Evidence map›Paper›PMID 34966840›Full record

ArticleTransplantation direct2022

Outcomes of SOT Recipients With COVID-19 in Different Eras of COVID-19 Therapeutics.

Afrah S Sait, Teresa Po-Yu Chiang, Kieren A Marr, Allan B Massie, Willa Cochran, Pali Shah, Daniel C Brennan, Alvin G Thomas, Seema Mehta Steinke, Nitipong Permpalung and 19 more

Open access · goldAbstract read
In one paragraph

Article in Transplantation direct, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 22% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. COVID-19 therapeutics and outcomes among solid organ transplant recipients during the Omicron BA.1 era.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2022
    Article
  6. Severity of COVID-19 among solid organ transplant recipients in Canada, 2020-2021: a prospective, multicentre cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022
    Article
  7. Early remdesivir to prevent severe COVID-19 in recipients of solid organ transplant: a real-life study from Northern Italy.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2022
    Observational
  8. 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

29 authors at 2 institutions in 1 country.

Afrah S SaitDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Teresa Po-Yu ChiangDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.
Kieren A MarrDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Allan B MassieDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.
Willa CochranDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.
Pali ShahDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Daniel C BrennanDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Alvin G ThomasDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.
Seema Mehta SteinkeDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Nitipong PermpalungDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Shmuel ShohamDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Christian MerloDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Tania JainHematologic Malignancies and Bone Marrow Transplantation Program, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, Baltimore, MD.
Brian BoyarskyDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.
Olga CharnayaDepartment of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD.
Ahmet GurakarDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Kavita SharmaDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Christine M DurandDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
William A WerbelDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Chiung-Yu HuangDepartment of Statistics, University of California at San Francisco, San Francisco, CA.
Darin OstranderDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Niraj DesaiDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.
Min Young KimDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Sami AlasfarDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Evan M BlochDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD.
Aaron A R TobianDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD.
Jacqueline Garonzik-WangDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.
Dorry L SegevDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.
Robin K AveryDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Johns Hopkins University · USJohns Hopkins Medicine · US

Funding

Patient Oriented Research in Kidney Disease and Transplant SurgeryK24DK101828 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI SEGEV, DORRY L. · 2014 to 2018
$922k
Determinants of chronic kidney disease in African-American live kidney donorsK01DK101677 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI MASSIE, ALLAN B · 2015 to 2019
$789k
Aggressive Center Report Cards to Safely Increase Transplantation of Suboptimal KidneysK23DK115908 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI GARONZIK WANG, JACQUELINE M · 2018 to 2021
$516k
Genetic and Environmental Drivers of Cognitive Resilience in Aging PopulationsF99AG073565 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI THOMAS, ALVIN G. · 2021 to 2022
$94k
NIA NIH HHS F99 AG073565NIDDK NIH HHS K01 DK101677NIDDK NIH HHS K23 DK115908NIDDK NIH HHS K24 DK101828
6 · The paper itself

Abstract

backgroundFew reports have focused on newer coronavirus disease 2019 (COVID-19) therapies (remdesivir, dexamethasone, and convalescent plasma) in solid organ transplant recipients; concerns had been raised regarding possible adverse impact on allograft function or secondary infections.

methodsWe studied 77 solid organ transplant inpatients with COVID-19 during 2 therapeutic eras (Era 1: March-May 2020, 21 patients; and Era 2: June-November 2020, 56 patients) and 52 solid organ transplant outpatients.

resultsIn Era 1, no patients received remdesivir or dexamethasone, and 4 of 21 (19.4%) received convalescent plasma, whereas in Era 2, remdesivir (24/56, 42.9%), dexamethasone (24/56, 42.9%), and convalescent plasma (40/56, 71.4%) were commonly used. Mortality was low across both eras, 4 of 77 (5.6%), and rejection occurred in only 2 of 77 (2.8%) inpatients; infections were similar in hypoxemic patients with or without dexamethasone. Preexisting graft dysfunction was associated with greater need for hospitalization, higher severity score, and lower survival. Acute kidney injury was present in 37.3% of inpatients; renal function improved more rapidly in patients who received remdesivir and convalescent plasma. Post-COVID-19 renal and liver function were comparable between eras, out to 90 d.

conclusionsNewer COVID-19 therapies did not appear to have a deleterious effect on allograft function, and infectious complications were comparable.

Identifiers

PMID34966840
PMCPMC8710330
OpenAlexW4200220430

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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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.