Evidence map›Paper›PMID 27486123›Full record

Observational studyBMJ open2016

Feasibility of nephrinuria as a screening tool for the risk of pre-eclampsia: prospective observational study.

Tianyue Zhai, Itsuko Furuta, Rina Akaishi, Kosuke Kawabata, Kentaro Chiba, Takeshi Umazume, Satoshi Ishikawa, Takahiro Yamada, Mamoru Morikawa, Hisanori Minakami

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Podocytes from the diagnostic and therapeutic point of view.Pflugers Archiv : European journal of physiology · 2017
    Review
  5. Observational
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

10 authors at 1 institution in 1 country.

Tianyue ZhaiDepartment of Obstetrics, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.
Itsuko FurutaDepartment of Obstetrics, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.
Rina AkaishiDepartment of Obstetrics, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.
Kosuke KawabataDepartment of Obstetrics, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.
Kentaro ChibaDepartment of Obstetrics, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.
Takeshi UmazumeDepartment of Obstetrics, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.
Satoshi IshikawaDepartment of Obstetrics, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.
Takahiro YamadaDepartment of Obstetrics, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.
Mamoru MorikawaDepartment of Obstetrics, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.
Hisanori MinakamiDepartment of Obstetrics, Hokkaido University Graduate School of Medicine, Sapporo, Hokkaido, Japan.
Hokkaido University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the possibility of nephrinuria as a screening tool for the risk of pre-eclampsia (PE).

designProspective observational study.

settingA single university hospital. Changes in urinary nephrin:creatinine ratio (NCR, ng/mg) and protein:creatinine ratio (PCR, mg/mg) in pregnancy were determined. Significant proteinuria in pregnancy (SPIP) was defined as PCR>0.27. PE was diagnosed in women with both SPIP and hypertension.

participants89 pregnant women in whom neither hypertension nor SPIP was present at enrolment, providing 31, 125 and 93 random urine samples during first, second and third trimesters, respectively.

resultsPE developed in 14 of the 89 women. NCR increased with increasing PCR in 14 women with PE (correlation coefficient, 0.862; p<0.0001). In contrast, NCR did not change significantly despite significant increases in PCR in 75 women with normotensive pregnancies defined as neither SPIP nor hypertension, indicating that there was little increase in nephrinuria over the physiological range of proteinuria in pregnancy. Relative risk of later development of PE among asymptomatic second and third trimester women with NCR (ng/mg) >122 (95th centile value for 75 women with normotensive pregnancies) was 5.93 (95% CI 2.59 to 13.6; 60% (6/10) vs 10% (8/79)) and 13.5 (95% CI 3.31 to 55.0; 75% (6/8) vs 5.5% (2/36)), respectively, compared with women with NCR≤122 at that time.

conclusionsNephrinuria was unlikely to increase in normal pregnancy. A certain NCR cut-off may efficiently differentiate women at higher risk of PE.

Indexed as

AdultBiomarkersCreatinineFeasibility StudiesFemaleHumansHypertension, Pregnancy-InducedMembrane ProteinsParityPre-EclampsiaPregnancyPregnancy TrimestersPrenatal DiagnosisProspective StudiesProteinuriaRisk AssessmentBiomarkersCreatinineMembrane Proteinsnephrinnephrinpodocyte injurypreeclampsiaproteinuric diseasesurine test

Identifiers

PMID27486123
PMCPMC4985984
OpenAlexW2484739587

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.