Evidence map›Paper›PMID 22205506›Full record

ArticlePediatric nephrology (Berlin, Germany)2012

The spectrum of HIV-related nephropathy in children.

Duran Ramsuran, Rajendra Bhimma, Pratistadevi K Ramdial, Elaene Naicker, Miriam Adhikari, Julian Deonarain, Yetish Sing, Thajasvarie Naicker

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Article in Pediatric nephrology (Berlin, Germany), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 16% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. APOL1 polymorphisms and kidney disease: loss-of-function or gain-of-function?American journal of physiology. Renal physiology · 2019
    Review
  9. Review
  10. Review
  11. Review
  12. Increased Immune Activation and Exhaustion in HIV-infected Youth.The Pediatric infectious disease journal · 2016
    Article
  13. Article
  14. Review
  15. Article
  16. FSGS: Diagnosis and Diagnostic Work-Up.BioMed research international · 2016
    Review
  17. Review
  18. Review
  19. Article
  20. Article
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 at 1 institution in 1 country.

Duran RamsuranOptics and Imaging Centre, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, KwaZulu-Natal, South Africa.
Rajendra Bhimma
Pratistadevi K Ramdial
Elaene Naicker
Miriam Adhikari
Julian Deonarain
Yetish Sing
Thajasvarie Naicker
University of KwaZulu-Natal · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the burden of human immunodeficiency virus (HIV) disease in Southern Africa, there have been few reports of HIV-related nephropathy in children. This study outlines the spectrum of HIV-1-related kidney diseases of children in KwaZulu-Natal, South Africa.

methodsA review of the clinical presentation, laboratory and histopathological findings of children diagnosed with HIV-related nephropathy.

resultsForty-nine out of 71 children (1-16 years old) with HIV-1 related nephropathy underwent kidney biopsy. The most common histopathological finding was focal segmental glomerulosclerosis (FSGS), which was present in 32 (65.3%) children; 13 (26.5%) having collapsing glomerulopathy and 19 (38.8%) classic FSGS. The majority of patients showed haematological (86.4%) and electrolyte abnormalities (69.4%). Renal impairment was present in 41% of patients on initial presentation. However, end-stage kidney disease was present in only 4% of these patients. All patients were treated with highly active anti-retroviral therapy (HAART), the majority (79.6%) showed decreased proteinuria with 38.8% having complete remission.

conclusionsThis study, one of the largest series of children reported from Africa, demonstrates that nephrotic syndrome due to HIV-associated nephropathy (HIVAN) is the commonest presentation of HIV-related nephropathy in childhood. Highly active anti-retroviral therapy in combination with angiotensin-converting enzyme antagonists is highly effective in decreasing proteinuria and preserving renal function.

Indexed as

AdolescentAIDS-Associated NephropathyAngiotensin-Converting Enzyme InhibitorsAntiretroviral Therapy, Highly ActiveBlotting, WesternChildChild, PreschoolEnzyme-Linked Immunosorbent AssayFemaleGlomerulosclerosis, Focal SegmentalGrowth DisordersHIV InfectionsHIV SeropositivityHumansInfantKidneyAngiotensin-Converting Enzyme Inhibitors

Identifiers

PMID22205506
OpenAlexW2003173929

What OpenQuestion holds

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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.