Evidence map›Paper›PMID 28873971›Full record

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

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

Rukshana Shroff, Mandy Wan, Evi V Nagler, Sevcan Bakkaloglu, Mario Cozzolino, Justine Bacchetta, Alberto Edefonti, Constantinos J Stefanidis, Johan Vande Walle, Gema Ariceta and 4 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 37 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 5 pooled it
5.7field-weighted citation impact, top 3% 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

37 citing papers in PubMed, 5 syntheses or guidelines pooled it, 72 citations in OpenAlex.

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  11. 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
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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

14 authors at 11 institutions in 8 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.
Mario CozzolinoOspedale San Paolo, Department of Health Sciences, 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. and P. Kyriakou" Children's Hospital, Athens, Greece.
Johan Vande WalleGhent University, Utopaed, Belgium.
Gema AricetaServicio de Nefrología Pediátrica, Hospital Universitari Vall d'Hebron, Barcelona, España.
Günter KlausKfH Pediatric Kidney Center, Marburg, Germany.
Dieter HaffnerChildren's Hospital, Hannover, Germany.
Claus Peter SchmittCenter for Pediatric and 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 · DEPanagiotis & Aglaia Kyriakou Children's Hospital · GRUniversity of Milan · ITVall d'Hebron Hospital Universitari · ES

Funding

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

Abstract

In patients with chronic kidney disease (CKD), renal synthesis of active vitamin D [1,25-dihydroxyvitamin D (1,25(OH)2D)] declines and is associated with hypocalcaemia, secondary hyperparathyroidism and the spectrum of CKD-mineral and bone disorder (MBD). In advanced CKD, active vitamin D analogues, including alfacalcidol, calcitriol and paricalcitol, are routinely administered. There are few studies on the use of vitamin D analogues in children with CKD and on dialysis. It is difficult to define bone-specific outcomes that can guide treatment with active vitamin D analogues in children with CKD-MBD. A core working group (WG) of the European Society for Paediatric Nephrology (ESPN) CKD-MBD and Dialysis WGs has developed recommendations for the use of active vitamin D therapy in children with CKD and on dialysis. A second document in parallel with this one covers treatment recommendations for native vitamin D therapy. The WGs have performed an extensive literature review to include systematic reviews and randomized controlled trials in adults and children with CKD and prospective observational studies in children with CKD. The Grading of Recommendation, Assessment, Development and Evaluation (GRADE) system was 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 Dchronic kidney disease (CKD)CKD-MBDdialysispediatricsvitamin D

Identifiers

PMID28873971
PMCPMC5837664
OpenAlexW2620970790

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.