Evidence map›Paper›PMID 32654412›Full record

ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2021

The 2018 Banff Working Group classification of definitive polyomavirus nephropathy: A multicenter validation study in the modern era.

Volker Nickeleit, Harsharan K Singh, Darshana Dadhania, Virgilius Cornea, Amr El-Husseini, Ana Castellanos, Vicki G Davis, Thomas Waid, Surya V Seshan

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
3.3field-weighted citation impact, top 6% 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

33 citing papers in PubMed, 56 citations in OpenAlex.

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  7. BK Polyomavirus-associated nephropathy - diagnostic and treatment standard.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Review
  8. Article
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  13. Acute Kidney Injury and BK Polyomavirus in Urine Sediment Cells.International journal of molecular sciences · 2023
    Article
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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

9 authors at 3 institutions in 1 country.

Volker NickeleitDivision of Nephropathology, Department of Pathology and Laboratory Medicine, The University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
Harsharan K SinghDivision of Nephropathology, Department of Pathology and Laboratory Medicine, The University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.ORCID 0000-0002-3123-5027
Darshana DadhaniaDivision of Nephrology and Hypertension, Department of Transplantation Medicine, Weill-Cornell Medical Center/ New York Presbyterian Hospital, Weill Cornell Medicine, New York, New York, USA.ORCID 0000-0002-7973-1521
Virgilius CorneaDepartment of Pathology, The University of Kentucky College of Medicine, Lexington, Kentucky, USA.
Amr El-HusseiniDivision of Nephrology, The University of Kentucky College of Medicine, Lexington, Kentucky, USA.
Ana CastellanosDivision of Nephrology, The University of Kentucky College of Medicine, Lexington, Kentucky, USA.
Vicki G DavisDivision of Nephropathology, Department of Pathology and Laboratory Medicine, The University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
Thomas WaidDivision of Nephrology, The University of Kentucky College of Medicine, Lexington, Kentucky, USA.
Surya V SeshanDepartment of Pathology, Weill-Cornell Medical Center/ New York Presbyterian Hospital, New York, New York, USA.
University of Kentucky · USUniversity of North Carolina at Chapel Hill · USNewYork–Presbyterian Hospital · US

Funding

Re-Entry Supplement: Investigation of Oral Microbial Enzymes for the Detection and Treatment of Periodontal DiseaseUL1TR002489 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, SHAHEEN, NICHOLAS J · 2018 to 2022
$48.6M
NCATS NIH HHS UL1 TR002489
6 · The paper itself

Abstract

Polyomavirus nephropathy (PVN) remained inadequately classified until 2018 when the Banff Working Group published a new 3-tier morphologic classification scheme derived from in-depth statistical analysis of a large multinational patient cohort. Here we report a multicenter "modern-era" validation study that included 99 patients with definitive PVN transplanted post January 1, 2009 and followed the original 2018 study design. Results validate the PVN classification, that is, the 3 PVN disease classes predicted clinical presentation, allograft function, and outcome independent of therapeutic intervention. PVN class 1 compared to classes 2 and 3 was diagnosed earlier (16.9 weeks posttransplant [median], P = .004), and showed significantly better function at 24 months postindex biopsy (serum creatinine 1.75 mg/dl, geometric mean, vs class 2: P = .037, vs class 3: P = .013). Class 1 presented during long-term follow-up with a low graft failure rate: 5% class 1, vs 30% class 2, vs 50% class 3 (P = .009). Persistent PVN was associated with an increased risk for graft failure (and functional decline in class 2 at 24 months postdiagnosis; serum creatinine with persistence: 2.48 mg/dL vs 1.65 with clearance, geometric means, P = .018). In conclusion, we validate the 2018 Banff Working Group PVN classification that provides significant clinical information and enhances comparative data analysis.

Indexed as

Kidney DiseasesKidney TransplantationPolyomavirusPolyomavirus InfectionsTumor Virus InfectionsBiopsyGraft RejectionHumansclassification systems: Banff classificationclinical research/practicecomplication: infectiousinfection and infectious agents - viral: BK/JC/polyomainfectious diseasekidney diseasekidney transplantation/nephrologypathology/histopathologytranslational research/science

Identifiers

PMID32654412
PMCPMC7891590
OpenAlexW3041441039

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.