Evidence map›Paper›PMID 40901729›Full record

ArticleClinical transplantation2025

Hepatitis B Boosters Using a Different Product vs. the Same Product for Kidney Transplant Recipients: A Retrospective Study With Bayesian Inference.

Kentaro Iwata, Shunkichi Ikegaki, Yoji Hyodo, Hideaki Miyake

Abstract readComparative Study
In one paragraph

Article in Clinical transplantation, 2025. 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. 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

4 authors.

Kentaro IwataDivision of Infectious Diseases, Kobe University Hospital, Kobe, Hyogo, Japan.ORCID https://orcid.org/0000-0003-2148-3016
Shunkichi IkegakiDivision of Infectious Diseases, Kobe University Hospital, Kobe, Hyogo, Japan.
Yoji HyodoDivision of Urology, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan.ORCID https://orcid.org/0000-0002-9553-0981
Hideaki MiyakeDivision of Urology, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesHepatitis B vaccination is recommended for those receiving kidney transplants. When hepatitis B surface antibody (HBsAb) levels remain low, the booster dose of the vaccine should be considered. Some consider that the use of a different product as a booster might be beneficial to the patients, but the effectiveness of such a strategy has not been evaluated.

methodsThe kidney transplant recipients (KTR) who received hepatitis B vaccines (Bimmugen or Heptavax-II), and failed to develop enough antibody titer and those who received additional vaccines, were enrolled in the study. Those who received a different product were compared with those who received the same product as the booster. The outcome is the seroconversion of hepatitis B surface antibody level ≧ 10 IU/mL.

resultsA total of 26 patients were non-responders after a receipt of three-dose hepatitis B vaccines. Among those, 15 received additional hepatitis B vaccine of the different product (crossover group), and 11 received the same product (non-crossover group). Only five patients (19.2%) had seroconversion after the booster doses, three in the crossover group (20%) and two in the non-crossover group (18.2%) (p = 1.0). In the Bayesian analysis, the medial posterior probability of the seroconversion rate of the crossover group was 23% (95% CrI: 7%-47%), whereas that of the non-crossover group was 14% (95% CrI: 2%-40%).

conclusionThe crossover strategy hepatitis B vaccines did not appear to lead to seroconversion of much significance among KTR. Other options to augment the protection should be investigated to protect these populations against the infection.

Indexed as

Graft RejectionHepatitis BHepatitis B VaccinesHepatitis B virusImmunization, SecondaryKidney Failure, ChronicKidney TransplantationAdultBayes TheoremFemaleFollow-Up StudiesGraft SurvivalHepatitis B AntibodiesHumansKidney Function TestsMaleHepatitis B AntibodiesHepatitis B Vaccinesboostercrossoverhepatitis B vaccinekidney transplant

Identifiers

PMID40901729
PMCPMC12407155

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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.