Evidence map›Paper›PMID 19067914›Full record

ArticlePediatric transplantation2009

BK nephropathy in pediatric hematopoietic stem cell transplant recipients.

Priya S Verghese, Laura S Finn, Janet A Englund, Jean E Sanders, Sangeeta R Hingorani

Open access · greenAbstract readCase Reports
In one paragraph

Article in Pediatric transplantation, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 30% of its field
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Native kidney BK virus nephropathy, a systematic review.Transplant infectious disease : an official journal of the Transplantation Society · 2019
    Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Review
  7. Pathogenicity of BK virus on the urinary system.Central European journal of urology · 2020
    Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Review article: BK virus in systemic lupus erythematosus.Pediatric rheumatology online journal · 2015
    Review
  14. Brincidofovir for polyomavirus-associated nephropathy after allogeneic hematopoietic stem cell transplantation.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2015
    Article
  15. Kidney and bladder outcomes in children with hemorrhagic cystitis and BK virus infection after allogeneic hematopoietic stem cell transplantation.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2013
    Article
  16. BK polyomavirus: emerging pathogen.Microbes and infection · 2012
    Review
  17. 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

5 authors at 4 institutions in 1 country.

Priya S VergheseDepartment of Pediatrics, University of Washington and Seattle Children's Hospital, Seattle, WA 98105, USA. priya.verghese@seattlechildrens.org
Laura S Finn
Janet A Englund
Jean E Sanders
Sangeeta R Hingorani
Seattle Children's Hospital · USCancer Research Center · USFred Hutch Cancer Center · USUniversity of Washington · US

Funding

VIRUS-MEDIATED MYELOSUPPRESSIONP01CA018029 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI STEPHANIE J LEE · 1985 to 2026
$128.4M
UNRELATED AND HLA-MISMATCHED RELATED DONOR TRANSPLANTSP01HL036444 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI RAWLINGS, DAVID J · 1986 to 2010
$25.9M
Renal Injury After Hematopoietic Stem Cell TransplantK23DK063038 · NIDDK · SEATTLE CHILDREN'S HOSPITAL · PI HINGORANI, SANGEETA · 2003 to 2007
$765k
NCI NIH HHS CA 18029NCI NIH HHS P01 CA018029NHLBI NIH HHS HL 36444NHLBI NIH HHS P01 HL036444NIDDK NIH HHS K23 DK063038NIDDK NIH HHS K23 DK 63038
6 · The paper itself

Abstract

BK nephropathy is a known cause of renal insufficiency in kidney transplant recipients. Activation of the polyoma virus may also occur in the native kidneys of non-renal allograft recipients. BK nephropathy has only been reported in a few patients after HCT, most being adult patients, and the single reported pediatric case had evidence of hemorrhagic cystitis. The response to antiviral therapy also seems to differ widely. Here, we describe two cases of BK nephropathy in the native kidneys of HCT recipients exposed to high levels of immunosuppression because of GVHD. Neither of our patients had any evidence of hemorrhagic cystitis. We present definitive renal pathology and detailed chronological evidence of the rising serum creatinine with simultaneous serum and urine BK PCR titers. In one of our cases, antiviral therapy did not seem beneficial as documented by continued renal dysfunction and elevated serum/urine BK PCR titers. Based on our report, intense immunosuppression in pediatric HCT recipients seems to be involved in the activation of BK virus and BK nephropathy should be suspected even in the absence of hematuria in HCT recipients with unexplained renal dysfunction.

Indexed as

AdolescentBiopsyBK VirusChildDisease ProgressionFanconi AnemiaHematopoietic Stem Cell TransplantationHumansImmunosuppressive AgentsKidneyLeukemia, Myelogenous, Chronic, BCR-ABL PositiveMalePolyomavirus InfectionsTreatment OutcomeTumor Virus InfectionsImmunosuppressive Agents

Identifiers

PMID19067914
PMCPMC2802860
OpenAlexW2127359307

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.