Evidence map›Paper›PMID 39147617›Full record

ArticleTransplantation proceedings2024

Cytomegalovirus Retinitis in the Modern Era of Solid Organ Transplantation.

Sias J Scherger, Kyle C Molina, Alan G Palestine, Paula E Pecen, Valida Bajrovic

Abstract read
In one paragraph

Article in Transplantation proceedings, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

5 authors.

Sias J SchergerDepartment of Medicine, Division of Infectious Diseases, University of Nebraska Medical Center, Omaha, NE, USA; Department of Medicine, Division of Infectious Diseases, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. Electronic address: sscherger@unmc.edu.
Kyle C MolinaDepartment of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO, USA; Department of Pharmacy, Scripps Health, La Jolla, CA, USA.
Alan G PalestineDepartment of Ophthalmology, University of Colorado Anschutz Medical Campus, School of Medicine, Aurora, CO, USA.
Paula E PecenDepartment of Ophthalmology, University of Colorado Anschutz Medical Campus, School of Medicine, Aurora, CO, USA.
Valida BajrovicDepartment of Medicine, Icahn School of Medicine at Mt. Sinai, Division of Infectious Diseases, New York, NY, USA.

Funding

NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
NCATS NIH HHS UL1 TR002535
6 · The paper itself

Abstract

backgroundCytomegalovirus retinitis (CMVR) is a well-described complication of CMV disease in immunocompromised hosts. While robust data exists for CMVR in patients with acquired immunodeficiency syndrome (AIDS), the incidence and risk factors for CMVR in solid organ transplant recipients (SOTR) with CMV viremia are less defined.

methodsWe performed a retrospective cohort study of SOTR who had CMV viremia and underwent routine ophthalmologic examination between 1/1/2018 and 3/16/2022. Univariate statistics were performed to evaluate risk factors for development of CMVR.

resultsOverall, 38 patients were included, primarily kidney (78.9%), heart (7.9%), and liver (7.9%) transplant recipients. Five patients (13.2%) developed CMVR during the study period. CMVR was diagnosed an average 281 days after index transplantation, 84 days from the most recent rejection episode, and 69 days from onset of viremia. Only 1 patient (20%) had symptoms at the time of CMVR diagnosis. CMVR was associated with preceding allograft rejection as well as transplanted organ type.

conclusionWhile CMV tissue disease more commonly manifests in other organs, CMVR occurred relatively frequently in this group of high-risk SOTR with CMV viremia. As most of the patients in our study did not have ocular symptoms at the time of diagnosis, routine ophthalmologic screening should be considered in SOTR with CMV viremia.

Indexed as

Cytomegalovirus RetinitisOrgan TransplantationAdultAgedFemaleHumansImmunocompromised HostIncidenceMaleMiddle AgedRetrospective StudiesRisk FactorsTransplant RecipientsViremia

Identifiers

PMID39147617
PMCPMC11401753

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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.