Evidence map›Paper›PMID 26537358›Full record

ArticleJournal of nephrology2016

Long-term outcome of IgA nephropathy with minimal change disease: a comparison between patients with and without minimal change disease.

Xiao-Wei Li, Shao-Shan Liang, Wei-Bo Le, Shui-Qin Cheng, Cai-Hong Zeng, Jin-Quan Wang, Zhi-Hong Liu

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of nephrology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 31% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Contemporary review of IgA nephropathy.Frontiers in immunology · 2024
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Observational
  15. Article
  16. The Emerging Role of Pathogenesis of IgA Nephropathy.Journal of clinical medicine · 2018
    Review
  17. 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

7 authors at 1 institution in 1 country.

Xiao-Wei LiDepartment of Nephroloy, Fuyang People's Hospital, 236003, Fuyang, Anhui, China.
Shao-Shan LiangNational Clinical Research Center of Kidney Diseases, Jinling Hospitial, Nanjing University of Medicine, 210002, Nanjing, Jiangsu, China.
Wei-Bo LeNational Clinical Research Center of Kidney Diseases, Jinling Hospitial, Nanjing University of Medicine, 210002, Nanjing, Jiangsu, China.
Shui-Qin ChengNational Clinical Research Center of Kidney Diseases, Jinling Hospitial, Nanjing University of Medicine, 210002, Nanjing, Jiangsu, China.
Cai-Hong ZengNational Clinical Research Center of Kidney Diseases, Jinling Hospitial, Nanjing University of Medicine, 210002, Nanjing, Jiangsu, China.
Jin-Quan WangNational Clinical Research Center of Kidney Diseases, Jinling Hospitial, Nanjing University of Medicine, 210002, Nanjing, Jiangsu, China.
Zhi-Hong LiuNational Clinical Research Center of Kidney Diseases, Jinling Hospitial, Nanjing University of Medicine, 210002, Nanjing, Jiangsu, China. liuzhihong@nju.edu.cn.
Nanjing University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe clinicopathological characteristics, treatment response and long-term outcome of immunoglobulin (Ig)A nephropathy with minimal change disease (MCD-IgAN) are not well defined.

methodsPatients with biopsy-proven MCD-IgAN from the Jinling Hospital IgA nephropathy Registry were systematically reviewed and compared with those with IgA nephropathy without minimal change disease (Non-MCD-IgAN).

resultsWe compared data of 247 MCD-IgAN patients and 1,121 Non-MCD-IgAN patients. Compared to Non-MCD-IgAN, MCD-IgAN patients were younger,with male predominance, had higher levels of proteinuria, total cholesterol and estimated glomerular filtration rate (eGFR), lower incidence of hypertension and microhematuria, lower level of serum creatinine, and had less severe glomerular, tubulointerstitial and vascular lesions in renal pathology. In the Non-MCD-IgAN group, 157 patients (14.0 %) reached the renal endpoint and 103 patients (9.2 %) entered end-stage renal disease (ESRD). The 5-,10-, 15- and 20-year cumulative renal survival rates from ESRD, calculated by Kaplan-Meier method, were 95.0, 83.0, 72.9 and 65.4 %, respectively. In the MCD-IgAN group, no patients entered ESRD and only 4 (1.6 %) reached the renal endpoint. Patients with MCD-IgAN had a significantly better renal outcome than Non-MCD-IgAN (p < 0.01). At multivariate Cox analysis, proteinuria >1.0 g/day, hypertension, eGFR <60 ml/min/1.73 m(2), hypoproteinemia and hyperuricemia were independent risk factors of renal survival for Non-MCD-IgAN patients [hazard ratio (HR) 3.43, p < 0.001; HR 1.65, p < 0.05; HR 2.61, p < 0.001; HR 2.40, p < 0.001; HR 2.27, p < 0.001, respectively), but not for patients with MCD-IgAN.

conclusionsThe long-term outcome of patients with MCD-IgAN is significantly better than that of patients with Non-MCD-IgAN.

Indexed as

AdultFemaleFollow-Up StudiesGlomerulonephritis, IGAGlucocorticoidsHumansImmunosuppressive AgentsMaleMiddle AgedNephrosis, LipoidPrognosisRegistriesRisk FactorsSurvival RateGlucocorticoidsImmunosuppressive AgentsIgA nephropathyLong-term outcomeMinimal change lesions

Identifiers

PMID26537358
OpenAlexW2157894387

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.