Among CMV‐positive renal transplant patients receiving non‐T‐cell depleting induction, the absence of CMV disease prevention is a safe strategy: A retrospective cohort of 372 patients Article Swipe
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· 2020
· Open Access
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· DOI: https://doi.org/10.1111/tid.13541
Cytomegalovirus (CMV) is the most common opportunistic pathogen affecting renal transplant recipients, especially in the first months. CMV‐seropositive renal transplant recipients (CMV R+) are at intermediate risk for CMV disease, but this risk is enhanced among CMV R+ receiving T‐cell depleting induction, compared to CMV R+ receiving non‐depleting induction. In this second group, data in favor of prophylactic antiviral treatment with valganciclovir to reduce CMV disease is sparse. In this retrospective and multicentric trial, we included 372 CMV R+ transplanted between January 2012 and April 2015 and receiving non‐depleting induction. During the first year following transplantation, CMV disease occurred in 5/222 patients (2.25%) in the prophylaxis group and 9/150 (6%) in the no‐prophylaxis group (difference +3.7; 95% CI: 0.5‐8; P = .002 for non‐inferiority). The incidence of allograft rejection and other infectious diseases was similar between the two groups. Graft and patient survival were similar at the end of follow‐up. In conclusion, the absence of prophylaxis did not appear to have a deleterious effect for CMV diseases among CMV R+ receiving non‐depleting induction.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/tid.13541
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/tid.13541
- OA Status
- bronze
- Cited By
- 4
- References
- 33
- Related Works
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- OpenAlex ID
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Raw OpenAlex JSON
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https://openalex.org/W3108118767Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1111/tid.13541Digital Object Identifier
- Title
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Among CMV‐positive renal transplant patients receiving non‐T‐cell depleting induction, the absence of CMV disease prevention is a safe strategy: A retrospective cohort of 372 patientsWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2020Year of publication
- Publication date
-
2020-12-03Full publication date if available
- Authors
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Hugoline Boulay, Emmanuel Oger, Diego Cantarovich, Philippe Gatault, Antoine Thierry, Yannick Le Meur, Agnès Duveau, Cécile Vigneau, Nolwenn LorcyList of authors in order
- Landing page
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https://doi.org/10.1111/tid.13541Publisher landing page
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/tid.13541Direct link to full text PDF
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YesWhether a free full text is available
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bronzeOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/tid.13541Direct OA link when available
- Concepts
-
Medicine, Valganciclovir, Cytomegalovirus, Internal medicine, Disease, Transplantation, Retrospective cohort study, Incidence (geometry), Cohort, Cytomegalovirus infection, Gastroenterology, Immunology, Human cytomegalovirus, Virus, Viral disease, Herpesviridae, Physics, OpticsTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
4Total citation count in OpenAlex
- Citations by year (recent)
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2024: 2, 2021: 2Per-year citation counts (last 5 years)
- References (count)
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33Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.62396418 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |