Evidence map›Paper›PMID 41004142›Full record

Trial reportClinical transplantation2025

Effectiveness of a Personal Vaccination Recommendation Letter to Liver Transplant Patients and Family Physicians for Improving the Vaccination Status: Improving Vaccinations: Whom to Contact?

Dorothea Dehnen, Maia Milzkott, Benjamin Borchardt, Anette Graute, Katja Dehnen, Kerstin Herzer, Katharina Willuweit, Anna Herwig, Jassin Rashidi-Alavijeh, Birgitta Weltermann

Abstract readRandomized Controlled Trial
In one paragraph

Trial report 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.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Trial
  2. Review
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

10 authors.

Dorothea DehnenInstitute of General Practice, Medical Faculty, University of Duisburg-Essen, Essen, Germany.ORCID https://orcid.org/0000-0002-1562-7178
Maia MilzkottInstitute of General Practice, Medical Faculty, University of Duisburg-Essen, Essen, Germany.
Benjamin BorchardtInstitute of General Practice, Medical Faculty, University of Duisburg-Essen, Essen, Germany.ORCID https://orcid.org/0000-0002-9450-8686
Anette GrauteInstitute of General Practice, Medical Faculty, University of Duisburg-Essen, Essen, Germany.
Katja DehnenInstitute of General Practice, Medical Faculty, University of Duisburg-Essen, Essen, Germany.ORCID https://orcid.org/0000-0002-8030-5992
Kerstin HerzerKnappschafts-Klinik Bad Neuenahr, Bad Neuenahr-Ahrweiler, Germany.ORCID https://orcid.org/0000-0002-7270-2250
Katharina WilluweitDepartment of Gastroenterology, Hepatology and Transplant Medicine, Medical Faculty, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.ORCID https://orcid.org/0000-0002-1474-7733
Anna HerwigInstitute of General Practice, Medical Faculty, University of Duisburg-Essen, Essen, Germany.
Jassin Rashidi-AlavijehDepartment of Gastroenterology, Hepatology and Transplant Medicine, Medical Faculty, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.ORCID https://orcid.org/0000-0001-8216-0064
Birgitta WeltermannInstitute of General Practice and Family Medicine, University Hospital Bonn, University of Bonn, Bonn, Germany.ORCID https://orcid.org/0000-0002-1285-1545

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVaccination rates of immunosuppressed liver transplant recipients need to improve. We compared the effectiveness of a three-arm randomized intervention on vaccination rates in liver transplant recipients.

methodsTwo hundred and eighty-nine liver transplant recipients were randomly assigned to three groups: (1) patient intervention, (2) family physician intervention, and (3) combined patient and family physician intervention. The intervention consisted of a yellow information letter, which was personalized and sent to either the patient (1), the family physician (2), or both (3) in December 2016.

resultsIrrespective of the assigned intervention group, a significant increase in vaccination rates from baseline to follow-up after 2 years was observed for tetanus (53%-56%), pertussis (52%-57%), hepatitis A (44%-49%), hepatitis B (64%-71%), pneumococci (68%-75%), and the sequential pneumococcal vaccination (12%-22%). Comparing the interventions, the vaccination rate for hepatitis A was significantly higher at follow-up for intervention (3) (OR = 9.07, p = 0.043) and (2) (OR = 9.91, p = 0.034) than for intervention (1). Concerning the vaccination rate for hepatitis B, an odds ratio of 9.13 was observed for intervention (2) (p = 0.006) compared to (1). Interventions (2) and (3) were generally superior to the patient-centered intervention alone, with the exception of influenza vaccination.

conclusionThe results show the importance of family physicians in improving vaccination rates in liver transplant recipients. Establishing low-threshold communication channels, for example, via the electronic patient record, could improve cooperation between physicians in specialized outpatient clinics and family physicians.

trial registrationGerman Clinical Trials Register (DRKS: DRKS00035422). Registration was done retrospectively due to time constraints and lack of human resources.

Indexed as

Liver TransplantationPatient Education as TopicPhysicians, FamilyTransplant RecipientsVaccinationAdultAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisfamily physiciansliver transplantationrandomized intervention studyvaccination

Identifiers

PMID41004142
PMCPMC12467482

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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.