Evidence map›Paper›PMID 34982962›Full record

SynthesisThe Journal of infection2022

Short-term effectiveness of COVID-19 vaccines in immunocompromised patients: A systematic literature review and meta-analysis.

Alexandre R Marra, Takaaki Kobayashi, Hiroyuki Suzuki, Mohammed Alsuhaibani, Bruna Marques Tofaneto, Luigi Makowski Bariani, Mariana de Amorim Auler, Jorge L Salinas, Michael B Edmond, Michelle Doll and 5 more

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The Journal of infection, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 5 pooled it
6.4field-weighted citation impact, top 2% 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

36 citing papers in PubMed, 5 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Vaccination of Adults With Cancer: ASCO Guideline.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Guideline
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  16. COVID-19 in immunocompromised children and adolescents.Clinical and experimental pediatrics · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 5 institutions in 3 countries.

Alexandre R MarraDepartment of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA; Hospital Israelita Albert Einstein, Instituto Israelita de Ensino e Pesquisa Albert Einstein, São Paulo, Brazil; Center for Access and Delivery Research and Evaluation (CADRE), Iowa City Veterans Affairs Health Care System, Iowa, IA, USA. Electronic address: alexandre-rodriguesmarra@uiowa.edu.
Takaaki KobayashiDepartment of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA.
Hiroyuki SuzukiDepartment of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA; Center for Access and Delivery Research and Evaluation (CADRE), Iowa City Veterans Affairs Health Care System, Iowa, IA, USA.
Mohammed AlsuhaibaniDepartment of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA; Department of Pediatrics, College of Medicine, Qassim University, Qassim, Saudi Arabia.
Bruna Marques TofanetoAlbert Einstein Medical College, São Paulo, Brazil.
Luigi Makowski BarianiAlbert Einstein Medical College, São Paulo, Brazil.
Mariana de Amorim AulerAlbert Einstein Medical College, São Paulo, Brazil.
Jorge L SalinasStanford University, Stanford, CA,USA.
Michael B EdmondWest Virginia University School of Medicine, Morgantown, WV, USA.
Michelle DollDepartment of Internal Medicine, Virginia Commonwealth University School of Medicine, Richmond, VA, USA.
José Mauro KutnerHospital Israelita Albert Einstein Blood Bank, São Paulo, Brazil.
João Renato Rebello PinhoSpecial Techniques Laboratory,Hospital Israelita Albert Einstein, São Paulo, Brazil.
Luiz Vicente RizzoHospital Israelita Albert Einstein, Instituto Israelita de Ensino e Pesquisa Albert Einstein, São Paulo, Brazil.
João Luiz MiragliaSaúde Populacional, Diretoria de Medicina Diagnóstica Ambulatorial, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Marin L SchweizerDepartment of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, IA, USA; Center for Access and Delivery Research and Evaluation (CADRE), Iowa City Veterans Affairs Health Care System, Iowa, IA, USA.
Hospital Israelita Albert Einstein · BRUniversity of Iowa · USStanford University · USVirginia Commonwealth University · USWest Virginia University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe aimed to assess the short-term effectiveness of COVID-19 vaccines among immunocompromised patients to prevent laboratory-confirmed symptomatic COVID-19 infection.

methodsSystematic review and meta-analysis. We calculated the pooled diagnostic odds ratio [DOR] (95% CI) for COVID-19 infection between immunocompromised patients and healthy people or those with stable chronic medical conditions. VE was estimated as 100% x (1-DOR). We also investigated the rates of developing anti-SARS-CoV-2 spike protein IgG between the 2 groups.

resultsTwenty studies evaluating COVID-19 vaccine response, and four studies evaluating VE were included in the meta-analysis. The pooled DOR for symptomatic COVID-19 infection in immunocompromised patients was 0.296 (95% CI: 0.108-0.811) with an estimated VE of 70.4% (95% CI: 18.9%- 89.2%). When stratified by diagnosis, IgG antibody levels were much higher in the control group compared to immunocompromised patients with solid organ transplant (pOR 232.3; 95% Cl: 66.98-806.03), malignant diseases (pOR 42.0, 95% Cl: 11.68-151.03), and inflammatory rheumatic diseases (pOR 19.06; 95% Cl: 5.00-72.62).

conclusionsWe found COVID-19 mRNA vaccines were effective against symptomatic COVID-19 among the immunocompromised patients but had lower VE compared to the controls. Further research is needed to understand the discordance between antibody production and protection against symptomatic COVID-19 infection.

Indexed as

COVID-19COVID-19 VaccinesHospitalizationHumansImmunocompromised HostSARS-CoV-2COVID-19 VaccinesCOVID-19 vaccineEffectivenessImmunocompromised patientsMeta-analysis

Identifiers

PMID34982962
PMCPMC8720049
OpenAlexW4205895348

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.