Evidence map›Paper›PMID 27677979›Full record

ArticlePediatric nephrology (Berlin, Germany)2017

Clinical presentation and outcome of pediatric ANCA-associated glomerulonephritis.

Anne M Kouri, Sharon P Andreoli

Abstract read
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Article in Pediatric nephrology (Berlin, Germany), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

10 citing papers in PubMed.

  1. Renal disease in pediatric rheumatology.Current opinion in rheumatology · 2024
    Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Biologics for childhood systemic vasculitis.Pediatric nephrology (Berlin, Germany) · 2019
    Review
  7. Article
  8. Article
  9. Article
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Anne M KouriDepartment of Pediatric Nephrology, Indiana University School of Medicine, 699 Riley Hospital Drive, Rm 230, Indianapolis, IN, 46202, USA. akouri@iupui.edu.
Sharon P AndreoliDepartment of Pediatric Nephrology, Indiana University School of Medicine, 699 Riley Hospital Drive, Rm 230, Indianapolis, IN, 46202, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntineutrophil cytoplasmic antibody (ANCA)-associated vasculitis is a small- and medium-sized vasculitis classically seen in adult patients, with peak onset near the fifth to seventh decade of life. There is little data on ANCA-associated vasculitis in pediatric patients, and most studies have limited follow-up.

methodsThis is a retrospective chart review of 22 patients with ANCA-positive glomerulonephritis in a single institution from 1991 to 2013.

resultsOf the 22 patients, eight (36 %) required renal replacement therapy (RRT) at diagnosis; four of these patients recovered sufficient renal function to initially discontinue dialysis. Five patients (23 %) were treated with plasmapheresis at presentation. The median time from presentation until first clinical or serologic relapse was 1.7 ± 1.2 years. After a median follow-up of 5.8 years, just over half of our patients had chronic kidney disease (CKD) stages 1-3 (55 %). Seven (32 %) patients progressed to end-stage renal disease (ESRD) and eventually required kidney transplant.

conclusionANCA-associated glomerulonephritis is a rare disorder in children. Presentation and outcomes vary significantly among patients. More research is required to follow these patients who are diagnosed in childhood to further characterize the long-term outcome of the disease.

Indexed as

Antibodies, Antineutrophil CytoplasmicAdolescentAnti-Neutrophil Cytoplasmic Antibody-Associated VasculitisChildDialysisDisease ProgressionFemaleGlomerulonephritisHumansKidney Failure, ChronicKidney TransplantationMalePlasmapheresisRecurrenceRenal Insufficiency, ChronicRenal Replacement TherapyAntibodies, Antineutrophil CytoplasmicANCA-positive glomerulonephritisChildrenGranulomatosis with polyangiitisMicroscopic polyangiitisPediatric glomerulonephritisRapidly progressive glomerulonephritis

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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.