{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:19:30Z","timestamp":1787015970843,"version":"build-2736575974"},"reference-count":28,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,2,12]],"date-time":"2020-02-12T00:00:00Z","timestamp":1581465600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["K23DK105207"],"award-info":[{"award-number":["K23DK105207"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Transplant Infectious Dis"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>HIV\u2010positive kidney transplant (KT) recipients have similar outcomes to HIV\u2010negative recipients. However, HIV\u2010positive patients with advanced kidney disease might face additional barriers to initiating the KT evaluation process. We sought to characterize comorbidities, viral control and management, viral resistance, and KT evaluation appointment rates in a cohort of KT evaluation\u2010eligible HIV\u2010positive patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We included patients seen between January 1, 2008, and December 31, 2015, at a primary care HIV clinic who met KT evaluation eligibility by an estimated glomerular filtration rate \u226420\u00a0mL\/min\/1.73\u00a0meters\n                      <jats:sup>2<\/jats:sup>\n                      or dialysis dependence. The primary outcome was a documented appointment for KT evaluation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 3735 patients evaluated at the HIV primary clinic during the study period, 42 (1.6%) were KT evaluation\u2010eligible patients. The median age was 47\u00a0years, 77% were male, and 95%, black. Median CD4 count was 328\u00a0cells\/mm\n                      <jats:sup>3<\/jats:sup>\n                      (IQR 175\u2010461). Among the 63% percent with antiretroviral therapy (ART) prescription, 40% had viral loads &gt;200 copies. Among patients with HIV resistance profiles (50%, n\u00a0=\u00a021), 52% had resistance to at least one class of ART. A majority (60%, n\u00a0=\u00a025) were scheduled for KT evaluation appointment, but of those, only 8% (n\u00a0=\u00a02) had evidence of appointments before dialysis dependence. Those without appointments had more schizophrenia (29% vs 4%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.02), resistance (78% vs 33%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.04), ART prescription (76% vs 48%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.04), and more kidney disease of unknown etiology (53% vs 8%,\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.02).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Kidney transplant evaluation\u2010eligible HIV\u2010positive patients had a high rate of evaluation appointments, but a low rate of preemptive evaluation appointments. Schizophrenia and viral resistance disproportionally affected patients without evaluation appointments. These data precede the recommendation for universal ART for all HIV+ patients, regardless of CD4 count and viral load, and must be interpreted in the context of this limitation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/tid.13253","type":"journal-article","created":{"date-parts":[[2020,1,29]],"date-time":"2020-01-29T07:54:08Z","timestamp":1580284448000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Barriers to kidney transplant evaluation in HIV\u2010positive patients with advanced kidney disease: A single\u2010center study"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4062-8954","authenticated-orcid":false,"given":"Suzanne M.","family":"Boyle","sequence":"first","affiliation":[{"name":"Division Nephrology, Hypertension and Kidney Transplantation Department of Medicine Lewis Katz School of Medicine at Temple University Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kallie","family":"Fehr","sequence":"additional","affiliation":[{"name":"Department of Medicine Drexel University College of Medicine Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catylin","family":"Deering","sequence":"additional","affiliation":[{"name":"Division of Infectious Disease Department of Medicine University of Toledo College of Medicine and Life Sciences Toledo Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abbas","family":"Raza","sequence":"additional","affiliation":[{"name":"Department of Medicine Drexel University College of Medicine Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meera N.","family":"Harhay","sequence":"additional","affiliation":[{"name":"Department of Medicine Drexel University College of Medicine Philadelphia Pennsylvania"},{"name":"Department of Epidemiology and Biostatistics Dornsife School of Public Health Drexel University Philadelphia Pennsylvania"},{"name":"Tower Health System Tower Health Transplant Institute West Reading Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory","family":"Malat","sequence":"additional","affiliation":[{"name":"Department of Medicine, Renal, Electrolyte and Hypertension Division Perelman School of Medicine University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karthik","family":"Ranganna","sequence":"additional","affiliation":[{"name":"Department of Medicine Drexel University College of Medicine Philadelphia Pennsylvania"},{"name":"Tower Health System Tower Health Transplant Institute West Reading Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dong Heun","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Infectious Disease and HIV Medicine Department of Medicine Drexel University College of Medicine Philadelphia 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