Evidence map›Paper›PMID 25859752›Full record

ReviewPediatric nephrology (Berlin, Germany)2016

An international consensus approach to the management of atypical hemolytic uremic syndrome in children.

Chantal Loirat, Fadi Fakhouri, Gema Ariceta, Nesrin Besbas, Martin Bitzan, Anna Bjerre, Rosanna Coppo, Francesco Emma, Sally Johnson, Diana Karpman and 12 more

Abstract readReviewConsensus Statement
PubMed Publisher
In one paragraph

Review in Pediatric nephrology (Berlin, Germany), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 274 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
274citing papers in PubMed, 5 pooled it
27.0field-weighted citation impact, top 1% 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

274 citing papers in PubMed, 5 syntheses or guidelines pooled it, 574 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Systematic review of atypical hemolytic uremic syndrome biomarkers.Pediatric nephrology (Berlin, Germany) · 2022
    Pooled it
  4. Pooled it
  5. Interventions for atypical haemolytic uraemic syndrome.The Cochrane database of systematic reviews · 2021
    Pooled it
  6. Trial
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Updates in atypical hemolytic syndrome.Current opinion in pediatrics · 2026
    Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review

214 more citing papers are in PubMed but not listed here.

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

22 authors at 13 institutions in 13 countries.

Chantal LoiratAssistance Publique-Hôpitaux de Paris, Hôpital Robert Debré, Department of Pediatric Nephrology, Université Paris Diderot Sorbonne Paris Cité, Paris, France. chantal.loirat@rdb.aphp.fr.
Fadi FakhouriCentre Hospitalier Universitaire de Nantes, Department of Nephrology and Immunology, ITUN and INSERM UMR S-1064, Nantes, France.
Gema AricetaPediatric Nephrology, Vall d'Hebron Hospital, Autonoma University of Barcelona, Barcelona, Spain.
Nesrin BesbasDepartment of Pediatric Nephrology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Martin BitzanDivision of Nephrology, Montreal Children's Hospital and Mc Gill University, Montreal, Canada.
Anna BjerreDepartment of Pediatrics, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Rosanna CoppoCity of the Health and the Science of Turin Health Agency, Regina Margherita Children's Hospital, Turin, Italy.
Francesco EmmaBambino Gesù Children's Hospital, Rome, Italy.
Sally JohnsonDepartment of Paediatric Nephrology, Great North Children's Hospital, Newcastle Upon Tyne, UK.
Diana KarpmanDepartment of Pediatrics, Clinical Sciences, Lund University, Lund, Sweden.
Daniel LandauSoroka University Medical Center, Beer Sheva, Israel.
Craig B LangmanThe Ann and Robert H. Lurie Children's Hospital of Chicago, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Anne-Laure LapeyraqueService de Néphrologie, Département de Pédiatrie, CHU Sainte-Justine, Université de Montréal, Montréal, Canada.
Christoph LichtThe Hospital for Sick Children, Toronto, Canada.
Carla NesterDepartments of Internal Medicine and the Stead Family Department of Pediatrics, University of Iowa, Iowa City, Iowa, USA.
Carmine PecoraroSantobono Children's Hospital, Naples, Italy.
Magdalena RiedlDepartment of Pediatrics, Innsbruck Medical University, Innsbruck, Austria.
Nicole C A J van de KarDepartment of Pediatric Nephrology, Amalia Children's Hospital, Radboud University Medical Center, Nijmegen, The Netherlands.
Johan Van de WalleUniversity Hospital Ghent, Ghent, Belgium.
Marina VivarelliBambino Gesù Children's Hospital, Rome, Italy.
Véronique Frémeaux-BacchiAssistance Publique-Hôpitaux de Paris, Hôpital Européen Georges Pompidou, Laboratory of Immunology, INSERM UMRS 1138, Paris, France.
HUS International
Inserm · FRBoston Children's Hospital · USInnsbruck Medical University · ATLund University · SENorthwestern University · USOslo University Hospital · NOUniversitat Autònoma de Barcelona · ESUniversity of Iowa · USBambino Gesù Children's Hospital · ITDélégation Paris 7 · FRHospital for Sick Children · CAMontreal Children's Hospital · CARadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Atypical hemolytic uremic syndrome (aHUS) emerged during the last decade as a disease largely of complement dysregulation. This advance facilitated the development of novel, rational treatment options targeting terminal complement activation, e.g., using an anti-C5 antibody (eculizumab). We review treatment and patient management issues related to this therapeutic approach. We present consensus clinical practice recommendations generated by HUS International, an international expert group of clinicians and basic scientists with a focused interest in HUS. We aim to address the following questions of high relevance to daily clinical practice: Which complement investigations should be done and when? What is the importance of anti-factor H antibody detection? Who should be treated with eculizumab? Is plasma exchange therapy still needed? When should eculizumab therapy be initiated? How and when should complement blockade be monitored? Can the approved treatment schedule be modified? What approach should be taken to kidney and/or combined liver-kidney transplantation? How should we limit the risk of meningococcal infection under complement blockade therapy? A pressing question today regards the treatment duration. We discuss the need for prospective studies to establish evidence-based criteria for the continuation or cessation of anticomplement therapy in patients with and without identified complement mutations.

Indexed as

AdolescentAge FactorsAntibodies, Monoclonal, HumanizedAtypical Hemolytic Uremic SyndromeChildChild, PreschoolCombined Modality TherapyComplement ActivationCooperative BehaviorDrug MonitoringHumansImmunologic FactorsInfantInfant, NewbornInternational CooperationKidney TransplantationAntibodies, Monoclonal, HumanizedeculizumabImmunologic FactorsAnti-factor H antibodyAtypical hemolytic uremic syndromeChildrenCombined liver–kidney transplantationComplementEculizumabHemolytic uremic syndromeKidney transplantationPlasma exchangePlasma infusionThrombotic microangiopathy

Identifiers

PMID25859752
OpenAlexW1999336316

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.