Evidence map›Paper›PMID 26115618›Full record

Trial reportPediatric nephrology (Berlin, Germany)2015

Adiponectin in children and young adults with focal segmental glomerulosclerosis.

Christine B Sethna, Valerie Boone, Jonas Kwok, Daniel Jun, Howard Trachtman

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Pediatric nephrology (Berlin, Germany), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 4 pooled it
0.4field-weighted citation impact, top 35% 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

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

  1. Pooled it
  2. Pooled it
  3. Interventions for focal segmental glomerulosclerosis in adults.The Cochrane database of systematic reviews · 2022
    Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Adiponectin in Chronic Kidney Disease.International journal of molecular sciences · 2020
    Review
  11. Article
  12. 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 3 institutions in 1 country.

Christine B SethnaDepartment of Pediatrics, Division of Pediatric Nephrology, Cohen Children's Medical Center of New York, New Hyde Park, NY, USA. csethna@nshs.edu.
Valerie BooneFeinstein Institute for Medical Research, Manhasset, NY, USA.
Jonas KwokDepartment of Pediatrics, Division of Pediatric Nephrology, Cohen Children's Medical Center of New York, New Hyde Park, NY, USA.
Daniel JunDepartment of Pediatrics, Division of Pediatric Nephrology, Cohen Children's Medical Center of New York, New Hyde Park, NY, USA.
Howard TrachtmanDepartment of Pediatrics, Division of Pediatric Nephrology, NYU Langone Medical Center, New York, NY, USA.
Cohen Children's Medical Center · USFeinstein Institute for Medical Research · USNYU Langone Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdiponectin is an adipokine that is elevated in kidney disease. Evidence suggests that adiponectin exerts a direct effect on the podocyte and may play a role in the pathogenesis of proteinuria. The objectives of this study were to characterize serum and urine adiponectin levels over time in patients with focal segmental glomerulosclerosis (FSGS) and to evaluate the role of baseline levels of adiponectin as a predictor of clinical remission.

methodsThis was a study of 60 individuals, ages 3-38 years, with steroid-resistant FSGS enrolled in the FSGS clinical trial. Serial measurements of serum and urine adiponectin were obtained at baseline and 26 and 52 weeks.

resultsParticipants were of mean age 19.4 ± 10.2 years (50% male, 33% black). Serum adiponectin (baseline mean 14.3 ± 6.6 μg/ml) and urine adiponectin:creatinine (Uadp/cr) (baseline mean 126.8 ± 178.9 μg/ml) directly correlated with proteinuria at all time points (r = 0.37-0.81; all p < 0.05). Proteinuria, hypoalbuminemia, and hyperlipidemia were significant independent predictors of greater serum adiponectin and Uadp/cr in multivariate analysis. Lower tertiles of baseline serum adiponectin were associated with greater response to treatment at 52 weeks when adjusted for age, sex, body mass index (BMI) z score, and estimated glomerular filtration rate (eGFR) [odds ratio (OR) 0.48; 95% confidence interval (CI) 0.26-0.91, p = 0.023). For log Uadp/cr, the OR for remission was 0.43 (95% CI 0.21-0.89, p = 0.02) at 52 weeks. However, when baseline urine protein:creatinine was added to the models, the relationships were no longer significant.

conclusionsSerum and urine adiponectin levels were directly associated with proteinuria and paralleled changes in proteinuria over time in children and young adults with FSGS. Although baseline adiponectin was lower in responders, response to treatment in patients with FSGS was not associated with serum and urine adiponectin levels but, rather, was related to proteinuria.

Indexed as

AdiponectinAdolescentAdultAnti-Inflammatory AgentsBiomarkersChildChild, PreschoolCyclosporineDexamethasoneEnzyme-Linked Immunosorbent AssayFemaleGlomerulosclerosis, Focal SegmentalHumansMaleMycophenolic AcidTreatment OutcomeAdiponectinADIPOQ protein, humanAnti-Inflammatory AgentsBiomarkersCyclosporineDexamethasoneMycophenolic AcidAdiponectinNephrotic syndromePediatricProteinuria

Identifiers

PMID26115618
OpenAlexW2178365667

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.