Evidence map›Paper›PMID 35767848›Full record

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

Outcome and effect of vaccination in SARS-CoV-2 Omicron infection in hemodialysis patients: a cohort study.

Damien R Ashby, Ben Caplin, Richard W Corbett, Elham Asgari, Nicola Kumar, Alexander Sarnowski, Richard Hull, David Makanjuola, Nicholas Cole, Jian Chen and 13 more

Abstract readMulticenter Study
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 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Kidney involvement and anemia in COVID-19 infection.World journal of nephrology · 2025
    Review
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  8. Results of the first nationwide cohort study of outcomes in dialysis and kidney transplant patients before and after vaccination for COVID-19.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2023
    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

23 authors.

Damien R AshbyRenal and Transplant Centre, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London, UK.
Ben CaplinDepartment of Renal Medicine, University College London, London, UK.ORCID 0000-0001-9544-164X
Richard W CorbettRenal and Transplant Centre, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London, UK.ORCID 0000-0002-4607-8554
Elham AsgariKidney Services, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
Nicola KumarKidney Services, Guy's and St. Thomas' NHS Foundation Trust, London, UK.
Alexander SarnowskiRenal and Transplantation Unit, St. George's University Hospitals NHS Foundation Trust, London, UK.
Richard HullRenal and Transplantation Unit, St. George's University Hospitals NHS Foundation Trust, London, UK.
David MakanjuolaSouth West Thames Renal and Transplantation Unit, Epsom and St. Helier University Hospitals NHS Trust, London, UK.
Nicholas ColeSouth West Thames Renal and Transplantation Unit, Epsom and St. Helier University Hospitals NHS Trust, London, UK.
Jian ChenRenal Service, Barts Health NHS Trust, London, UK.
Sofia NybergRenal Service, Barts Health NHS Trust, London, UK.
Suzanne ForbesRenal Service, Barts Health NHS Trust, London, UK.
Kieran McCaffertyRenal Service, Barts Health NHS Trust, London, UK.
Faryal ZamanDepartment of Renal Medicine, King's College Hospital NHS Foundation Trust, London, UK.
Hugh CairnsDepartment of Renal Medicine, King's College Hospital NHS Foundation Trust, London, UK.
Claire SharpeDepartment of Renal Medicine, King's College Hospital NHS Foundation Trust, London, UK.
Kate BramhamDepartment of Renal Medicine, King's College Hospital NHS Foundation Trust, London, UK.
Reza MotallebzadehRoyal Free London NHS Foundation Trust, London, UK.
Kashif AnwariRoyal Free London NHS Foundation Trust, London, UK.
Tayeba RoperRoyal Free London NHS Foundation Trust, London, UK.
Alan D SalamaDepartment of Renal Medicine, University College London, London, UK.
Debasish BanerjeeRenal and Transplant Centre, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London, UK.
pan-London Covid-19 renal audit groups

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHemodialysis patients are at high risk of Covid-19, though vaccination has significant efficacy in preventing and reducing the severity of infection. Little information is available on disease severity and vaccine efficacy since the dissemination of the Omicron variant.

methodsIn a multi-center study, during a period of the epidemic driven by the Omicron variant, all hemodialysis patients positive for SARS-CoV-2 were identified. Outcomes were analyzed according to predictor variables including vaccination status. Risk of infection was analyzed using a Cox proportional hazards model.

resultsSARS-CoV-2 infection was identified in 1126 patients including 200 (18%) unvaccinated, 56 (5%) post first dose, 433 (38%) post second dose, and 437 (39%) at least 7 days beyond their third dose. The majority of patients had a mild course but 160 (14%) were hospitalized and 28 (2%) died. In regression models adjusted for age and comorbidity, two-dose vaccination was associated with a 39% (95%CI: 2%-62%) reduction in admissions, but third doses provided additional protection, with a 51% (95%CI: 25%-69%) further reduction in admissions. Among 1265 patients at risk at the start of the observation period, SARS-CoV-2 infection was observed in 211 (17%). Two-dose vaccination was associated with a 41% (95%CI: 3%-64%) reduction in the incidence of infection, with no clear additional effect provided by third doses.

conclusionsThese data demonstrate lower incidence of SARS-CoV-2 infection after vaccination in dialysis patients during an Omicron dominant period of the epidemic. Among those developing infection, severe illness was less common with prior vaccination, particularly after third vaccine doses.

Indexed as

COVID-19Cohort StudiesHumansRenal DialysisSARS-CoV-2Vaccinationclinical epidemiologyCovid-19hemodialysisvaccination

Identifiers

PMID35767848
PMCPMC9278226

What OpenQuestion holds

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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.