Evidence map›Paper›PMID 21399898›Full record

ArticlePediatric nephrology (Berlin, Germany)2011

Clinical course and outcome of children with steroid-sensitive nephrotic syndrome.

Seyed Taher Esfahani, Abbas Madani, Fahimeh Asgharian, Neamatollah Ataei, Azadeh Roohi, Mastaneh Moghtaderi, Parvin Rahimzadeh, Mohammad-Hasan Moradinejad

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Article 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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

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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

8 authors.

Seyed Taher EsfahaniDepartment of Pediatric Nephrology, Children's Medical Center, No. 62, Dr. Gharib St. Azadi Ave, Tehran 14197, Iran. esfahani@sina.tums.ac.ir
Abbas Madani
Fahimeh Asgharian
Neamatollah Ataei
Azadeh Roohi
Mastaneh Moghtaderi
Parvin Rahimzadeh
Mohammad-Hasan Moradinejad

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We conducted a retrospective study on children with primary nephrotic syndrome (NS) to evaluate the clinical course and outcome of children with steroid-sensitive NS (SSNS). The medical records of 226 children, median 3.46 years (min 1.00, max 15.08) who referred to our clinics with SSNS between January 1978 and September 2005 were reviewed and entered into the study. Minimum duration of follow-up was 5 years and maximum 20 years (median 7.25 years). Of 226 patients who were treated with corticosteroids, 38 (16.8%) had no relapse but the remaining 188 (83.2%) patients experienced several relapses of which 128 patients (56.6%) required additional immunosuppressive agents for the remission. Of these, 122 (95%) were treated with levamisole, 22 (17%) with cyclosporine, 36 (28%) with cyclophosphamide, and ten (7.8 %) treated with mycophenolate mofetil. Several patients had to switch from one medication to others due to lack of response. On the last follow-up visit, 64(28.3%) patients were still under treatment, some patients had taken all of the above-mentioned drugs but still had multiple recurrences. Only 103 (45.5%) patients were in remission off the drug more than 3 years. This study shows that nearly one-third of pediatric patients with SSNS experience frequent relapses despite the combination of multiple immunosuppressive medications, which may continue until adulthood.

Indexed as

AdolescentAdrenal Cortex HormonesBiopsyChildChild, PreschoolDrug SubstitutionDrug Therapy, CombinationFemaleHumansImmunosuppressive AgentsInfantIranMaleNephrotic SyndromeRecurrenceRetrospective StudiesAdrenal Cortex HormonesImmunosuppressive Agents

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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.