Evidence map›Paper›PMID 28961265›Full record

ArticlePloS one2017

Clinicians' attitude towards family planning and timing of diagnosis in autosomal dominant polycystic kidney disease.

Stéphanie De Rechter, Jonathan Kringen, Peter Janssens, Max Christoph Liebau, Koenraad Devriendt, Elena Levtchenko, Carsten Bergmann, François Jouret, Bert Bammens, Pascal Borry and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Renal Volume in ADPKD Patient Evaluation.International journal of nephrology · 2020
    Article
  10. Article
  11. Polycystic kidney disease.Nature reviews. Disease primers · 2018
    Review
  12. Review
  13. Antenatally Diagnosed ADPKD.Kidney international reports · 2018
    Article
  14. Review
  15. Article
  16. Article
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 6 institutions in 3 countries.

Stéphanie De RechterDepartment of Pediatric Nephrology, University Hospital of Leuven, Leuven, Belgium.
Jonathan KringenUniversity of New Haven, New Haven, CT, United States of America.
Peter JanssensDepartment of Development and Regeneration, KU Leuven, Leuven, Belgium.
Max Christoph LiebauDepartment of Pediatrics and Center for Molecular Medicine, University Hospital of Cologne, Cologne, Germany.
Koenraad DevriendtDepartment of Genetics, KU Leuven-University Hospital of Leuven, Leuven, Belgium.
Elena LevtchenkoDepartment of Pediatric Nephrology, University Hospital of Leuven, Leuven, Belgium.
Carsten BergmannCenter for Human Genetics, Bioscientia, Ingelheim, Germany.
François JouretDivision of Nephrology, University of Liège Hospital (ULg CHU), Liège, Belgium.
Bert BammensDepartment of Microbiology and Immunology, KU Leuven, Leuven, Belgium.
Pascal BorryCentre for Biomedical Ethics and Law, Department of Public Health and Primary Care, University of Leuven, Leuven, Belgium.
Franz SchaeferDivision of Pediatric Nephrology, Centre for Pediatrics and Adolescent Medicine, Heidelberg University Medical Centre, Heidelberg, Germany.
Djalila MekahliDepartment of Pediatric Nephrology, University Hospital of Leuven, Leuven, Belgium.
KU Leuven · BEUniversity Hospital Cologne · DEUniversity Hospital Heidelberg · DEUniversity Medical Center Freiburg · DEUniversity of Liège · BEUniversity of New Haven · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Several ethical aspects in the management of Autosomal Dominant Polycystic Kidney Disease (ADPKD) are still controversial, including family planning and testing for disease presence in at-risk individuals. We performed an online survey aiming to assess the opinion and current clinical practice of European pediatric and adult nephrologists, as well as geneticists. A total of 410 clinicians (53% male, mean (SD) age of 48 (10) years) responded, including 216 pediatric nephrologists, 151 adult nephrologists, and 43 clinical geneticists. While the 3 groups agreed to encourage clinical testing in asymptomatic ADPKD minors and adults, only geneticists would recommend genetic testing in asymptomatic at-risk adults (P<0.001). Statistically significant disagreement between disciplines was observed regarding the ethical justification of prenatal genetic diagnosis, termination of pregnancy and pre-implantation genetic diagnosis (PGD) for ADPKD. Particularly, PGD is ethically justified according to geneticists (4.48 (1.63)), whereas pediatric (3.08 (1.78); P<0.001) and adult nephrologists (3.66 (1.88); P<0.05) appeared to be less convinced. Our survey suggests that most clinicians support clinical testing of at-risk minors and adults in ADPKD families. However, there is no agreement for genetic testing in asymptomatic offspring and for family planning, including PGD. The present data highlight the need for a consensus among clinicians, to avoid that ADPKD families are being given conflicting information.

Indexed as

Attitude of Health PersonnelFamily Planning ServicesAdultFemaleHumansMaleMiddle AgedPolycystic Kidney, Autosomal DominantSurveys and Questionnaires

Identifiers

PMID28961265
PMCPMC5621697
OpenAlexW2760622413

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.