Evidence map›Paper›PMID 35686249›Full record

ArticleCureus2022

Safety and Efficacy of the COVID-19 Vaccine in Kidney Transplant Recipients.

Abdulrahman Altheaby, Duha Alloqmani, Rawaby AlShammari, Albatoul Alsuhaibani, Anadel Hakeem, Syed Alam, Shroug Alharbi, Mohammed Al Zunitan, Mohammad Bosaeed, Naif K Alharbi

Open access · diamondAbstract read
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Article in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 31% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

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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

10 authors at 2 institutions in 1 country.

Abdulrahman AltheabyDepartment of Hepatobiliary Sciences and Organ Transplant Center, King Abdulaziz Medical City, Riyadh, SAU.
Duha AlloqmaniDepartment of Medicine, King Abdulaziz Medical City, Riyadh, SAU.
Rawaby AlShammariDepartment of Medicine, King Abdulaziz Medical City, Riyadh, SAU.
Albatoul AlsuhaibaniDepartment of Medicine, King Abdulaziz Medical City, Riyadh, SAU.
Anadel HakeemDepartment of Medicine, King Abdulaziz Medical City, Riyadh, SAU.
Syed AlamDepartment of Hepatobiliary Sciences and Organ Transplant Center, King Abdulaziz Medical City, Riyadh, SAU.
Shroug AlharbiDepartment of Hepatobiliary Sciences and Organ Transplant Center, King Abdulaziz Medical City, Riyadh, SAU.
Mohammed Al ZunitanDepartment of Medicine, King Abdulaziz Medical City, Riyadh, SAU.
Mohammad BosaeedDivision of Infectious Diseases, Department of Internal Medicine, King Abdulaziz Medical City/National Guards Health Affairs, Riyadh, SAU.
Naif K AlharbiInfectious Diseases Research, King Abdullah International Medical Research Center, Riyadh, SAU.
King Abdulaziz Medical City · SAKing Abdullah International Medical Research Center · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKidney transplant recipients appear to be at high risk for critical coronavirus disease 2019 (COVID-19) illness. They are considered a priority for COVID-19 vaccination. Only a few studies report on the safety and efficacy of the COVID-19 vaccine in these patients.

methodsIn this prospective observational study, we measured anti-severe acute respiratory syndrome coronavirus 2 (anti-SARS-CoV-2) spike-specific IgG post first and second COVID-19 mRNA vaccines in 113 kidney transplant recipients and compared them to 62 healthy volunteers.

resultAfter the first COVID-19 vaccine, SARS-CoV-2-specific antibodies were undetectable in 38.9% of kidney transplant recipients, and after the second, it remained undetectable in 12.4%. SARS-CoV-2-specific antibodies were significantly lower in kidney transplant recipients. The average antibody titer after the first vaccine was 1243.6±4137.5 in kidney transplant recipients compared to 20012.2±44436.4 in the controls after the first dose (P=0.002), and 7965.5±12431.3 versus 82891.3±67418.7, respectively, after the second dose (P <0.001). The immune response to the COVID-19 vaccine seemed to be influenced by mycophenolate dose in kidney transplant recipients and pre-vaccination infection.

conclusionKidney transplant recipients are prone to have attenuated antibody responses (anti-spike IgGs) to mRNA COVID-19 vaccines. Patients on mycophenolate mofetil (2 gm daily) had significantly lower SARS-CoV-2 spike-specific IgG levels as compared to patients on no or reduced dose of mycophenolate. Hence, kidney transplant recipients need to continue all infection control precautionary measures against COVID-19 infection and should be considered a priority for a third COVID-19 vaccine.

Indexed as

coronavirus disease 2019 (covid-19)covid-19 vaccinationhumoral immunogenicityigg antibodieskidney transplant recipients

Identifiers

PMID35686249
PMCPMC9170370
OpenAlexW4229031061

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LicenceCC BY
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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.