Evidence map›Paper›PMID 35244174›Full record

ArticleNephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association2022

Perspective on COVID-19 vaccination in patients with immune-mediated kidney diseases: consensus statements from the ERA-IWG and EUVAS.

Kate I Stevens, Eleni Frangou, Jae I L Shin, Hans-Joachim Anders, Annette Bruchfeld, Ulf Schönermarck, Thomas Hauser, Kerstin Westman, Gema M Fernandez-Juarez, Jürgen Floege and 10 more

Open access · bronzeAbstract readConsensus Statement
In one paragraph

Article in Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 7% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. The Impact of the COVID-19 Pandemic on Patients With CKD: Systematic Review of Qualitative Studies.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2023
    Pooled it
  2. Long COVID and the kidney.Nature reviews. Nephrology · 2025
    Review
  3. Article
  4. Article
  5. [Corona vaccination under immunosuppression].Zeitschrift fur Rheumatologie · 2024
    Article
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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

20 authors at 16 institutions in 12 countries.

Kate I StevensGlasgow Renal and Transplant Unit, Queen Elizabeth University Hospital, Glasgow, UK.ORCID 0000-0003-2291-1692
Eleni FrangouDepartment of Nephrology, Limassol General Hospital, Limassol, Cyprus.
Jae I L ShinDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, South Korea.ORCID 0000-0003-2326-1820
Hans-Joachim AndersDivision of Nephrology, Department of Internal Medicine IV, Ludwig-Maximilians-University Hospital, Munich, Germany.
Annette BruchfeldDepartment of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.ORCID 0000-0002-9752-9941
Ulf SchönermarckDivision of Nephrology, Department of Internal Medicine IV, Ludwig-Maximilians-University Hospital, Munich, Germany.ORCID 0000-0002-3266-9791
Thomas HauserIZZ Immunologie-Zentrum Zürich, Zurich, Switzerland.
Kerstin WestmanDivision of Nephrology, Department of Clinical Sciences Lund, Lund University and Skane University Hospital, Lund, Sweden.
Gema M Fernandez-JuarezDepartment of Nephrology, Hospital Universitatio Fundacion Alcorcon, Alcorcon, Spain.
Jürgen FloegeDivision of Nephrology, RWTH Aachen University Hospital, Aachen, Germany.
Dimitrios GoumenosDepartment of Nephrology and Renal Transplantation, Patras University Hospital, Patras, Greece.
Kultigin TurkmenDivision of Nephrology, Department of Internal Medicine, Necmettin Erbakan University, Konya, Turkey.
Cees van KootenDivision of Nephrology and Transplant Medicine, Department of Medicine, Leiden University Medical Center, Leiden, The Netherlands.
Stephen P McAdooCentre for Inflammatory Disease, Department of Immunology and Inflammation, Imperial College London, London, UK.
Vladimir TesarDepartment of Nephrology, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic.
Mårten SegelmarkDivision of Nephrology, Department of Clinical Sciences Lund, Lund University and Skane University Hospital, Lund, Sweden.
Duvuru GeethaDivision of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
David R W JayneDepartment of Medicine, University of Cambridge, Cambridge, UK.
Andreas KronbichlerDepartment of Medicine, University of Cambridge, Cambridge, UK.
Immunonephrology Working Group (IWG) of the European Renal Association (ERA) and the European Vasculitis Society (EUVAS)
Ludwig-Maximilians-Universität München · DELund University · SEUniversity of Cambridge · GBCharles University · CZGeneral University Hospital of Patras · GRHospital Universitario Fundación Alcorcón · ESImmunologie-Zentrum Zürich · CHImperial College Healthcare NHS Trust · GBJohns Hopkins University · USLeiden University Medical Center · NLLimassol General Hospital · CYLinköping University · SENecmettin Erbakan University · TRQueen Elizabeth University Hospital · GBUniversitätsklinikum Aachen · DEYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with immune-mediated kidney diseases are at increased risk of severe coronavirus disease 2019 (COVID-19). The international rollout of COVID-19 vaccines has provided varying degrees of protection and enabled the understanding of vaccine efficacy and safety. The immune response to COVID-19 vaccines is lower in most patients with immune-mediated kidney diseases; either related to immunosuppression or comorbidities and complications caused by the underlying disease. Humoral vaccine response, measured by the presence of antibodies, is impaired or absent in patients receiving rituximab, mycophenolate mofetil (MMF), higher doses of glucocorticoids and likely other immunosuppressants, such as cyclophosphamide. The timing between the use of these agents and administration of vaccines is associated with the level of immune response: with rituximab, vaccine response can only be expected once B cells start to recover and patients with transient discontinuation of MMF mount a humoral response more frequently. The emergence of new COVID-19 variants and waning of vaccine-induced immunity highlight the value of a booster dose and the need to develop mutant-proof vaccines. COVID-19 vaccines are safe, exhibiting a very low risk of de novo or relapsing immune-mediated kidney disease. Population-based studies will determine whether this is causal or coincidental. Such cases respond to standard management, including the use of immunosuppression. The Immunonephrology Working Group and European Vasculitis Society recommend that patients with immune-mediated kidney diseases follow national guidance on vaccination. Booster doses based on antibody measurements could be considered.

Indexed as

COVID-19 VaccinesKidney DiseasesAntibodies, ViralCOVID-19HumansMycophenolic AcidRituximabAntibodies, ViralCOVID-19 VaccinesMycophenolic AcidRituximabIgA nephropathyimmunologyimmunosuppressionrituximabvasculitis

Identifiers

PMID35244174
PMCPMC9383521
OpenAlexW4213421130

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.