Evidence map›Paper›PMID 38815340›Full record

SynthesisTransplantation reviews (Orlando, Fla.)2024

Cytomegalovirus infection and cardiovascular outcomes in abdominal organ transplant recipients: A systematic review and meta-analysis.

Panos Arvanitis, Michel R Davis, Dimitrios Farmakiotis

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Transplantation reviews (Orlando, Fla.), 2024. 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
–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

4 citing papers in PubMed.

  1. Review
  2. Article
  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

3 authors.

Panos ArvanitisDivision of Infectious Diseases, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, United States.
Michel R DavisThe Warren Alpert Medical School of Brown University, Providence, Rhode Island, United States.
Dimitrios FarmakiotisDivision of Infectious Diseases, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, United States. Electronic address: dimitrios.farmakiotis@lifespan.org.

Funding

Emerging Infectious Disease Scholars at Brown UniversityR25AI140490 · NIAID · BROWN UNIVERSITY · PI Silvia Shinpei Chiang · 2018 to 2026
$3.0M
The COVID-19 and Cancer Consortium (CCC19) RegistryU01CA287008 · NCI · RHODE ISLAND HOSPITAL · PI Sonya Reid, Jeremy L Warner · 2024 to 2026
$2.0M
NCI NIH HHS U01 CA287008NIAID NIH HHS R25 AI140490
6 · The paper itself

Abstract

introductionDespite advancements in Cytomegalovirus (CMV) management, its impact on graft function, mortality, and cardiovascular (CV) health of organ transplant recipients (OTR) remains a significant concern. We investigated the association between CMV infection and CV events (CVE) in organ (other than heart) transplant recipients.

methodsWe conducted a comprehensive literature search in PubMed and EMBASE, including studies that reported on CMV infection or disease and post-transplantation CVE. Studies of heart transplant recipients were excluded.

resultsWe screened 3875 abstracts and 12 clinical studies were included in the final analysis, mainly in kidney and liver transplant recipients. A significant association was observed between CMV infection and an increased risk of CVE, with a pooled unadjusted hazard ratio (HR) of 1.99 (95% Confidence Intervals [CI] 1.45-2.73) for CMV infection and 1.59 (95% CI 1.21-2.10) for CMV disease. Pooled adjusted HR were 2.17 (95% CI 1.47-3.20) and 1.77 (95% CI 0.83-3.76), respectively. Heterogeneity was low (I DISCUSSION: We found a significant association between CMV infection and CV risk in abdominal OTR, underscoring the importance of proactive CMV surveillance and early treatment. Future research should aim for more standardized methodologies to fully elucidate the relationship between CMV and CV outcomes, potentially informing novel preventive and therapeutic strategies that could benefit the CV health of OTR.

Indexed as

Cardiovascular DiseasesCytomegalovirus InfectionsHumansLiver TransplantationOrgan TransplantationPostoperative ComplicationsTransplant RecipientsCardiovascular eventsCytomegalovirusMeta-analysisOrgan transplantation

Identifiers

PMID38815340
PMCPMC11586461

What OpenQuestion holds

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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.