Evidence map›Paper›PMID 26613053›Full record

ArticleCase reports in nephrology2015

Long-Term Therapeutic Plasma Exchange to Prevent End-Stage Kidney Disease in Adult Severe Resistant Henoch-Schonlein Purpura Nephritis.

Patrick Hamilton, Olumide Ogundare, Ammar Raza, Arvind Ponnusamy, Julie Gorton, Hana Alachkar, Jamil Choudhury, Jonathan Barratt, Philip A Kalra

Open access · goldAbstract read
In one paragraph

Article in Case reports in nephrology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.2field-weighted citation impact, top 44% 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, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
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

9 authors at 2 institutions in 1 country.

Patrick HamiltonRenal Department, Salford Royal NHS Foundation Trust, Salford, Greater Manchester M6 8HD, UK.
Olumide OgundareRenal Department, Salford Royal NHS Foundation Trust, Salford, Greater Manchester M6 8HD, UK.
Ammar RazaRenal Department, Salford Royal NHS Foundation Trust, Salford, Greater Manchester M6 8HD, UK.
Arvind PonnusamyRenal Department, Salford Royal NHS Foundation Trust, Salford, Greater Manchester M6 8HD, UK.
Julie GortonRenal Department, Salford Royal NHS Foundation Trust, Salford, Greater Manchester M6 8HD, UK.
Hana AlachkarRenal Department, Salford Royal NHS Foundation Trust, Salford, Greater Manchester M6 8HD, UK.
Jamil ChoudhuryHistopathology Department, Salford NHS Foundation Trust, Salford, Greater Manchester M6 8HD, UK.
Jonathan BarrattJohn Walls Renal Unit, Leicester General Hospital, Gwendolen Road, Leicester LE5 4PW, UK.
Philip A KalraRenal Department, Salford Royal NHS Foundation Trust, Salford, Greater Manchester M6 8HD, UK.
Salford Royal NHS Foundation Trust · GBLeicester General Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 27-year-old man presented with a palpable purpuric skin rash and joint and abdominal pain in April 2010. He had acute kidney injury and his creatinine quickly deteriorated to 687 μmol/L, with associated nephrotic range proteinuria. Kidney biopsy showed crescentic Henoch-Schonlein nephritis. He was treated with intravenous cyclophosphamide and prednisolone despite which his renal function deteriorated; he required haemodialysis for a short duration and seven sessions of therapeutic plasma exchange (TPE). Renal function improved, but after discharge from hospital he suffered 2 further relapses, each with AKI, in 4 months. Cyclophosphamide was not effective and therefore Rituximab was introduced. He initially had a partial response but his renal function deteriorated despite continued therapy. TPE was the only treatment that prevented rapid renal functional deterioration. A novel long-term treatment strategy involving regular TPE every one to two weeks was initiated. This helped to slow his progression to end-stage kidney disease over a 3-year period and to prolong the need for renal replacement therapy over this time.

Identifiers

PMID26613053
PMCPMC4646990
OpenAlexW1906249988

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.