Evidence map›Paper›PMID 39190889›Full record

ArticleJornal brasileiro de nefrologia

Safety and immunogenicity of the yellow fever vaccine for patients with end-stage renal disease.

Jesiree Iglésias Quadros Distenhreft, Dinair Couto-Lima, Cecilia Siliansky de Andreazzi, Juliana Feu Rosa Carrera Thomazini, Lauro Monteiro Vasconcellos Filho, Aloísio Falqueto, Weverton Machado Luchi

Abstract readMulticenter Study
In one paragraph

Article in Jornal brasileiro de nefrologia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. A Systematic Review on Yellow Fever Vaccine and Adverse Events.Global health, epidemiology and genomics · 2026
    Pooled it
  2. 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

7 authors.

Jesiree Iglésias Quadros DistenhreftUniversidade Federal do Espírito Santo, Faculdade de Medicina, Hospital Universitário Cassiano Antônio Moraes, Serviço de Nefrologia, Vitória, ES, Brazil.ORCID http://orcid.org/0000-0002-9313-1899
Dinair Couto-LimaInstituto Oswaldo Cruz, Laboratório de Mosquitos Transmissores de Hematozoários, Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0000-0003-2043-6306
Cecilia Siliansky de AndreazziInstituto Oswaldo Cruz, Laboratório de Biologia e Parasitología de Mamíferos Silvestres Reservatórios, Rio de Janeiro, RJ, Brazil.ORCID http://orcid.org/0000-0002-9817-0635
Juliana Feu Rosa Carrera ThomaziniClínica Nefrológica de Colatina, Colatina, ES, Brazil.ORCID http://orcid.org/0009-0001-3976-4425
Lauro Monteiro Vasconcellos FilhoUniversidade Federal do Espírito Santo, Faculdade de Medicina, Hospital Universitário Cassiano Antônio Moraes, Serviço de Nefrologia, Vitória, ES, Brazil.ORCID http://orcid.org/0000-0002-7437-4748
Aloísio FalquetoUniversidade Federal do Espírito Santo, Centro de Ciências da Saúde, Programa de Pós-Graduação em Doenças Infecciosas, Vitória, ES, Brazil.ORCID http://orcid.org/0009-0009-8044-5504
Weverton Machado LuchiUniversidade Federal do Espírito Santo, Faculdade de Medicina, Hospital Universitário Cassiano Antônio Moraes, Serviço de Nefrologia, Vitória, ES, Brazil.ORCID http://orcid.org/0000-0001-5762-8921

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn December 2016, an outbreak of sylvatic yellow fever (YF) occurred in the non-endemic areas of the south-eastern region of Brazil. The immune response to the yellow fever vaccine and its safety in individuals with chronic kidney disease (CKD) living in YF-endemic regions are not thoroughly understood. The objective of this study is to assess the incidence of adverse events and the serological response after primary vaccination with the 17DD-YF vaccine in CKD patients undergoing dialysis.

methodsThis was a multicenter, retrospective cohort study involving 223 individuals with CKD who were on dialysis after primary vaccination against YF. Clinical and epidemiologic characteristics were collected and the vaccine adverse event (VAE) were assessed. Around 35 months after vaccination, the serological response was evaluated in 71 (32%) patients using neutralization tests.

resultsNo serious VAE occurred in any patient. Local reactions were reported in 13 individuals (5.8%), while 6 (2.7%) reported generalized systemic reactions and 205 (91.9%) did not display any VAE. No clinical or epidemiologic characteristic predicted the occurrence of VAE. Adequate serological response was found in 38% of participants and none of the clinical or epidemiological characteristics were associated with immunogenicity.

conclusionThe outcomes of our study suggest that the yellow YF vaccine is well-tolerated in CKD patients undergoing dialysis, but it does not induce adequate immune response. Future research should focus on evaluating both cellular and humoral immune responses following administration of various doses of the YF vaccine.

Indexed as

Kidney Failure, ChronicYellow FeverYellow Fever VaccineAdultAgedAged, 80 and overBrazilFemaleHumansImmunogenicity, VaccineMaleMiddle AgedRenal DialysisRetrospective StudiesYoung AdultYellow Fever Vaccine

Identifiers

PMID39190889
PMCPMC11349315

What OpenQuestion holds

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Registered trials

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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.