Evidence map›Paper›PMID 30869132›Full record

ArticleThe Journal of infectious diseases2019

Impact of Pretransplant Donor BK Viruria in Kidney Transplant Recipients.

Susanna K Tan, Chunhong Huang, Malaya K Sahoo, Jenna Weber, Jason Kurzer, Margaret R Stedman, Waldo Concepcion, Amy E Gallo, Diane Alonso, Titte Srinivas and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

6 citing papers in PubMed, 15 citations in OpenAlex.

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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

14 authors at 3 institutions in 1 country.

Susanna K TanDivision of Infectious Diseases, Department of Medicine, California.
Chunhong HuangDepartment of Pathology, Department of Medicine, California.
Malaya K SahooDepartment of Pathology, Department of Medicine, California.
Jenna WeberDepartment of Pathology, Department of Medicine, California.
Jason KurzerDepartment of Pathology, Department of Medicine, California.
Margaret R StedmanDivision of Nephrology, Department of Medicine, California.
Waldo ConcepcionDepartment of Transplant Surgery, Stanford University School of Medicine, California.
Amy E GalloDepartment of Transplant Surgery, Stanford University School of Medicine, California.
Diane AlonsoDepartment of General Surgery, Intermountain Healthcare, Salt Lake City, Utah.
Titte SrinivasDivision of Nephrology, Department of Medicine, Intermountain Healthcare, Salt Lake City, Utah.
Gregory A StorchDivision of Infectious Diseases, Department of Pediatrics, Washington University in St Louis, Missouri.
Aruna K SubramanianDivision of Infectious Diseases, Department of Medicine, California.
Jane C TanDivision of Nephrology, Department of Medicine, California.
Benjamin A PinskyDivision of Infectious Diseases, Department of Medicine, California.
Intermountain Healthcare · USStanford University · USWashington University in St. Louis · US

Funding

Stanford Center for Clinical & Translational Education and Research (Spectrum)UL1TR003142 · NCATS · STANFORD UNIVERSITY · PI O'HARA, RUTH M · 2019 to 2023
$45.0M
Spectrum Stanford Center for clinical and Translational Research and EducationUL1TR001085 · NCATS · STANFORD UNIVERSITY · PI CULLEN, MARK RICHARD, GREENBERG, HARRY BERNARD · 2013 to 2017
$37.1M
Spectrum Stanford Center for Clinical and Translational Research and EducationTL1TR001084 · NCATS · STANFORD UNIVERSITY · PI CULLEN, MARK RICHARD, GREENBERG, HARRY BERNARD · 2013 to 2017
$1.1M
NCATS NIH HHS TL1 TR001084NCATS NIH HHS UL1 TR001085NCATS NIH HHS UL1 TR003142
6 · The paper itself

Abstract

backgroundBK virus (BKV) is a significant cause of nephropathy in kidney transplantation. The goal of this study was to characterize the course and source of BKV in kidney transplant recipients.

methodsWe prospectively collected pretransplant plasma and urine samples from living and deceased kidney donors and performed BKV polymerase chain reaction (PCR) and immunoglobulin G (IgG) testing on pretransplant and serially collected posttransplant samples in kidney transplant recipients.

resultsAmong deceased donors, 8.1% (17/208) had detectable BKV DNA in urine prior to organ procurement. BK viruria was observed in 15.4% (6/39) of living donors and 8.5% (4/47) of deceased donors of recipients at our institution (P = .50). BKV VP1 sequencing revealed identical virus between donor-recipient pairs to suggest donor transmission of virus. Recipients of BK viruric donors were more likely to develop BK viruria (66.6% vs 7.8%; P < .001) and viremia (66.6% vs 8.9%; P < .001) with a shorter time to onset (log-rank test, P < .001). Though donor BKV IgG titers were higher in recipients who developed BK viremia, pretransplant donor, recipient, and combined donor/recipient serology status was not associated with BK viremia (P = .31, P = .75, and P = .51, respectively).

conclusionsDonor BK viruria is associated with early BK viruria and viremia in kidney transplant recipients. BKV PCR testing of donor urine may be useful in identifying recipients at risk for BKV complications.

Indexed as

AdultBK VirusFemaleHumansImmunoglobulin GKidneyKidney DiseasesKidney TransplantationLiving DonorsMaleMiddle AgedPolyomavirus InfectionsProspective StudiesTransplant RecipientsTumor Virus InfectionsViremiaImmunoglobulin GBK virusdonorkidney transplantationPCRpretransplantserology

Identifiers

PMID30869132
PMCPMC6603974
OpenAlexW2922316313

What OpenQuestion holds

Textmetadata
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.