{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:23:51Z","timestamp":1762867431247,"version":"3.41.2"},"reference-count":28,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2018,6,15]],"date-time":"2018-06-15T00:00:00Z","timestamp":1529020800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>There are limited data regarding the association of different levels of <jats:styled-content style=\"fixed-case\">BK<\/jats:styled-content> viremia and <jats:styled-content style=\"fixed-case\">BK<\/jats:styled-content> nephropathy (<jats:styled-content style=\"fixed-case\">BKN<\/jats:styled-content>), and graft outcomes. We studied the <jats:styled-content style=\"fixed-case\">BK<\/jats:styled-content> plasma <jats:styled-content style=\"fixed-case\">PCR<\/jats:styled-content> levels of all kidney transplant recipients (<jats:styled-content style=\"fixed-case\">KTR<\/jats:styled-content>) transplanted at our institution between 01\/01\/2006 and 06\/30\/2014. Patients were divided into groups based on their highest <jats:styled-content style=\"fixed-case\">BK<\/jats:styled-content> plasma <jats:styled-content style=\"fixed-case\">PCR<\/jats:styled-content> level within the first year following transplantation: undetectable, low (&lt;1000\u00a0copies\/mL), moderate (1000\u201010\u00a0000\u00a0copies\/mL), high (&gt;10\u00a0000\u2010100\u00a0000\u00a0copies\/mL), very high (&gt;100\u00a0000\u00a0copies\/mL), and those that had biopsy\u2010proven <jats:styled-content style=\"fixed-case\">BKN<\/jats:styled-content>. There were a total of 1146 <jats:styled-content style=\"fixed-case\">KTR<\/jats:styled-content> during the study period: 813 with undetectable <jats:styled-content style=\"fixed-case\">BK<\/jats:styled-content> levels and 333 with any detectable <jats:styled-content style=\"fixed-case\">BK<\/jats:styled-content> level (87 with low, 79 with moderate, 88 with high, 34 with very high level <jats:styled-content style=\"fixed-case\">BK<\/jats:styled-content>, and 45 that had <jats:styled-content style=\"fixed-case\">BKN<\/jats:styled-content>). Compared to <jats:styled-content style=\"fixed-case\">KTR<\/jats:styled-content> with an undetectable <jats:styled-content style=\"fixed-case\">BK<\/jats:styled-content> level, incidence of mortality, graft failure, rejections,and infections were not significantly different for those with low, moderate, high, or very high <jats:styled-content style=\"fixed-case\">BK<\/jats:styled-content> level. Patients with <jats:styled-content style=\"fixed-case\">BKN<\/jats:styled-content> had a higher rate of infection and higher rates of total graft failure or death\u2010censored graft failure compared to those with undetectable <jats:styled-content style=\"fixed-case\">BK<\/jats:styled-content> levels. <jats:styled-content style=\"fixed-case\">BK<\/jats:styled-content> viremia in the absence of <jats:styled-content style=\"fixed-case\">BKN<\/jats:styled-content> does not significantly increase the risk of rejection, infections, or graft failure compared to an undetectable <jats:styled-content style=\"fixed-case\">BK<\/jats:styled-content> level.<\/jats:p>","DOI":"10.1111\/ctr.13283","type":"journal-article","created":{"date-parts":[[2018,5,18]],"date-time":"2018-05-18T02:00:58Z","timestamp":1526608858000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["<scp>BK<\/scp> viremia is not associated with adverse outcomes in the absence of <scp>BK<\/scp> nephropathy"],"prefix":"10.1111","volume":"32","author":[{"given":"Amber L.","family":"Hertz\u2010Tang","sequence":"first","affiliation":[{"name":"Division of Nephrology Department of Medicine University of Wisconsin School of Medicine and Public Health  Madison WI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brad C.","family":"Astor","sequence":"additional","affiliation":[{"name":"Division of Nephrology Department of Medicine University of Wisconsin School of Medicine and Public Health  Madison WI USA"},{"name":"Department of Population Health Sciences University of Wisconsin School of Medicine and Public Health  Madison WI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3326-8583","authenticated-orcid":false,"given":"Didier A.","family":"Mandelbrot","sequence":"additional","affiliation":[{"name":"Division of Nephrology Department of Medicine University of Wisconsin School of Medicine and Public Health  Madison WI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maha A.","family":"Mohamed","sequence":"additional","affiliation":[{"name":"Division of Nephrology Department of Medicine University of Wisconsin School of Medicine and Public Health  Madison WI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arjang","family":"Djamali","sequence":"additional","affiliation":[{"name":"Division of Nephrology Department of Medicine University of Wisconsin School of Medicine and Public Health  Madison WI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1667-7465","authenticated-orcid":false,"given":"Sandesh","family":"Parajuli","sequence":"additional","affiliation":[{"name":"Division of Nephrology Department of Medicine University of Wisconsin School of Medicine and Public Health  Madison WI 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