Evidence map›Paper›PMID 25645999›Full record

SynthesisScientific reports2015

The efficacy and safety of rituximab in treating childhood refractory nephrotic syndrome: a meta-analysis.

Zhihong Zhao, Guixiang Liao, Yongqiang Li, Shulu Zhou, Hequn Zou

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Scientific reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
2.9field-weighted citation impact, top 10% 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

18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Pooled it
  5. Trial
  6. Review
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Observational
  12. Article
  13. Traditional Chinese Medicine for Refractory Nephrotic Syndrome: Strategies and Promising Treatments.Evidence-based complementary and alternative medicine : eCAM · 2018
    Review
  14. Article
  15. Podocyte-actin dynamics in health and disease.Nature reviews. Nephrology · 2016
    Review
  16. Review
  17. Review
  18. 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

5 authors at 1 institution in 1 country.

Zhihong ZhaoDepartment of Nephrology, Institution of Urology and Nephrology, The Third Affiliated Hospital of Southern Medical University, Guangzhou, 510630, China.
Guixiang LiaoDepartments of Radiation Oncology, Nanfang Hospital, Southern Medical University, 1838 North Guangzhou Avenue, Guangzhou, 510515, China.
Yongqiang LiDepartment of Nephrology, Institution of Urology and Nephrology, The Third Affiliated Hospital of Southern Medical University, Guangzhou, 510630, China.
Shulu ZhouDepartment of Nephrology, Institution of Urology and Nephrology, The Third Affiliated Hospital of Southern Medical University, Guangzhou, 510630, China.
Hequn ZouDepartment of Nephrology, Institution of Urology and Nephrology, The Third Affiliated Hospital of Southern Medical University, Guangzhou, 510630, China.
Southern Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rituximab is considered to be a promising drug for treating childhood refractory nephrotic syndrome. However, the efficacy and safety of rituximab in treating childhood refractory nephrotic syndrome remain inconclusive. This meta-analysis aimed to investigate the efficacy and safety of rituximab treatment compared with other immunosuppressive agents in children with refractory nephrotic syndrome. Three randomized controlled trials and two comparative control studies were included in our analysis. The included studies were of moderately high quality. Compared with other immunotherapies, rituximab therapy significantly improved relapse-free survival (hazard ratio = 0.49, 95% confidence interval [CI], 0.26-0.92, P = 0.03). Rituximab also achieved a higher rate of complete remission (risk ratio,1.62; 95% CI, 0.92 to 2.84, P = 0.09) and reduced the occurrence of proteinuria (mean difference = -0.25, 95% CI = -0.29 to -0.21, P < 0.00001); however, a more targeted rituximab treatment did not significantly increase serum albumin levels and did not significantly reduce adverse events. Rituximab might be a promising treatment for childhood refractory nephrotic syndrome; however, the long-term effects and cost-effectiveness of rituximab treatment were not fully assessed, and there were limited studies that evaluated the clinical benefits of a concurrent infusion of rituximab plus a steroid compared with an infusion of rituximab only. Additional studies are required to address these issues.

Indexed as

AdolescentChildClinical Trials as TopicCreatinineDatabases, FactualDisease-Free SurvivalHumansImmunologic FactorsNephrotic SyndromeRituximabSerum AlbuminTreatment OutcomeCreatinineImmunologic FactorsRituximabSerum Albumin

Identifiers

PMID25645999
PMCPMC4314653
OpenAlexW1993500225

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.