Evidence map›Paper›PMID 34242368›Full record

ArticlePloS one2021

COVID-19 incidence and mortality in non-dialysis chronic kidney disease patients.

Dino Gibertoni, Chiara Reno, Paola Rucci, Maria Pia Fantini, Andrea Buscaroli, Giovanni Mosconi, Angelo Rigotti, Antonio Giudicissi, Emanuele Mambelli, Matteo Righini and 4 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
4.0field-weighted citation impact, top 5% 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

39 citing papers in PubMed, 66 citations in OpenAlex.

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  19. Vaccine Attitudes and COVID-19 Vaccine Intention Among Parents of Children With Kidney Disease or Primary Hypertension.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2023
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  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

14 authors at 6 institutions in 1 country.

Dino GibertoniDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.ORCID 0000-0002-1722-3724
Chiara RenoDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Paola RucciDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Maria Pia FantiniDepartment of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Andrea BuscaroliUnit of Nephrology and Dialysis, "Santa Maria delle Croci" Hospital, Ravenna, Italy.
Giovanni MosconiUnit of Nephrology and Dialysis, "Morgagni-Pierantoni" Hospital, Forlì, Italy.
Angelo RigottiUnit of Nephrology and Dialysis, "Infermi" Hospital, Rimini, Italy.
Antonio GiudicissiUnit of Nephrology and Dialysis, "M. Bufalini" Hospital, Cesena, Italy.
Emanuele MambelliUnit of Nephrology and Dialysis, "Infermi" Hospital, Rimini, Italy.
Matteo RighiniUnit of Nephrology and Dialysis, "Santa Maria delle Croci" Hospital, Ravenna, Italy.
Loretta ZambianchiUnit of Nephrology and Dialysis, "Morgagni-Pierantoni" Hospital, Forlì, Italy.
Antonio SantoroSpecialty School of Nephrology, University of Bologna, Bologna, Italy.
Francesca BraviLocal Healthcare Authority of Romagna (AUSL Romagna), Ravenna, Italy.
Mattia AltiniLocal Healthcare Authority of Romagna (AUSL Romagna), Ravenna, Italy.
University of Bologna · ITAzienda Unità Sanitaria Locale Della Romagna · ITOspedale Infermi di Rimini · ITOspedale “M. Bufalini” di Cesena · ITOspedale "Santa Maria delle Croci" di Ravenna · ITOspedale G.B. Morgagni - L.Pierantoni · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Many studies reported a higher risk of COVID-19 disease among patients on dialysis or with kidney transplantation, and the poor outcome of COVID-19 in these patients. Patients in conservative management for chronic kidney disease (CKD) have received attention only recently, therefore less is known about how COVID-19 affects this population. The aim of this study was to provide evidence on COVID-19 incidence and mortality in CKD patients followed up in an integrated healthcare program and in the population living in the same catchment area. The study population included CKD patients recruited in the Emilia-Romagna Prevention of Progressive Renal Insufficiency (PIRP) project, followed up in the 4 nephrology units (Ravenna, Forlì, Cesena and Rimini) of the Romagna Local Health Authority (Italy) and alive at 1.01.2020. We estimated the incidence of COVID-19, its related mortality and the excess mortality within this PIRP cohort as of 31.07.2020. COVID-19 incidence in CKD patients was 4.09% (193/4,716 patients), while in the general population it was 0.46% (5,195/1,125,574). The crude mortality rate among CKD patients with COVID-19 was 44.6% (86/193), compared to 4.7% (215/4,523) in CKD patients without COVID-19. The excess mortality of March-April 2020 was +69.8% than the average mortality of March-April 2015-19 in the PIRP cohort. In a cohort mostly including regularly followed up CKD patients, the incidence of COVID-19 among CKD patients was strongly related to the spread of the infection in the community, while its lethality is associated with the underlying kidney condition and comorbidities. COVID-19 related mortality was about ten times higher than that of CKD patients without COVID. For this reason, it is urgent to offer a direct protection to CKD patients by prioritizing their vaccination.

Indexed as

SARS-CoV-2AgedAged, 80 and overCOVID-19FemaleHumansIncidenceItalyMaleRenal DialysisRenal Insufficiency, Chronic

Identifiers

PMID34242368
PMCPMC8270438
OpenAlexW3179498702

What OpenQuestion holds

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LicenceCC BY
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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.