Evidence map›Paper›PMID 41527436›Full record

ArticleClinical transplantation and research2026

Incidence and risk factors of cytomegalovirus infection in solid organ transplant recipients: a nationwide Korean study.

Tai Yeon Koo, Jin Sug Kim, Deok-Gie Kim, Myung Soo Kim, Jaeseok Yang, KOTRY Study Group

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Article in Clinical transplantation and research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Tai Yeon KooDepartment of Nephrology and Hypertension, Korea University Anam Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-2014-7723
Jin Sug KimDivision of Nephrology, Department of Internal Medicine, Kyung Hee University Hospital, Kyung Hee University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-7361-8715
Deok-Gie KimDepartment of Surgery, The Research Institute for Transplantation, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-9653-926X
Myung Soo KimDepartment of Surgery, The Research Institute for Transplantation, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-8975-8381
Jaeseok YangDepartment of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-5378-7797
KOTRY Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cytomegalovirus (CMV) remains one of the most important opportunistic infections following solid organ transplantation, with variable incidence and clinical outcomes depending on organ type, immunosuppressive regimen, and donor-recipient serostatus. Methods: We conducted a large-scale retrospective analysis using data from the Korean Organ Transplantation Registry (KOTRY), a prospective multicenter cohort including kidney, liver, heart, and lung transplant recipients. A total of 9,777 adult patients who underwent transplantation between 2014 (lung added in 2015) and December 2022 were analyzed. CMV infection and disease were identified based on clinical diagnosis. Independent risk factors were determined using multivariable Cox regression. Results: The overall incidence of CMV infection was highest among kidney transplant recipients (36.5%), followed by lung (21.3%), liver (12.9%), and heart (6.8%) recipients. Most CMV infections occurred within the first year after transplantation, with lung recipients exhibiting the longest median time to infection (112 days). Risk factors varied by organ: in kidney recipients, antithymocyte globulin (ATG) use and D+/R- serostatus were the strongest predictors; in liver recipients, higher model for end-stage liver disease scores, refractory ascites, and deceased donor status increased the risk; in heart recipients, ATG administration, desensitization, and CMV immunoglobulin G seronegativity were significant risk factors; and in lung recipients, diabetes and prolonged operation time were associated with higher infection rates. CMV infection significantly worsened patient survival among kidney, liver, and lung recipients. Conclusions: The incidence and risk factors of CMV infection differ substantially across organ types, yet its impact on outcomes remains considerable. These findings highlight the need for organ-specific prevention, monitoring, and novel therapeutic strategies to enable personalized management of transplant recipients.

Indexed as

Cytomegalovirus infectionsMortalityOrgan transplantationRisk factors

Identifiers

PMID41527436
PMCPMC13349809

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