Evidence map›Paper›PMID 26404649›Full record

ArticlePediatric nephrology (Berlin, Germany)2016

Insignificant impact of VUR on the progression of CKD in children with CAKUT.

Kenji Ishikura, Osamu Uemura, Yuko Hamasaki, Hideo Nakai, Shuichi Ito, Ryoko Harada, Motoshi Hattori, Yasuo Ohashi, Ryojiro Tanaka, Koichi Nakanishi and 4 more

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In one paragraph

Article 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
4.0field-weighted citation impact, top 7% 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

4 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Primary Vesicoureteral reflux and chronic kidney disease in pediatric population. What we have learnt?International braz j urol : official journal of the Brazilian Society of Urology
    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

14 authors at 9 institutions in 1 country.

Kenji IshikuraDepartment of Nephrology and Rheumatology, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, 157-8535, Japan. kenzo@ii.e-mansion.com.
Osamu UemuraDepartment of Pediatric Nephrology, Aichi Children's Health and Medical Center, Aichi, Japan.
Yuko HamasakiDepartment of Pediatric Nephrology, Toho University Faculty of Medicine, Tokyo, Japan.
Hideo NakaiDepartment of Pediatric Urology, Jichi Medical University, Children's Medical Center, Tochigi, Japan.
Shuichi ItoDepartment of Pediatrics, Yokohama City University Graduate School of Medicine, Kanagawa, Japan.
Ryoko HaradaDepartment of Nephrology, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.
Motoshi HattoriDepartment of Pediatric Nephrology, Tokyo Women's Medical University, Tokyo, Japan.
Yasuo OhashiDepartment of Integrated Science and Engineering for Sustainable Society, Faculty of Science and Engineering, Chuo University, Tokyo, Japan.
Ryojiro TanakaDepartment of Nephrology, Hyogo Prefectural Kobe Children's Hospital, Hyogo, Japan.
Koichi NakanishiDepartment of Pediatrics, Wakayama Medical University, Wakayama, Japan.
Tetsuji KanekoDivision of Clinical Research Support Center, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.
Kazumoto IijimaDepartment of Nephrology, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.
Masataka HondaDepartment of Nephrology, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.
Pediatric CKD Study Group in Japan in conjunction with the Committee of Measures for Pediatric CKD of the Japanese Society for Pediatric Nephrology
Tokyo Metropolitan Children's Medical Center · JPChuo University · JPJapanese Red Cross Toyota College of Nursing · JPJichi Medical University · JPKobe Children's Hospital · JPToho University · JPTokyo Women's Medical University · JPWakayama Medical University · JPYokohama City University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVesicoureteral reflux (VUR) is associated with an increased risk of kidney disorders. It is unclear whether VUR is associated with progression from chronic kidney disease (CKD) to end-stage kidney disease (ESKD) in children with congenital anomalies of the kidney and urinary tract (CAKUT).

methodsWe conducted a 3-year follow-up survey of a cohort of 447 children with CKD (stage 3-5). Rates of and risk factors for progression to ESKD were determined using the Kaplan-Meier method and Cox regression respectively.

resultsCongenital anomaly of the kidney and urinary tract was the primary etiology in 278 out of 447 children; 118 (42.4 %) had a history of VUR at the start of the cohort study. There were significantly more boys than girls with VUR, whereas the proportions were similar in children without VUR. The types of urinary anomalies/complications of the two groups were significantly different. Three-year renal survival rates of the groups were not significantly different, irrespective of CKD stage. Age  < 2 years and age after puberty, stage 4 or 5 CKD, and heavy proteinuria, but not history of VUR, were significantly associated with progression to ESKD.

conclusionsHistory of VUR at the start of follow-up was not associated with the progression of stage 3-5 CKD in children with CAKUT.

Indexed as

Age FactorsChildChild, PreschoolDisease ProgressionFemaleFollow-Up StudiesHealth Care SurveysHumansInfantJapanKaplan-Meier EstimateKidney Failure, ChronicMalePrognosisProportional Hazards ModelsProspective StudiesChronic kidney diseaseCohort studyCongenital anomalies of the kidney and urinary tractEnd-stage kidney diseaseVesicoureteral reflux

Identifiers

PMID26404649
OpenAlexW1764111489

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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.