Evidence map›Paper›PMID 20413436›Full record

ArticleClinical journal of the American Society of Nephrology : CJASN2010

Correlation of kidney function, volume and imaging findings, and PKHD1 mutations in 73 patients with autosomal recessive polycystic kidney disease.

Meral Gunay-Aygun, Esperanza Font-Montgomery, Linda Lukose, Maya Tuchman, Jennifer Graf, Joy C Bryant, Robert Kleta, Angelica Garcia, Hailey Edwards, Katie Piwnica-Worms and 13 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Clinical journal of the American Society of Nephrology : CJASN, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00068224 (Clinical and Molecular Investigations Into Ciliopathies), which is not on this map. Cited by 58 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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.

NCT00068224 completednot on this map

Clinical and Molecular Investigations Into Ciliopathies

TypeobservationalSponsorNational Human Genome Research Institute (NHGRI)Ran2003 to 2021Enrolled374ConditionsCiliopathy
3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 1 synthesis or guideline pooled it, 128 citations in OpenAlex.

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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

23 authors at 2 institutions in 1 country.

Meral Gunay-AygunMedical Genetics Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD 20892, USA. mgaygun@mail.nih.gov
Esperanza Font-Montgomery
Linda Lukose
Maya Tuchman
Jennifer Graf
Joy C Bryant
Robert Kleta
Angelica Garcia
Hailey Edwards
Katie Piwnica-Worms
David Adams
Isa Bernardini
Roxanne E Fischer
Donna Krasnewich
Neal Oden
Alex Ling
Zenaide Quezado
Colleen Zak
Kailash T Daryanani
Baris Turkbey
Peter Choyke
Lisa M Guay-Woodford
William A Gahl
National Institutes of Health · USUniversity of Alabama at Birmingham · US

Funding

Human Biochemical GeneticsZIAHG000215 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI GAHL, WILLIAM · 2009 to 2025
$72.6M
Anesthesia for children with rare diseasesZIACL009009 · CLC · CLINICAL CENTER · PI HENDERSON, DAVID C · 2009 to 2012
$0k
Intramural NIH HHS ZIA CL009009
6 · The paper itself

Abstract

BACKGROUND AND

objectivesRenal function and imaging findings have not been comprehensively and prospectively characterized in a broad age range of patients with molecularly confirmed autosomal recessive polycystic kidney disease (ARPKD). DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: Ninety potential ARPKD patients were examined at the National Institutes of Health Clinical Center. Seventy-three fulfilled clinical diagnostic criteria, had at least one PKHD1 mutation, and were prospectively evaluated using magnetic resonance imaging (MRI), high-resolution ultrasonography (HR-USG), and measures of glomerular and tubular function.

resultsAmong 31 perinatally symptomatic patients, 25% required renal replacement therapy by age 11 years; among 42 patients who became symptomatic beyond 1 month (nonperinatal), 25% required kidney transplantation by age 32 years. Creatinine clearance (CrCl) for nonperinatal patients (103 +/- 54 ml/min/1.73 m(2)) was greater than for perinatal patients (62 +/- 33) (P = 0.002). Corticomedullary involvement on HR-USG was associated with a significantly worse mean CrCl (61 +/- 32) in comparison with medullary involvement only (131 +/- 46) (P < 0.0001). Among children with enlarged kidneys, volume correlated inversely with function, although with wide variability. Severity of PKHD1 mutations did not determine kidney size or function. In 35% of patients with medullary-only abnormalities, standard ultrasound was normal and the pathology was detectable with HR-USG.

conclusionsIn ARPKD, perinatal presentation and corticomedullary involvement are associated with faster progression of kidney disease. Mild ARPKD is best detected by HR-USG. Considerable variability occurs that is not explained by the type of PKHD1 mutation.

Indexed as

Genes, RecessiveAdolescentAdultBiomarkersChildChild, PreschoolCreatinineCystatin CDisease ProgressionDNA Mutational AnalysisFemaleGenetic Predisposition to DiseaseGlomerular Filtration RateHumansInfantKaplan-Meier EstimateBiomarkersCreatinineCST3 protein, humanCystatin CPKHD1 protein, humanReceptors, Cell Surface

Identifiers

PMID20413436
PMCPMC2879301
OpenAlexW2136068783

What OpenQuestion holds

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Registered trials

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.