Evidence map›Paper›PMID 28815356›Full record

ArticleInternational urology and nephrology2017

Dent disease in Poland: what we have learned so far?

Marcin Zaniew, Małgorzata Mizerska-Wasiak, Iga Załuska-Leśniewska, Piotr Adamczyk, Katarzyna Kiliś-Pstrusińska, Adam Haliński, Jan Zawadzki, Beata S Lipska-Ziętkiewicz, Krzysztof Pawlaczyk, Przemysław Sikora and 2 more

Abstract read
PubMed Publisher
In one paragraph

Article in International urology and nephrology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 29% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Dent disease: clinical practice recommendations.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Guideline
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. 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

12 authors at 9 institutions in 2 countries.

Marcin ZaniewChildren's Hospital, ul. Krysiewicza 7/8, 61-825, Poznan, Poland. zaniewmarcin@wp.pl.
Małgorzata Mizerska-WasiakDepartment of Pediatrics and Nephrology, Medical University of Warsaw, Warsaw, Poland.
Iga Załuska-LeśniewskaDepartment of Pediatrics, Nephrology and Hypertension, Medical University of Gdańsk, Gdańsk, Poland.
Piotr AdamczykDepartment and Clinics of Pediatrics, SMDZ, Medical University of Silesia in Katowice, Zabrze, Poland.
Katarzyna Kiliś-PstrusińskaDepartment of Pediatric Nephrology, Wrocław Medical University, Wrocław, Poland.
Adam HalińskiDepartment of Urology, Regional Hospital, Nowa Sól, Poland.
Jan ZawadzkiDepartment of Nephrology and Kidney Transplantation, The Children's Memorial Health Institute, Warsaw, Poland.
Beata S Lipska-ZiętkiewiczDepartment of Biology and Medical Genetics, Clinical Genetics Unit, Medical University of Gdańsk, Gdańsk, Poland.
Krzysztof PawlaczykDepartment of Nephrology, Transplantology and Internal Medicine, Poznan University of Medical Sciences, Poznan, Poland.
Przemysław SikoraPolish Registry of Inherited Tubulopathies (POLtube), Polish Society of Pediatric Nephrology, Poznan, Poland.
Michael LudwigDepartment of Clinical Chemistry and Clinical Pharmacology, University of Bonn, Bonn, Germany.
Maria SzczepańskaDepartment and Clinics of Pediatrics, SMDZ, Medical University of Silesia in Katowice, Zabrze, Poland.
Gdańsk Medical University · PLMedical University of Silesia · PLChildren's Memorial Health Institute · PLFoundation of Cardiac Surgery Development · PLMedical University of Lublin · PLMedical University of Warsaw · PLPoznan University of Medical Sciences · PLUniversity of Bonn · DEWroclaw Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDent disease (DD) is a rare tubulopathy characterized by proximal tubular dysfunction leading to chronic kidney disease (CKD). The aim of the study was to characterize patients with DD in Poland.

methodsA retrospective analysis of a national cohort with genetically confirmed diagnosis.

resultsOf 24 males, all patients except one carried mutations in the CLCN5 gene; in one patient a mutation in the OCRL gene was disclosed. Molecular diagnosis was delayed 1 year on average (range 0-21 years). The most common features were tubular proteinuria (100%), hypercalciuria (87%), and nephrocalcinosis (56%). CKD (≤stage II) and growth deficiency were found in 45 and 22% of patients, respectively. Over time, a progression of CKD and persistence of growth impairment was noted. Subnephrotic and nephrotic proteinuria (20%) was found in most patients, but tubular proteinuria was assessed in only 67% of patients. In one family steroid-resistant nephrotic syndrome prompted a genetic testing, and reverse phenotyping. Five children (20%) underwent kidney biopsy, and two of them were treated with immunosuppressants. Hydrochlorothiazide and angiotensin-converting enzyme inhibitors were prescribed for a significant proportion of patients (42 and 37.5%, respectively), while supplemental therapy with phosphate, potassium, vitamin D (12.5% each), and alkali (4.2%) was insufficient, when compared to the percentages of patients requiring repletion.

conclusionsWe found CLCN5 mutations in the vast majority of Polish patients with DD. Proteinuria was the most constant finding; however, tubular proteins were not assessed commonly, likely leading to delayed molecular diagnosis and misdiagnosis in some patients. More consideration should be given to optimize the therapy.

Indexed as

AdolescentAdultCalcifediolChildChild, PreschoolChloride ChannelsDelayed DiagnosisDent DiseaseDisease ProgressionGlomerular Filtration RateHumansHypercalciuriaInfantMaleMutationNephrocalcinosisCalcifediolChloride ChannelsCLC-5 chloride channelOCRL protein, humanPhosphoric Monoester HydrolasesCLCN5Dent diseaseLow molecular weight proteinuriaNephrotic syndromeProteinuria

Identifiers

PMID28815356
OpenAlexW2746964089

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.