Evidence map›Paper›PMID 24944784›Full record

ArticleClinical kidney journal2014

Genetic testing can resolve diagnostic confusion in Alport syndrome.

Jennifer Adam, Thomas M F Connor, Katrina Wood, David Lewis, Ramesh Naik, Daniel P Gale, John A Sayer

Open access · hybridAbstract read
In one paragraph

Article in Clinical kidney journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
1.2field-weighted citation impact, top 23% 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

25 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Pathological diagnosis of Alport syndrome.Kidney research and clinical practice · 2025
    Article
  7. Article
  8. The Phenotypic Spectrum ofKidney international reports · 2023
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Genetic testing in the diagnosis of chronic kidney disease: recommendations for clinical practice.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2022
    Article
  16. Novel Therapies for Alport Syndrome.Frontiers in medicine · 2022
    Review
  17. Article
  18. Look Alike, Sound Alike: Phenocopies in Steroid-Resistant Nephrotic Syndrome.International journal of environmental research and public health · 2020
    Review
  19. Clinical Genetic Screening in Adult Patients with Kidney Disease.Clinical journal of the American Society of Nephrology : CJASN · 2020
    Review
  20. Kidney Injury by Variants in theInternational journal of molecular sciences · 2019
    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

7 authors at 6 institutions in 1 country.

Jennifer AdamNewcastle Hospitals NHS Foundation Trust , Newcastle upon Tyne , UK.
Thomas M F ConnorWest London Renal and Transplant Centre , Hammersmith Hospital , London , UK.
Katrina WoodNewcastle Hospitals NHS Foundation Trust , Newcastle upon Tyne , UK.
David LewisThe Oxford Kidney Unit , Churchill Hospital , Oxford , UK.
Ramesh NaikRoyal Berkshire Hospital , Reading , UK.
Daniel P GaleUCL Centre for Nephrology , Royal Free Hospital , London , UK.
John A SayerNewcastle Hospitals NHS Foundation Trust , Newcastle upon Tyne , UK ; Institute of Genetic Medicine , Newcastle University, International Centre for Life , Newcastle upon Tyne , UK.
Newcastle upon Tyne Hospitals NHS Foundation Trust · GBCentre for Life · GBChurchill Hospital · GBHammersmith Hospital · GBRoyal Berkshire Hospital · GBThe Royal Free Hospital · GB

Funding

Department of Health 2548Medical Research Council G0802266Medical Research Council G1002528
6 · The paper itself

Abstract

Alport syndrome (AS) is a familial glomerular disorder resulting from mutations in the genes encoding several members of the type IV collagen protein family. Despite advances in molecular genetics, renal biopsy remains an important initial diagnostic tool. Histological diagnosis is challenging as features may be non-specific, particularly early in the disease course and in females with X-linked disease. We present three families for whom there was difficulty in correctly diagnosing AS or thin basement membrane nephropathy as a result of misinterpretation of non-specific and incomplete histology. We highlight the importance of electron microscopy and immunofluorescence in improving diagnostic yield and also the hazard of interpreting a descriptive histological term as a diagnostic label. Molecular genetic testing allows a definitive diagnosis to be made in index patients and at-risk family members.

Indexed as

Alport syndromeCOL4A3COL4A5haematuriamolecular genetics

Identifiers

PMID24944784
PMCPMC3970340
OpenAlexW2101052694

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.