Evidence map›Paper›PMID 41884249›Full record

ArticleWorld journal of nephrology2026

Vaccination gaps in incident hemodialysis patients: An opportunity for preventive nephrology, a prospective, cross-sectional study.

Saurabh Puri, Anand Naveen Thakur, Hari Shankar Meshram, Chandani Bhagat, Bhavin Modasia, Vishal Batheja, Rajendra Prasad Mathur

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Article in World journal of nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Saurabh PuriDepartment of Nephrology, Institute of Liver and Biliary Sciences, New Delhi 110070, Delhi, India. saurabhpuri119@gmail.com.
Anand Naveen ThakurDepartment of Nephrology, Institute of Liver and Biliary Sciences, New Delhi 110070, Delhi, India.
Hari Shankar MeshramDepartment of Nephrology, Institute of Liver and Biliary Sciences, New Delhi 110070, Delhi, India.
Chandani BhagatDepartment of Nephrology, Institute of Liver and Biliary Sciences, New Delhi 110070, Delhi, India.
Bhavin ModasiaDepartment of Nephrology, Institute of Liver and Biliary Sciences, New Delhi 110070, Delhi, India.
Vishal BathejaDepartment of Nephrology, Institute of Liver and Biliary Sciences, New Delhi 110070, Delhi, India.
Rajendra Prasad MathurDepartment of Nephrology, Institute of Liver and Biliary Sciences, New Delhi 110070, Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients initiating hemodialysis face heightened infection risks due to immunodeficiency and frequent healthcare exposure. Vaccinations against hepatitis B virus (HBV), Streptococcus pneumoniae, and influenza are recommended but often underutilized, particularly in resource-constrained settings.

aimTo evaluate the baseline vaccination status and associated factors of patients starting hemodialysis in a tertiary nephrology center in North India, with the goal of identifying any overlooked opportunities for preventive care.

methodsA prospective cross-sectional study was conducted at the Institute of Liver and Biliary Sciences, New Delhi, from June 2023 to December 2024. Adult patients (≥ 18 years) initiating hemodialysis were evaluated for vaccination status (HBV, pneumococcal, influenza), comorbidities, prior nephrology consultation, transplant evaluation, and nutritional status. Statistical comparisons were made using

resultsAmong 132 patients (mean age 52.6 years; 72.7% male), 63 (47.7%) completed HBV vaccination, 37 (28.0%) received pneumococcal and influenza vaccines, and 73 (55.3%) were unvaccinated. Prior nephrology consultation significantly predicted vaccine uptake for HBV (72.1%

conclusionVaccination coverage at dialysis initiation remains suboptimal. Early nephrology referral and structured chronic kidney disease (CKD) care pathways are critical to improving vaccine uptake. Integrating adult immunization into routine CKD management may reduce infection-related morbidity and improve outcomes.

Indexed as

Adult vaccinationChronic kidney diseaseHemodialysisPreventive nephrology

Identifiers

PMID41884249
PMCPMC13010336

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