Evidence map›Paper›PMID 28873969›Full record

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

Clinical practice recommendations for native vitamin D therapy in children with chronic kidney disease Stages 2-5 and on dialysis.

Rukshana Shroff, Mandy Wan, Evi V Nagler, Sevcan Bakkaloglu, Dagmar-C Fischer, Nicholas Bishop, Mario Cozzolino, Justine Bacchetta, Alberto Edefonti, Constantinos J Stefanidis and 5 more

Open access · bronzeAbstract read
In one paragraph

Article 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 53 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 2 pooled it
7.0field-weighted citation impact, top 2% 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

53 citing papers in PubMed, 2 syntheses or guidelines pooled it, 107 citations in OpenAlex.

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  12. Management of rickets: the new horizons for the pediatrician.Journal of health, population, and nutrition · 2025
    Review
  13. The role of nutritional vitamin D in chronic kidney disease-mineral and bone disorder in children and adults with chronic kidney disease, on dialysis, and after kidney transplantation-a European consensus statement.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    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

15 authors at 12 institutions in 7 countries.

Rukshana ShroffGreat Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Mandy WanGreat Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Evi V NaglerGhent University Hospital, Ghent, Belgium.
Sevcan BakkalogluGazi University Hospital, Ankara, Turkey.
Dagmar-C FischerRostock University Medical Centre, Rostock, Germany.
Nicholas BishopUniversity of Sheffield, Sheffield, UK.
Mario CozzolinoDepartment of Health Sciences, Ospedale San Paolo, University of Milan, Milan, Italy.
Justine BacchettaHopital Femme Mere Enfant, Lyon University, Bron, France.
Alberto EdefontiFondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy.
Constantinos J Stefanidis"A & P Kyriakou", Children's Hospital, Athens, Greece.
Johan Vande WalleGhent University, Utopaed, Belgium.
Dieter HaffnerChildren's Hospital, Hannover, Germany.
Günter KlausKfH Pediatric Kidney Center, Marburg, Germany.
Claus Peter SchmittCenter for Pediatric & Adolescent Medicine, Heidelberg, Germany.
European Society for Paediatric Nephrology Chronic Kidney Disease Mineral and Bone Disorders and Dialysis Working Groups
Great Ormond Street Hospital for Children NHS Foundation Trust · GBFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITGazi University · TRGhent University · BEGhent University Hospital · BEHeidelberg University · DEHôpital Femme Mère Enfant · FRKinderkrankenhaus auf der Bult · DEOspedale San Paolo · ITPanagiotis & Aglaia Kyriakou Children's Hospital · GRUniversity of Rostock · DEUniversity of Sheffield · GB

Funding

Department of Health CDF-2016-09-038Department of Health ICA-CDRF-2016-02-057
6 · The paper itself

Abstract

Vitamin D deficiency is widely prevalent and often severe in children and adults with chronic kidney disease (CKD). Although native vitamin D {25-hydroxyvitamin D [25(OH)D]} is thought to have pleiotropic effects on many organ systems, its skeletal effects have been most widely studied. The 25(OH)D deficiency is causally linked with rickets and fractures in healthy children and those with CKD, contributing to the CKD-mineral and bone disorder (MBD) complex. There are few studies to provide evidence for vitamin D therapy or guidelines for its use in CKD. A core working group (WG) of the European Society for Paediatric Nephrology (ESPN) CKD-MBD and Dialysis WGs have developed recommendations for the evaluation, treatment and prevention of vitamin D deficiency in children with CKD. We present clinical practice recommendations for the use of ergocalciferol (vitamin D2) and cholecalciferol (vitamin D3) in children with CKD Stages 2-5 and on dialysis. A parallel document addresses treatment recommendations for active vitamin D analogue therapy. The WG has performed an extensive literature review to include meta-analyses and randomized controlled trials in healthy children as well as children and adults with CKD, and prospective observational studies in children with CKD. The Grading of Recommendation, Assessment, Development and Evaluation (GRADE) system has been used to develop and grade the recommendations. In the absence of applicable study data, the opinion of experts from the ESPN CKD-MBD and Dialysis WGs is provided, but clearly GRADE-ed as such and must be carefully considered by the treating physician, and adapted to individual patient needs as appropriate.

Indexed as

Renal DialysisChildChronic Kidney Disease-Mineral and Bone DisorderHumansMeta-Analysis as TopicObservational Studies as TopicPractice Guidelines as TopicProspective StudiesRandomized Controlled Trials as TopicRenal Insufficiency, ChronicVitamin DVitamin D DeficiencyVitamin Dchildrencholecalciferolchronic kidney disease (CKD)dialysisvitamin D

Identifiers

PMID28873969
PMCPMC5837199
OpenAlexW2619622677

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.