Evidence map›Paper›PMID 27190379›Full record

Trial reportNephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association2017

The natural history of immunoglobulin M nephropathy in adults.

Thomas M Connor, Valeria Aiello, Megan Griffith, Thomas Cairns, Candice A Roufosse, H Terence Cook, Charles D Pusey

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 20% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

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  6. Immunoglobulin M nephropathy: requiring more attention.Kidney research and clinical practice · 2025
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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

7 authors at 3 institutions in 2 countries.

Thomas M ConnorRenal and Vascular Inflammation Section, Department of Medicine, Imperial College London, London W12 0NN, UK.
Valeria AielloDepartment of Nephrology, Policlinico S.Orsola-Malpighi, Università di Bologna, Bologna, Italy.
Megan GriffithRenal and Vascular Inflammation Section, Department of Medicine, Imperial College London, London W12 0NN, UK.
Thomas CairnsRenal and Vascular Inflammation Section, Department of Medicine, Imperial College London, London W12 0NN, UK.
Candice A RoufosseRenal and Vascular Inflammation Section, Department of Medicine, Imperial College London, London W12 0NN, UK.
H Terence CookCentre for Complement and Inflammation Research, Department of Medicine, Imperial College London, London, UK.
Charles D PuseyRenal and Vascular Inflammation Section, Department of Medicine, Imperial College London, London W12 0NN, UK.
Imperial College London · GBCentre for Inflammation Research · GBPoliclinico S.Orsola-Malpighi · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmunoglobulin M (IgM) nephropathy is an idiopathic glomerulonephritis characterized by diffuse mesangial deposition of IgM. IgM nephropathy has been a controversial diagnosis since it was first reported, and there are few data identifying specific pathological features that predict the risk of progression of renal disease.

methodsWe identified 57 cases of IgM nephropathy among 3220 adults undergoing renal biopsy at our institution. Biopsies had to satisfy the following three criteria to meet the definition of IgM nephropathy in this study: (i) dominant mesangial staining for IgM, (ii) mesangial deposits on electron microscopy (EM) and (iii) exclusion of systemic disease.

resultsThe median age was 42 years and 24 patients were male. Thirty-nine per cent of patients presented with the nephrotic syndrome, 49% presented with non-nephrotic proteinuria and 39% had eGFR <60 mL/min. The median post-biopsy follow-up was 40 months and serum creatinine had doubled in 31% by 5 years. Of histological parameters, glomerular sclerosis and tubular atrophy, but not mesangial proliferation, were risk factors for renal insufficiency. Thirty-nine per cent of nephrotic patients achieved complete remission, and outcome was significantly worse in those who did not respond to treatment. Focal segmental glomerulosclerosis was diagnosed in 80% of those undergoing repeat renal biopsy, despite ongoing mesangial IgM deposition.

conclusionsWe propose criteria for a consensus definition of IgM nephropathy.

Indexed as

AdolescentAdultAgedAged, 80 and overBiopsyFemaleGlomerular MesangiumGlomerulonephritisHumansImmunoglobulin MMaleMiddle AgedNephrotic SyndromeProteinuriaRetrospective StudiesRisk FactorsImmunoglobulin Mglomerulonephritisimmunoglobulin Mnephrotic syndromeoutcomerenal biopsy

Identifiers

PMID27190379
PMCPMC5837784
OpenAlexW2337348715

What OpenQuestion holds

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Registered trials

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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.