Evidence map›Paper›PMID 23052650›Full record

Trial reportPediatric nephrology (Berlin, Germany)2013

The effect of vitamin E or vitamin A on the prevention of renal scarring in children with acute pyelonephritis.

Behnam Sobouti, Nakysa Hooman, Mansour Movahed

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Pediatric nephrology (Berlin, Germany), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
5.1field-weighted citation impact, top 5% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Review
  6. Article
  7. Article
  8. Antimicrobial Pharmacotherapy Management of Urinary Tract Infections in Pediatric Patients.The Journal of pharmacy technology : jPT : official publication of the Association of Pharmacy Technicians · 2018
    Review
  9. Kidney tubular cell protection; recent findings.Iranian journal of pediatrics · 2014
    Article
  10. Can postpyelonephritic renal scarring be prevented?Pediatric nephrology (Berlin, Germany) · 2013
    Article
  11. Use of antioxidants in urinary tract infection.Journal of research in pharmacy practice
    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 2 institutions in 1 country.

Behnam SoboutiPediatric Infectious Disease, Ali-Asghar Children Hospital, Tehran University of Medical Sciences, Tehran, Iran. bsobooti@tums.ac.ir
Nakysa Hooman
Mansour Movahed
Tehran University of Medical Sciences · IRHasheminejad Kidney Center · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNumerous factors may contribute to renal tissue injury after urinary tract infection. We have evaluated the effects of vitamins A or E supplementation in combination with antibiotics for the prevention of renal scarring in acute pyelonephritis.

methodsA simple non-blind randomized clinical trial was conducted on 61 children aged 1 month to 10 years between 2004 and 2006. The inclusion criteria were positive urine culture, clinical findings, and 99mTc-dimercaptosuccinic acid (DMSA) scintigraphy-based evidence in favor of acute pyelonephritis. The children were randomized into three treatment groups: 10-day treatment with only antibiotics (control group; n = 25) and 10-day treatment with supplements of vitamin A (n = 17) or vitamin E (n = 18) in addition to antibiotics during the acute phase of infection. The final analysis was performed after excluding male patients. Each patient was evaluated twice by 99mTc-DMSA scintigraphy performed at least 6 months apart. P < 0.05 was considered to be statistically significant.

resultsThe analysis included 108 kidney units. The frequency of inflammation at the beginning of therapy was not significantly different in the three groups (63.3 % in vitamin A, 61 % in vitamin E, and 76.2 % in the control group). A worsening of lesions, based on the second 99mTc-DMSA scan, was observed in 42.5, 0, and 23.3 % of the control, vitamin E, and vitamin A patients, respectively (LR = 26.3, P < 0.001).

conclusionVitamins A or E supplements were effective in reducing renal scarring secondary to acute pyelonephritis.

Indexed as

Dietary SupplementsAnti-Bacterial AgentsAntioxidantsChildChild, PreschoolCicatrixFemaleHumansInfantInfant, NewbornKidneyPyelonephritisRadionuclide ImagingRadiopharmaceuticalsTechnetium Tc 99m Dimercaptosuccinic AcidVitamin AAnti-Bacterial AgentsAntioxidantsRadiopharmaceuticalsTechnetium Tc 99m Dimercaptosuccinic AcidVitamin AVitamin E

Identifiers

PMID23052650
OpenAlexW1988464776

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.