Evidence map›Paper›PMID 26064510›Full record

ArticleClinical kidney journal2013

Minimal-change disease in adolescents and adults: epidemiology and therapeutic response.

Vaibhav Keskar, Tukaram Ekanath Jamale, Manjunath Jeevanna Kulkarni, Pradeep Kiggal Jagadish, Gwendolyn Fernandes, Niwrutti Hase

Open access · bronzeAbstract read
In one paragraph

Article in Clinical kidney journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 37% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  7. Collagen IV of basement membranes: II. Emergence of collagen IVThe Journal of biological chemistry · 2023
    Article
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  9. Age of Onset and Disease Course in Biopsy-Proven Minimal Change Disease: An Analysis From the Cure Glomerulonephropathy Network.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2023
    Observational
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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

6 authors at 1 institution in 1 country.

Vaibhav KeskarDepartment of Nephrology , Seth GS Medical College and KEM Hospital , Mumbai, Maharashtra , India.
Tukaram Ekanath JamaleDepartment of Nephrology , Seth GS Medical College and KEM Hospital , Mumbai, Maharashtra , India.
Manjunath Jeevanna KulkarniNephrology , Grant Medical College , Mumbai, Maharashtra , India.
Pradeep Kiggal JagadishNephrology , Grant Medical College , Mumbai, Maharashtra , India.
Gwendolyn FernandesPathology , Seth G.S. Medical College , Mumbai, Maharashtra , India.
Niwrutti HaseDepartment of Nephrology , Seth GS Medical College and KEM Hospital , Mumbai, Maharashtra , India.
Grant Medical College and Sir Jamshedjee Jeejeebhoy Group of Hospitals · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEpidemiology of minimal-change disease (MCD) in adults differs from that in children and is not studied well in Indian population.

methodsWe retrospectively studied the records of 61 adult patients with MCD to assess clinical, laboratory and histopathological features, and to evaluate the response to treatment, course and complications of the disease and therapy.

resultsThe male to female ratio was 1.17:1. Mean age was 30.46 years. Of the total, 6.55% had hypertension; 13.11% had microhaematuria. After initial treatment with steroids, 68.85% had complete remission (CR) and 13.1% had partial remission (PR). Twelve of 14 (85.71%) steroid-resistant cases had CR or PR after alternative immunosuppression with cyclophosphamide, or mycophenolate mofetil. Of all patients, 44.2% had at least one relapse; 8.19% were frequently relapsing and 26.22% were steroid dependent. After a mean follow-up of 149.9 weeks, 38 (61.29%) patients were in CR and 16 (26.22%) in PR with a mean proteinuria of 1.28 g/day, 3 being treated for relapse. Mean serum creatinine was 89.28 μmol/L (1.01 mg/dL). Fourteen (22.95%) had acute kidney injury (AKI). All but two recovered completely.

conclusionsThis single-centre study with a medium-term follow-up shows that majority of patients respond to steroids or alternative immunosuppressants. AKI is common and may not be completely reversible in some cases.

Indexed as

minimal-change disease in adultsnephrotic syndrometreatment outcomes

Identifiers

PMID26064510
PMCPMC4438390
OpenAlexW2121921097

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.