Evidence map›Paper›PMID 16754654›Full record

ArticleArchives of disease in childhood2006

Unilateral multicystic dysplastic kidney: long term outcomes.

M Aslam, A R Watson, Trent & Anglia MCDK Study Group

Open access · bronzeAbstract read
In one paragraph

Article in Archives of disease in childhood, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
13.7field-weighted citation impact, top 1% 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

37 citing papers in PubMed, 173 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Towards adulthood with a solitary kidney.Pediatric nephrology (Berlin, Germany) · 2019
    Review
  13. Article
  14. Article
  15. Outcome of Multi-Cystic Dysplastic Kidneys in Children.Iranian journal of pediatrics · 2015
    Article
  16. Article
  17. Multicystic dysplastic kidney complicated by pyelonephritis.The American journal of case reports · 2013
    Article
  18. Article
  19. Unilateral multicystic dysplastic kidney: does initial size matter?Pediatric nephrology (Berlin, Germany) · 2012
    Article
  20. Pediatric renal diseases in the Kingdom of Saudi Arabia.World journal of pediatrics : WJP · 2012
    Review
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

3 authors at 1 institution in 1 country.

M AslamChildren & Young People's Kidney Unit, Nottingham University Hospitals, Nottingham, UK.
A R Watson
Trent & Anglia MCDK Study Group
Nottingham University Hospitals NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo report the long term follow up of children with antenatally detected unilateral multicystic dysplastic kidney (MCDK) with documentation of complications, involution rate with time, and renal function at 10 years.

methodsData were retrieved from a prospective regional registry of patients with MCDK between 1985 and 2004. Children were followed using a common protocol of investigation with follow up ultrasound scans (USS) at 2 (165 patients), 5 (117 patients), and 10 years (43 patients).

resultsSerial USS showed that 33% of the MCDK kidneys had completely involuted at 2 years of age, 47% at 5 years, and 59% at 10 years. No patients developed hypertension, significant proteinuria, or malignancy, but two developed pelviureteric junction obstruction in the contralateral kidney. Twenty seven of 143 children (19%) had vesicoureteric reflux (VUR) (96% mild to moderate VUR) into the contralateral kidney with no difference in the incidence of urinary tract infections or renal scarring between those with or without VUR. The mean estimated glomerular filtration rate (GFR) was 86.4 ml/min/1.73 m2 (range 48-125) in 31 of 43 patients followed to 10 years.

conclusionsConservative management of unilateral MCDK is justified with clinical review and infrequent USS but longer term follow up continues in the 41% still with renal remnants at 10 years and those with impaired GFR. It is suggested that the initial micturating cystogram is deferred unless abnormal USS features are present in the contralateral kidney or ureter.

Indexed as

Abnormalities, MultipleAdolescentAdultChildChild, PreschoolFemaleFollow-Up StudiesGlomerular Filtration RateHumansHypertrophyInfantKidneyMulticystic Dysplastic KidneyPregnancyPrognosisRadiography

Identifiers

PMID16754654
PMCPMC2066018
OpenAlexW1984447327

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.