Evidence map›Paper›PMID 35184187›Full record

ArticleThe Journal of infectious diseases2022

Are the Patterns of Cytomegalovirus Viral Load Seen After Solid Organ Transplantation Affected by Circadian Rhythm?

Hannah Rafferty, Matthew J Murray, Jerry C H Tam, Alastair Macfarlane, Colette Smith, Sheila F Lumley, Sowsan Atabani, Jane A McKeating, Dinesh Sharma, Matthew Reeves and 2 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 44% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

12 authors at 5 institutions in 2 countries.

Hannah RaffertyInstitute for Immunity and Transplantation, UCL, London, United Kingdom.ORCID 0000-0002-0398-1567
Matthew J MurrayInstitute for Immunity and Transplantation, UCL, London, United Kingdom.
Jerry C H TamInstitute for Immunity and Transplantation, UCL, London, United Kingdom.
Alastair MacfarlaneInstitute for Immunity and Transplantation, UCL, London, United Kingdom.
Colette SmithInstitute for Global Health, University College London, London, United Kingdom.
Sheila F LumleyInstitute for Immunity and Transplantation, UCL, London, United Kingdom.
Sowsan AtabaniPublic Health England Birmingham Laboratory, National Infection Service, University Hospitals Birmingham, Bordesley Green East, BirminghamUnited Kingdom.
Jane A McKeatingNuffield Department of Medicine, University of Oxford, Oxford, United Kingdom.
Dinesh SharmaSurgery Department, Royal Free Hospital, London, United Kingdom.
Matthew ReevesInstitute for Immunity and Transplantation, UCL, London, United Kingdom.ORCID 0000-0002-4909-1076
David WhitmoreDepartment of Cell and Developmental Biology, University College London, London, United Kingdom.
Paul GriffithsInstitute for Immunity and Transplantation, UCL, London, United Kingdom.
University College London · GBChinese Academy of Medical Sciences & Peking Union Medical College · CNPublic Health England · GBThe Royal Free Hospital · GBUniversity of Oxford · GB

Funding

Medical Research Council MR/R021384/1Wellcome Trust 200838/Z/16/ZWellcome Trust 204870Wellcome Trust 204870/Z/16/Z
6 · The paper itself

Abstract

backgroundCytomegalovirus (CMV) is an important opportunistic pathogen after transplantation. Some virological variation in transplant recipients is explained by donor and recipient CMV serostatus, but not all. Circadian variability of herpesviruses has been described, so we investigated the effect of time of day of transplantation on posttransplant CMV viremia.

methodsWe performed a retrospective analysis of 1517 patients receiving liver or kidney allografts at a single center from 2002 to 2018. All patients were given preemptive therapy with CMV viremia monitoring after transplantation. Circulatory arrest and reperfusion time of donor organ were categorized into 4 periods. Patients were divided into serostatus groups based on previous CMV infection in donor and recipient. CMV viremia parameters were compared between time categories for each group. Factor analysis of mixed data was used to interrogate this complex data set.

resultsLive-donor transplant recipients were less likely to develop viremia than recipients of deceased-donor organs (48% vs 61%; P < .001). After controlling for this, there was no evidence of time of day of transplantation affecting CMV parameters in any serostatus group, by logistic regression or factor analysis of mixed data. DISCUSSION: We found no evidence for a circadian effect of transplantation on CMV viremia, but these novel results warrant confirmation by other centers.

Indexed as

Cytomegalovirus InfectionsOrgan TransplantationAntiviral AgentsCircadian RhythmCytomegalovirusHumansRetrospective StudiesViral LoadViremiaAntiviral Agentscircadian rhythmCytomegalovirusmonitoringpreemptiveprophylaxissolid organ transplantation

Identifiers

PMID35184187
PMCPMC9400432
OpenAlexW4213308147

What OpenQuestion holds

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LicenceCC BY
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.