Evidence map›Paper›PMID 26525198›Full record

ArticlePediatric nephrology (Berlin, Germany)2016

Differences between the pediatric and adult presentation of fibromuscular dysplasia: results from the US Registry.

Rebecca Green, Xiaokui Gu, Eva Kline-Rogers, James Froehlich, Pamela Mace, Bruce Gray, Barry Katzen, Jeffrey Olin, Heather L Gornik, Ann Marie Cahill and 1 more

Abstract readComparative StudyMulticenter Study
PubMed Publisher
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 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
5.7field-weighted citation impact, top 4% 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

25 citing papers in PubMed, 90 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Cerebrovascular fibromuscular dysplasia.Therapeutic advances in neurological disorders · 2026
    Review
  6. Complex equilibrium involving aldosterone underlies the pathophysiology of renovascular hypertension.Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology · 2025
    Article
  7. Review
  8. Review
  9. Article
  10. Intravascular ultrasound provides additional insights in the hypertensive patients with focal renal artery fibromuscular dysplasia.Hypertension research : official journal of the Japanese Society of Hypertension · 2023
    Observational
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Observational
  20. 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

11 authors at 7 institutions in 1 country.

Rebecca GreenPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. greenrs@email.chop.edu.
Xiaokui GuUniversity of Michigan, Ann Arbor, MI, USA.
Eva Kline-RogersUniversity of Michigan, Ann Arbor, MI, USA.
James FroehlichUniversity of Michigan, Ann Arbor, MI, USA.
Pamela MaceFibromuscular Dysplasia Society of America, Rocky River, OH, USA.
Bruce GrayGreenville Health System, Greenville, SC, USA.
Barry KatzenMiami Baptist Cardiac/Vascular Institute, Miami, FL, USA.
Jeffrey OlinIcahn School of Medicine at Mount Sinai, New York, NY, USA.
Heather L GornikCleveland Clinic Foundation, Cleveland, OH, USA.
Ann Marie CahillPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Kevin E MeyersPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
University of Michigan–Ann Arbor · USUniversity of Pennsylvania · USAsia Society · USBaptist Hospital of Miami · USCleveland Clinic · USIcahn School of Medicine at Mount Sinai · USPrisma Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFibromuscular dysplasia (FMD) is a non-inflammatory arteriopathy that causes significant morbidity in children.

methodsThe clinical features, presenting symptoms, and vascular beds involved are reviewed in the first 33 patients aged <18 years who are enrolled in the United States Registry for FMD from five registry sites and compared with 999 adult patients from 12 registry sites.

resultsMean age at diagnosis was 8.4 ± 4.8 years (16 days to 17 years). Compared with adults, pediatric FMD occurs in more males (42.4 vs 6 %, p < 0.001). Children with FMD have a stronger previous history of hypertension (93.9 vs 69.9 %, p = 0.002). Hypertension (100 %), headache (55 %), and abdominal bruits (10.7 %) were the most common presenting signs and symptoms. FMD affects renal vasculature in almost all children (97 vs 69.7 %, p = 0.003). The extra-cranial carotid vessels are less commonly involved in children (23.1 vs 73.3 %, p < 0.001). The mesenteric arteries (38.9 vs 16.2 %, p = 0.02) and aorta (26.3 vs 2.4 %, p < 0.001) are more commonly involved in children.

conclusionsIn the United States Registry for FMD, pediatric FMD affects children from infancy throughout childhood. All children presented with hypertension and many presented with headache and abdominal bruits. In children, FMD most commonly affects the renal vasculature, but also frequently involves the mesenteric arteries and abdominal aorta; the carotid vessels are less frequently involved.

Indexed as

AdolescentAdultAgedAged, 80 and overAge of OnsetAorta, AbdominalCarotid ArteriesChildChild, PreschoolComorbidityComputed Tomography AngiographyFemaleFibromuscular DysplasiaHeadacheHumansHypertensionFibromuscular dysplasiaHypertensionPediatricsRenovascular hypertension

Identifiers

PMID26525198
OpenAlexW1895249479

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.