Evidence map›Paper›PMID 36557592›Full record

ArticleMicroorganisms2022

Fifteen-Year Surveillance of LTR Receiving Pre-Emptive Therapy for CMV Infection: Prevention of CMV Disease and Incidence of CLAD.

Davide Piloni, Elisa Gabanti, Monica Morosini, Gabriela Cassinelli, Vanessa Frangipane, Federica Zavaglio, Tiberio Oggionni, Laura Saracino, Sara Lettieri, Eloisa Arbustini and 2 more

Open access · goldAbstract read
In one paragraph

Article in Microorganisms, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Cytomegalovirus infection after lung transplant: Incidence, risk factors, and management in a multicenter cohort.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
    Article
  2. Post-lung transplant surveillance in 2026: current practice, variability, and the need for standardization.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Review
  3. Article
  4. 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

12 authors at 2 institutions in 1 country.

Davide PiloniPneumology Unit, Internal Medicine and Infectious Diseases Department, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.ORCID 0000-0002-7275-4229
Elisa GabantiMolecular Virology Unit, Microbiology and Virology Department, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
Monica MorosiniPneumology Unit, Internal Medicine and Infectious Diseases Department, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.ORCID 0000-0001-6516-1751
Gabriela CassinelliMolecular Virology Unit, Microbiology and Virology Department, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
Vanessa FrangipanePneumology Unit, Internal Medicine and Infectious Diseases Department, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
Federica ZavaglioMolecular Virology Unit, Microbiology and Virology Department, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.ORCID 0000-0001-5471-1711
Tiberio OggionniPneumology Unit, Internal Medicine and Infectious Diseases Department, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
Laura SaracinoPneumology Unit, Internal Medicine and Infectious Diseases Department, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
Sara LettieriPneumology Unit, Fondazione IRCCS Policlinico San Matteo, University of Pavia, 27100 Pavia, Italy.
Eloisa ArbustiniLaboratories of Genetics, Transplantology and Cardiovascular Diseases, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.ORCID 0000-0003-2948-7994
Federica MeloniPneumology Unit, Internal Medicine and Infectious Diseases Department, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
Daniele LilleriMolecular Virology Unit, Microbiology and Virology Department, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.ORCID 0000-0001-7747-7622
Policlinico San Matteo Fondazione · ITUniversity of Pavia · IT

Funding

Fondazione Cariplo 2017-1892Fondazione Regionale per la Ricerca Biomedica 2015-0043
6 · The paper itself

Abstract

The efficacy of pre-emptive therapy in the prevention of cytomegalovirus (CMV) disease and the potential association of CMV infection with the occurrence of chronic lung allograft dysfunction (CLAD) was evaluated in 129 lung transplant recipients receiving pre-emptive therapy based on pp65-antigenemia or CMV-DNA in the blood and in the bronchoalveolar lavage. Seventy-one (55%) patients received pre-emptive ganciclovir/valganciclovir (GCV/VGCV) for CMV infection for a median of 28 (9-191) days. Possible CMV disease occurred in six (5%) patients and was healed after the GCV/VGCV therapy. The cumulative incidence of CLAD was 38% and 54% at 5 and 10 years. Acute rejection and CMV load in the blood (but not in the lung) were independent predictors of the occurrence of CLAD. Pre-emptive therapy is highly effective in preventing CMV disease in lung recipients and does not induce a superior incidence of CLAD compared to what reported for other cohorts of patients who received an extended antiviral prophylaxis.

Indexed as

acute rejectionbronchoalveolar lavagechronic lung allograft dysfunctioncytomegalovirusganciclovirlung transplant recipientpre-emptive therapyvalganciclovir

Identifiers

PMID36557592
PMCPMC9788487
OpenAlexW4310214326

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.