Evidence map›Paper›PMID 23389238›Full record

ArticlePediatric nephrology (Berlin, Germany)2013

Atypical HUS: time to take stock of current guidelines and outcome measures?

Lesley Rees

Abstract read
PubMed Publisher
In one paragraph

Article 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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Atypical hemolytic uremic syndrome: a clinical conundrum.Pediatric nephrology (Berlin, Germany) · 2016
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Successful treatment of DEAP-HUS with eculizumab.Pediatric nephrology (Berlin, Germany) · 2014
    Article
  7. 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

1 author.

Lesley Rees

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

European guidelines for the assessment and management of atypical HUS were written in 2009. Since then our understanding of this group of diseases has advanced. Evidence is emerging that eculizumab, a monoclonal antibody inhibiting C5 activation, is effective, and potentially superior to current treatment with plasmapheresis. The evidence base for the benefits of plasmapheresis consists of case series and small reports. Before we embark on a change of management policy it is vital that we set up a system for genetic diagnosis, standardised protocols and a means to collect predetermined outcome measures, so that we do not make the same mistakes with assessment of the effectiveness of eculizumab as we did for plasmapheresis.

Indexed as

PlasmapheresisAntibodies, Monoclonal, HumanizedAtypical Hemolytic Uremic SyndromeClinical ProtocolsComplement ActivationGenetic Predisposition to DiseaseHemolytic-Uremic SyndromeHumansMutationPhenotypePractice Guidelines as TopicRisk FactorsTreatment OutcomeAntibodies, Monoclonal, Humanizedeculizumab

Identifiers

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.