Evidence map›Paper›PMID 26676663›Full record

ReviewThe review of diabetic studies : RDS

Diabetic Kidney Disease: A Syndrome Rather Than a Single Disease.

Giorgina B Piccoli, Giorgio Grassi, Gianfranca Cabiddu, Marta Nazha, Simona Roggero, Irene Capizzi, Agostino De Pascale, Adriano M Priola, Cristina Di Vico, Stefania Maxia and 4 more

Open access · bronzeAbstract readReview
In one paragraph

Review in The review of diabetic studies : RDS. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% 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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.

  1. Pooled it
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  6. Comparative Effects of Monascin and Monascinol Produced byJournal of fungi (Basel, Switzerland) · 2024
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  18. Shear wave elastography in early diabetic kidney disease.Revista da Associacao Medica Brasileira (1992) · 2022
    Article
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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 3 institutions in 1 country.

Giorgina B PiccoliSS Nefrologia, SCDU Urologia, San Luigi Gonzaga Hospital, Department of Clinical and Biological Sciences, University of Torino, Italy.
Giorgio GrassiSCDU Endocrinologia, Diabetologia e Metabolismo, Citta della Salute e della Scienza Torino, Italy.
Gianfranca CabidduSC Nefrologia, Brotzu Hospital, Cagliari, Italy.
Marta NazhaSS Nefrologia, SCDU Urologia, San Luigi Gonzaga Hospital, Department of Clinical and Biological Sciences, University of Torino, Italy.
Simona RoggeroSS Nefrologia, SCDU Urologia, San Luigi Gonzaga Hospital, Department of Clinical and Biological Sciences, University of Torino, Italy.
Irene CapizziSS Nefrologia, SCDU Urologia, San Luigi Gonzaga Hospital, Department of Clinical and Biological Sciences, University of Torino, Italy.
Agostino De PascaleSCDU Radiologia, san Luigi Gonzaga Hospital, Department of Oncology, University of Torino, Italy.
Adriano M PriolaSCDU Radiologia, san Luigi Gonzaga Hospital, Department of Oncology, University of Torino, Italy.
Cristina Di VicoSS Nefrologia, SCDU Urologia, San Luigi Gonzaga Hospital, Department of Clinical and Biological Sciences, University of Torino, Italy.
Stefania MaxiaSC Nefrologia, Brotzu Hospital, Cagliari, Italy.
Valentina LoiSC Nefrologia, Brotzu Hospital, Cagliari, Italy.
Anna M AsunisSCD Anatomia Patologica, Brotzu Hospital, Cagliari, Italy.
Antonello PaniSC Nefrologia, Brotzu Hospital, Cagliari, Italy.
Andrea VeltriSCDU Radiologia, san Luigi Gonzaga Hospital, Department of Oncology, University of Torino, Italy.
Ospedale San Luigi Gonzaga · ITAzienda Ospedaliera G. Brotzu · ITAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The term "diabetic kidney" has recently been proposed to encompass the various lesions, involving all kidney structures that characterize protean kidney damage in patients with diabetes. While glomerular diseases may follow the stepwise progression that was described several decades ago, the tenet that proteinuria identifies diabetic nephropathy is disputed today and should be limited to glomerular lesions. Improvements in glycemic control may have contributed to a decrease in the prevalence of glomerular lesions, initially described as hallmarks of diabetic nephropathy, and revealed other types of renal damage, mainly related to vasculature and interstitium, and these types usually present with little or no proteinuria. Whilst glomerular damage is the hallmark of microvascular lesions, ischemic nephropathies, renal infarction, and cholesterol emboli syndrome are the result of macrovascular involvement, and the presence of underlying renal damage sets the stage for acute infections and drug-induced kidney injuries. Impairment of the phagocytic response can cause severe and unusual forms of acute and chronic pyelonephritis. It is thus concluded that screening for albuminuria, which is useful for detecting "glomerular diabetic nephropathy", does not identify all potential nephropathies in diabetes patients. As diabetes is a risk factor for all forms of kidney disease, diagnosis in diabetic patients should include the same combination of biochemical, clinical, and imaging tests as employed in non-diabetic subjects, but with the specific consideration that chronic kidney disease (CKD) may develop more rapidly and severely in diabetic patients.

Indexed as

AlbuminuriaDiabetic NephropathiesDisease ProgressionHumansKidneyKidney Failure, ChronicSyndrome

Identifiers

PMID26676663
PMCPMC5397985
OpenAlexW2441317574

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.