Perspective on COVID-19 vaccination in patients with immune-mediated kidney diseases: consensus statements from the ERA-IWG and EUVAS Article Swipe
Kate Stevens
,
Eleni Frangou
,
Jae Il Shin
,
Hans‐Joachim Anders
,
Annette Bruchfeld
,
Ulf Schönermarck
,
Thomas Häuser
,
Kerstin Westman
,
Gema Fernández‐Juárez
,
Jürgen Floege
,
Dimitrios Goumenos
,
Kültiğin Türkmen
,
Cees van Kooten
,
Stephen P. McAdoo
,
Vladimı́r Tesař
,
Mårten Segelmark
,
Duvuru Geetha
,
David Jayne
,
Andreas Kronbichler
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1093/ndt/gfac052
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1093/ndt/gfac052
Patients with immune-mediated kidney diseases are at increased risk of severe coronavirus disease 2019 (COVID-19). The international rollout of COVID-19 vaccines has provided varying degrees of protection and enabled the understanding of vaccine efficacy and safety. The immune response to COVID-19 vaccines is lower in most patients with immune-mediated kidney diseases; either related to immunosuppression or comorbidities and complications caused by the underlying disease. Humoral vaccine response, measured by the presence of antibodies, is impaired or absent in patients receiving rituximab, mycophenolate mofetil (MMF), higher doses of glucocorticoids and likely other immunosuppressants, such as cyclophosphamide. The timing between the use of these agents and administration of vaccines is associated with the level of immune response: with rituximab, vaccine response can only be expected once B cells start to recover and patients with transient discontinuation of MMF mount a humoral response more frequently. The emergence of new COVID-19 variants and waning of vaccine-induced immunity highlight the value of a booster dose and the need to develop mutant-proof vaccines. COVID-19 vaccines are safe, exhibiting a very low risk of de novo or relapsing immune-mediated kidney disease. Population-based studies will determine whether this is causal or coincidental. Such cases respond to standard management, including the use of immunosuppression. The Immunonephrology Working Group and European Vasculitis Society recommend that patients with immune-mediated kidney diseases follow national guidance on vaccination. Booster doses based on antibody measurements could be considered.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/ndt/gfac052
- https://academic.oup.com/ndt/article-pdf/37/8/1400/45068458/gfac052.pdf
- OA Status
- bronze
- Cited By
- 30
- References
- 114
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4213421130
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4213421130Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1093/ndt/gfac052Digital Object Identifier
- Title
-
Perspective on COVID-19 vaccination in patients with immune-mediated kidney diseases: consensus statements from the ERA-IWG and EUVASWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-02-24Full publication date if available
- Authors
-
Kate Stevens, Eleni Frangou, Jae Il Shin, Hans‐Joachim Anders, Annette Bruchfeld, Ulf Schönermarck, Thomas Häuser, Kerstin Westman, Gema Fernández‐Juárez, Jürgen Floege, Dimitrios Goumenos, Kültiğin Türkmen, Cees van Kooten, Stephen P. McAdoo, Vladimı́r Tesař, Mårten Segelmark, Duvuru Geetha, David Jayne, Andreas KronbichlerList of authors in order
- Landing page
-
https://doi.org/10.1093/ndt/gfac052Publisher landing page
- PDF URL
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https://academic.oup.com/ndt/article-pdf/37/8/1400/45068458/gfac052.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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bronzeOpen access status per OpenAlex
- OA URL
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https://academic.oup.com/ndt/article-pdf/37/8/1400/45068458/gfac052.pdfDirect OA link when available
- Concepts
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Medicine, Immunosuppression, Rituximab, Immunology, Immune system, Vaccination, Booster dose, Antibody, ImmunizationTop concepts (fields/topics) attached by OpenAlex
- Cited by
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30Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2, 2024: 8, 2023: 11, 2022: 9Per-year citation counts (last 5 years)
- References (count)
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114Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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