Evidence map›Paper›PMID 34551880›Full record

ReviewTransplantation proceedings2021

SARS-CoV-2 in Solid Organ Transplant Recipients: A Structured Review of 2020.

Markus Quante, Linda Brake, Alexander Tolios, Andrea Della Penna, Christoph Steidle, Magdalena Gruendl, Anna Grishina, Helene Haeberle, Martina Guthoff, Stefan G Tullius and 3 more

Open access · greenAbstract readReview
In one paragraph

Review in Transplantation proceedings, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Reduction in the risk of progression of solid organ transplant recipients infected by SARS-CoV-2 treated with monoclonal antibodies.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2023
    Review
  4. Impact of solid organ transplant status on outcomes of hospitalized patients with COVID-19 infection.Transplant infectious disease : an official journal of the Transplantation Society · 2022
    Review
  5. Delayed mortality among solid organ transplant recipients hospitalized for COVID-19.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  6. Solid organ transplantations and COVID-19 disease.World journal of transplantation · 2021
    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

13 authors at 5 institutions in 3 countries.

Markus QuanteDepartment of General, Visceral, and Transplant Surgery, University Hospital Tübingen, Tübingen, Germany.
Linda BrakeDepartment of General, Visceral, and Transplant Surgery, University Hospital Tübingen, Tübingen, Germany.
Alexander ToliosDepartment of Blood Group Serology and Transfusion Medicine, Medical University of Vienna, Vienna, Austria; Center for Physiology and Pharmacology, Institute of Vascular Biology and Thrombosis Research, Medical University of Vienna, Vienna, Austria; Center for Medical Statistics, Informatics, and Intelligent Systems, Institute of Artificial Intelligence, Medical University of Vienna, Vienna, Austria.
Andrea Della PennaDepartment of General, Visceral, and Transplant Surgery, University Hospital Tübingen, Tübingen, Germany.
Christoph SteidleDepartment of General, Visceral, and Transplant Surgery, University Hospital Tübingen, Tübingen, Germany.
Magdalena GruendlDepartment of Epidemiology, Technical University Munich, Munich, Germany.
Anna GrishinaDepartment of Pediatrics I, University Medicine Essen, Essen, Germany.
Helene HaeberleDepartment of Anesthesiology and Intensive Care Medicine, University Hospital Tübingen, Tübingen, Germany.
Martina GuthoffDepartment of Diabetology, Endocrinology, Nephrology, Section of Nephrology and Hypertension, University Hospital Tübingen, Tübingen, Germany; Institute for Diabetes Research and Metabolic Diseases of the Helmholtz Center Munich, University of Tübingen, Tübingen, Germany; German Center for Diabetes Research (DZD e.V.), Neuherberg, Germany.
Stefan G TulliusDivision of Transplant Surgery and Transplant Surgery Research Laboratory, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Alfred KönigsrainerDepartment of General, Visceral, and Transplant Surgery, University Hospital Tübingen, Tübingen, Germany; Cluster of Excellence iFIT (EXC 2180) "Image-Guided and Functionally Instructed Tumor Therapies," University of Tübingen, Tübingen, Germany.
Silvio NadalinDepartment of General, Visceral, and Transplant Surgery, University Hospital Tübingen, Tübingen, Germany.
Markus W LöfflerDepartment of General, Visceral, and Transplant Surgery, University Hospital Tübingen, Tübingen, Germany; Cluster of Excellence iFIT (EXC 2180) "Image-Guided and Functionally Instructed Tumor Therapies," University of Tübingen, Tübingen, Germany; Department of Immunology, Interfaculty Institute for Cell Biology, University of Tübingen, Tübingen, Germany; Department of Clinical Pharmacology, University Hospital Tübingen, Tübingen, Germany. Electronic address: Markus.Loeffler@med.uni-tuebingen.de.
University Children's Hospital Tübingen · DEAustrian Research Institute for Artificial Intelligence · ATBrigham and Women's Hospital · USEssen University Hospital · DETechnical University of Munich · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic is challenging health systems all over the world. Particularly high-risk groups show considerable mortality rates after infection. In 2020, a huge number of case reports, case series, and consecutively various systematic reviews have been published reporting on morbidity and mortality risk connected with SARS-CoV-2 in solid organ transplant (SOT) recipients. However, this vast array of publications resulted in an increasing complexity of the field, overwhelming even for the expert reader.

methodsWe performed a structured literature review comprising electronic databases, transplant journals, and literature from previous systematic reviews covering the entire year 2020. From 164 included articles, we identified 3451 cases of SARS-CoV-2-infected SOT recipients.

resultsInfections resulted in a hospitalization rate of 84% and 24% intensive care unit admissions in the included patients. Whereas 53.6% of patients were reported to have recovered, cross-sectional overall mortality reported after coronavirus disease 2019 (COVID-19) was at 21.1%. Synoptic data concerning immunosuppressive medication attested to the reduction or withdrawal of antimetabolites (81.9%) and calcineurin inhibitors (48.9%) as a frequent adjustment. In contrast, steroids were reported to be increased in 46.8% of SOT recipients.

conclusionsCOVID-19 in SOT recipients is associated with high morbidity and mortality worldwide. Conforming with current guidelines, modifications of immunosuppressive therapies mostly comprised a reduction or withdrawal of antimetabolites and calcineurin inhibitors, while frequently maintaining or even increasing steroids. Here, we provide an accessible overview to the topic and synoptic estimates of expectable outcomes regarding in-hospital mortality of SOT recipients with COVID-19.

Indexed as

COVID-19Organ TransplantationTransplant RecipientsCross-Sectional StudiesHumansPandemicsSARS-CoV-2

Identifiers

PMID34551880
PMCPMC8364801
OpenAlexW3193304276

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.