Evidence map›Paper›PMID 37490271›Full record

ArticleJournal of nephrology2023

Safety and efficacy of COVID-19 vaccines in patients on dialysis: a multicentre cohort study in Italy.

Francesca Menniti-Ippolito, Alfonso Mele, Roberto Da Cas, Salvatore De Masi, Flavia Chiarotti, Massimo Fabiani, Giovanni Baglio, Giuseppe Traversa, Francesca Colavita, Concetta Castilletti and 4 more

Erratum issuedAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of nephrology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 30% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 2 countries.

Francesca Menniti-IppolitoItalian National Institute of Health, Rome, Italy.
Alfonso MeleItalian National Institute of Health, Rome, Italy.
Roberto Da CasItalian National Institute of Health, Rome, Italy.
Salvatore De MasiClinical Trial Centre, Careggi Hospital, Florence, Italy. demasis@aou-careggi.toscana.it.ORCID 0000-0001-5889-9280
Flavia ChiarottiItalian National Institute of Health, Rome, Italy.
Massimo FabianiItalian National Institute of Health, Rome, Italy.
Giovanni BaglioItalian National Agency for Regional Healthcare Services, Rome, Italy.
Giuseppe TraversaItalian National Institute of Health, Rome, Italy.
Francesca ColavitaLaboratory of Virology, National Institute for Infectious Diseases Lazzaro Spallanzani, IRCCS, Rome, Italy.
Concetta CastillettiDepartment of Infectious, Tropical Diseases and Microbiology, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, Verona, Italy.
Mario SalomoneUnit of Nephrology and Dialysis, Chieri and Moncalieri Hospitals, Turin, Italy.
Carmine ZoccaliRenal Research Institute, New York, USA.
Piergiorgio MessaUnit of Nephrology, Dialysis, and Renal Transplant, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
COVIDVaxDia Study Group
Istituto Nazionale per le Malattie Infettive Lazzaro Spallanzani · ITAzienda Ospedaliero-Universitaria Careggi · ITOspedale Maggiore di Chieri · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITOspedale Sacro Cuore Don Calabria · ITBiogem · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to evaluate the efficacy and safety of COVID-19 vaccines in patients undergoing haemodialysis in Italy compared to the general population.

methodsIn this cohort study, 118 dialysis centres from 18 Italian Regions participated. Individuals older than 16 years on dialysis treatment for at least 3 months, who provided informed consent were included. We collected demographic and clinical information, as well as data on vaccination status, hospitalisations, access to intensive care units and adverse events. We calculated the incidence, hospitalisation, mortality, and fatality rates in the vaccinated dialysis cohort, adjusted for several covariates. The incidence rates of infection in the dialysis cohort and the general population were compared through Standardised Incidence Rate Ratio.

resultsThe study included 6555 patients vaccinated against SARS-CoV-2 infection according to the schedule recommended in Italy. Between March 2021 and May 2022, there were 1096 cases of SARS-CoV-2 infection, with an incidence rate after completion of the three-dose vaccination cycle of 37.7 cases per 100 person-years. Compared to the general population, we observed a 14% reduction in the risk of infection for patients who received three vaccine doses (Standardised Incidence Rate Ratio: 0.86; 95% Confidence Interval: 0.81-0.91), whereas no statistically significant differences were found for COVID-19-related hospitalisations, intensive care unit admissions or death. No safety signals emerged from the reported adverse events.

conclusionsThe vaccination program against SARS-CoV-2 in the haemodialysis population showed an effectiveness and safety profile comparable to that seen in the general population.

Indexed as

COVID-19COVID-19 VaccinesRenal DialysisCohort StudiesHumansItalyCOVID-19 VaccinesCohort studyCOVID vaccinesDialysisEffectivenessSafety

Identifiers

PMID37490271
OpenAlexW4385230726

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.