Evidence map›Paper›PMID 36050659›Full record

SynthesisBMC public health2022

A systematic literature review of the global seroprevalence of cytomegalovirus: possible implications for treatment, screening, and vaccine development.

Karen Fowler, Jacek Mucha, Monika Neumann, Witold Lewandowski, Magdalena Kaczanowska, Maciej Grys, Elvira Schmidt, Andrew Natenshon, Carla Talarico, Philip O Buck and 1 more

Abstract readSystematic Review
In one paragraph

Synthesis in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 129 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
129citing papers in PubMed, 3 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

129 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Rethinking immune studies: population-level immune variations and the path forward.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Pooled it
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  5. The ageing immune system and its battle with viruses.The Journal of general virology · 2026
    Review
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69 more citing papers are in PubMed but not listed here.

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

11 authors.

Karen FowlerUniversity of Alabama at Birmingham, Birmingham, AL, USA.
Jacek MuchaCertara, Inc., Krakow, Poland.
Monika NeumannCertara, Inc., Lörrach, Germany.
Witold Lewandowski *Certara, Inc., Krakow, Poland.
Magdalena KaczanowskaCertara, Inc., Krakow, Poland.
Maciej GrysCertara, Inc., Krakow, Poland.
Elvira SchmidtCertara, Inc., Lörrach, Germany.
Andrew NatenshonModerna, Inc., 200 Technology Square, Cambridge, MA, 02139, USA.
Carla Talarico *Moderna, Inc., 200 Technology Square, Cambridge, MA, 02139, USA.
Philip O BuckModerna, Inc., 200 Technology Square, Cambridge, MA, 02139, USA.
John Diaz-DecaroModerna, Inc., 200 Technology Square, Cambridge, MA, 02139, USA. John.Diaz-Decaro@modernatx.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCytomegalovirus (CMV) is a common pathogen that affects individuals of all ages and establishes lifelong latency. Although CMV is typically asymptomatic in healthy individuals, infection during pregnancy or in immunocompromised individuals can cause severe disease. Currently, treatments are limited, with no prophylactic vaccine available. Knowledge of the current epidemiologic burden of CMV is necessary to understand the need for treatment and prevention. A systematic literature review (SLR) was conducted to describe the most recent epidemiologic burden of CMV globally.

methodsMedline, Embase, and LILACS were searched to identify data on CMV prevalence, seroprevalence, shedding, and transmission rates. The SLR covered the time period of 2010-2020 and focused geographically on Australia, Europe, Israel, Japan, Latin America (LATAM), and North America. Studies were excluded if they were systematic or narrative reviews, abstracts, case series, letters, or correspondence. Studies with sample sizes < 100 were excluded to focus on studies with higher quality of data.

resultsTwenty-nine studies were included. Among adult men, CMV immunoglobulin G (IgG) seroprevalence ranged from 39.3% (France) to 48.0% (United States). Among women of reproductive age in Europe, Japan, LATAM, and North America, CMV IgG seroprevalence was 45.6-95.7%, 60.2%, 58.3-94.5%, and 24.6-81.0%, respectively. Seroprevalence increased with age and was lower in developed than developing countries, but data were limited. No studies of CMV immunoglobulin M (IgM) seroprevalence among men were identified. Among women of reproductive age, CMV IgM seroprevalence was heterogenous across Europe (1.0-4.6%), North America (2.3-4.5%), Japan (0.8%), and LATAM (0-0.7%). CMV seroprevalence correlated with race, ethnicity, socioeconomic status, and education level. CMV shedding ranged between 0% and 70.2% depending on age group. No findings on CMV transmission rates were identified.

conclusionsCertain populations and regions are at a substantially higher risk of CMV infection. The extensive epidemiologic burden of CMV calls for increased efforts in the research and development of vaccines and treatments.

trial registrationN/A.

Indexed as

Cytomegalovirus InfectionsPregnancy Complications, InfectiousAdultAntibodies, ViralCytomegalovirusFemaleHumansImmunoglobulin GImmunoglobulin MMalePregnancyResearchSeroepidemiologic StudiesVaccine DevelopmentAntibodies, ViralImmunoglobulin GImmunoglobulin MCMVCongenital cytomegalovirusCytomegalovirusEpidemiologyPrevalenceSeroprevalenceShedding

Identifiers

PMID36050659
PMCPMC9435408

What OpenQuestion holds

Textmetadata
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.