOVID 19hemodialysisplasma therapy

Identifiers

PMID34133062
PMCPMC8444855
OpenAlexW3168498780

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.