Evidence map›Paper›PMID 35419540›Full record

ArticleKidney3602021

Clinical Course of SARS-CoV-2 Infection in Adults with ESKD Receiving Outpatient Hemodialysis.

Ana Cecilia Bardossy, Lauren Korhonen, Sabrina Schatzman, Paige Gable, Carolyn Herzig, Nicole E Brown, Elizabeth Beshearse, Kate Varela, Sarah Sabour, Amanda K Lyons and 21 more

Open access · diamondAbstract read
In one paragraph

Article in Kidney360, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 57% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
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

31 authors at 4 institutions in 1 country.

Ana Cecilia BardossyCOVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.ORCID 0000-0002-3523-112X
Lauren KorhonenCOVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.ORCID 0000-0001-6349-929X
Sabrina SchatzmanCOVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.
Paige GableCOVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.
Carolyn HerzigCOVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.
Nicole E BrownCOVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.ORCID 0000-0002-3184-0550
Elizabeth BeshearseCOVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.ORCID 0000-0001-7799-6078
Kate VarelaCOVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.
Sarah SabourCOVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.
Amanda K LyonsCOVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.ORCID 0000-0003-4312-2481
Rahsaan OvertonCOVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.
Matthew HudsonCOVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.ORCID 0000-0001-6510-8272
Alfonso C Hernandez-RomieuCOVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.
Jorge AlvarezCOVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.
Kaylin RomanCOVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.
Mark WengEpidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, Georgia.ORCID 0000-0002-7902-2602
Elizabeth SodaCOVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.
Priti R PatelCOVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.
Crystal GrateFresenius Medical Care, Waltham, Massachusetts.
Lorien S DalrympleFresenius Medical Care, Waltham, Massachusetts.
Rebecca L WingardFresenius Medical Care, Waltham, Massachusetts.
Natalie J ThornburgCOVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.ORCID 0000-0003-3523-3616
Alison S Laufer HalpinCOVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.ORCID 0000-0003-1643-1617
Jennifer M FolsterCOVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.
Melissa Tobin-D'AngeloAcute Disease Epidemiology Section, Georgia Department of Public Health, Atlanta, Georgia.
Janice LeaDivision of Renal Medicine, Department of Medicine, Emory School of Medicine, Atlanta, Georgia.
Ibironke ApataCOVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.
L Clifford McDonaldCOVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.ORCID 0000-0003-3044-5572
Allison C BrownCOVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.
Preeta K KuttyCOVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.ORCID 0000-0001-9813-8048
Shannon NovosadCOVID-19 Response Team, Centers for Disease Control and Prevention, Atlanta, Georgia.
Centers for Disease Control and Prevention · USFresenius Medical Care (United States) · USEmory University · USGeorgia Department of Public Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patients with ESKD on maintenance dialysis receive dialysis in common spaces with other patients and have a higher risk of severe SARS-CoV-2 infections. They may have persistently or intermittently positive SARS-CoV-2 RT-PCR tests after infection. We describe the clinical course of SARS-CoV-2 infection and the serologic response in a convenience sample of patients with ESKD to understand the duration of infectivity. Methods: From August to November 2020, we enrolled patients on maintenance dialysis with SARS-CoV-2 infections from outpatient dialysis facilities in Atlanta, Georgia. We followed participants for approximately 42 days. We assessed COVID-19 symptoms and collected specimens. Oropharyngeal (OP), anterior nasal (AN), and saliva (SA) specimens were tested for the presence of SARS-CoV-2 RNA, using RT-PCR, and sent for viral culture. Serology, including neutralizing antibodies, was measured in blood specimens. Results: Fifteen participants, with a median age of 58 (range, 37‒77) years, were enrolled. Median duration of RT-PCR positivity from diagnosis was 18 days (interquartile range [IQR], 8‒24 days). Ten participants had at least one, for a total of 41, positive RT-PCR specimens ≥10 days after symptoms onset. Of these 41 specimens, 21 underwent viral culture; one (5%) was positive 14 days after symptom onset. Thirteen participants developed SARS-CoV-2-specific antibodies, 11 of which included neutralizing antibodies. RT-PCRs remained positive after seroconversion in eight participants and after detection of neutralizing antibodies in four participants; however, all of these samples were culture negative. Conclusions: Patients with ESKD on maintenance dialysis remained persistently and intermittently SARS-CoV-2-RT-PCR positive. However, of the 15 participants, only one had infectious virus, on day 14 after symptom onset. Most participants mounted an antibody response, including neutralizing antibodies. Participants continued having RT-PCR-positive results in the presence of SARS-CoV-2-specific antibodies, but without replication-competent virus detected.

Indexed as

COVID-19AdultAgedAntibodies, NeutralizingAntibodies, ViralHumansMiddle AgedOutpatientsRenal DialysisRNA, ViralSARS-CoV-2Antibodies, NeutralizingAntibodies, ViralRNA, Viralchronic kidney failureCOVID-19dialysisend-stage renal diseaseESRDinfectiousnessinfectivityoutpatientsSARS-CoV-2

Identifiers

PMID35419540
PMCPMC8986054
OpenAlexW3199387624

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.