Evidence map›Paper›PMID 21080003›Full record

ReviewPediatric nephrology (Berlin, Germany)2011

Uraemic vasculopathy in children with chronic kidney disease: prevention or damage limitation?

Rukshana Shroff, Catherine Quinlan, Mark Mitsnefes

Abstract readReview
PubMed Publisher
In one paragraph

Review in Pediatric nephrology (Berlin, Germany), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.3field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 28 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Nocturnal intermittent hemodialysis.Pediatric nephrology (Berlin, Germany) · 2015
    Review
  6. Cardiovascular changes during chronic hypertensive states.Pediatric nephrology (Berlin, Germany) · 2014
    Review
  7. Hemodiafiltration in a pediatric nocturnal dialysis program.Pediatric nephrology (Berlin, Germany) · 2014
    Article
  8. Review
  9. Review
  10. Phosphate is a vascular toxin.Pediatric nephrology (Berlin, Germany) · 2013
    Review
  11. Intima media thickness in children undergoing dialysis.Pediatric nephrology (Berlin, Germany) · 2012
    Article
  12. Article
  13. 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 3 institutions in 2 countries.

Rukshana ShroffDepartment of Nephrourology, Great Ormond Street Hospital for Children, NHS Trust, Great Ormond Street, London, WC1N 3JH, United Kingdom. ShrofR@gosh.nhs.uk
Catherine Quinlan
Mark Mitsnefes
Cincinnati Children's Hospital Medical Center · USGreat Ormond Street Hospital · GBUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since the inception of pediatric dialysis programmes nearly 50 years ago, there have been vast improvements in both the technology and expertise in the care of children with chronic kidney disease (CKD). Nevertheless, children on dialysis continue to have a significantly higher mortality than their healthy peers and cardiovascular disease (CVD) is the most common cause of death in this group. Chronic kidney disease is described as the "perfect storm" of risk factors for CVD development, and vascular calcification is a highly regulated cell-mediated process with several promoters and inhibitors of calcification. CVD begins early in the course of CKD and there is an independent and graded association between cardiovascular morbidity and renal decline. Also, it is shown that once vascular damage and calcification begin, they progress inexorably in the uraemic milieu and may only be partially reversed after successful transplantation. Thus, preventing the development of CVD is key, and early identification and management of specific CVD-related risk factors should begin from the early stages of CKD. While the vasculopathy of childhood CKD is clearly multifactorial, clinical, epidemiological and cell biology studies provide converging evidence pointing to the role of dysregulated mineral metabolism as an important modifiable risk factor in the development of vascular calcification. In this review we focus on the role of calcium, phosphate, parathyroid hormone and vitamin D in ectopic vascular calcification, and discuss the role of screening, early intervention and management of established vascular calcification.

Indexed as

CalcinosisCalciumChildComorbidityHumansKidney Failure, ChronicParathyroid HormonePeripheral Vascular DiseasesPhosphatesRenal DialysisRisk FactorsUremiaVitamin DCalciumParathyroid HormonePhosphatesVitamin D

Identifiers

PMID21080003
OpenAlexW2041529942

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.