Evidence map›Paper›PMID 29196979›Full record

ArticlePediatric nephrology (Berlin, Germany)2018

Changes in arterial pressure and markers of nitric oxide homeostasis and oxidative stress following surgical correction of hydronephrosis in children.

Ammar Al-Mashhadi, Antonio Checa, Nils Wåhlin, Tryggve Neveus, Magdalena Fossum, Craig E Wheelock, Birgitta Karanikas, Arne Stenberg, A Erik G Persson, Mattias Carlstrom

Open access · hybridAbstract read
In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
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

3 citing papers in PubMed, 8 citations in OpenAlex.

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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

10 authors at 3 institutions in 1 country.

Ammar Al-MashhadiPediatric Surgery Section, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Antonio ChecaDepartment of Medical Biochemistry and Biophysics, Karolinska Institutet, Stockholm, Sweden.
Nils WåhlinDepartment of Women's and Children's Health, and Center for Molecular Medicine, Karolinska Institutet, Stockholm, Sweden.
Tryggve NeveusPediatric Nephrology Unit, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Magdalena FossumDepartment of Women's and Children's Health, and Center for Molecular Medicine, Karolinska Institutet, Stockholm, Sweden.
Craig E WheelockDepartment of Medical Biochemistry and Biophysics, Karolinska Institutet, Stockholm, Sweden.
Birgitta KaranikasPediatric Surgery Section, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Arne StenbergPediatric Surgery Section, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
A Erik G PerssonDepartment Medical Cell Biology, Uppsala University, Uppsala, Sweden.
Mattias CarlstromDepartment of Physiology and Pharmacology, Karolinska Institutet, Nanna Svartz Väg 2, 17177, Stockholm, Sweden. Mattias.Carlstrom@ki.se.ORCID 0000-0001-9923-8729
Uppsala University · SEKarolinska Institutet · SEKarolinska University Hospital · SE

Funding

Hjärt-Lungfonden 20140448Hjärt-Lungfonden 20170124Vetenskapsrådet 2016-01381Vetenskapsrådet 65X-03522-43-3
6 · The paper itself

Abstract

objectiveRecent clinical studies have suggested an increased risk of elevated arterial pressure in patients with hydronephrosis. Animals with experimentally induced hydronephrosis develop hypertension, which is correlated to the degree of obstruction and increased oxidative stress. In this prospective study we investigated changes in arterial pressure, oxidative stress, and nitric oxide (NO) homeostasis following correction of hydronephrosis.

methodsAmbulatory arterial pressure (24 h) was monitored in pediatric patients with hydronephrosis (n = 15) before and after surgical correction, and the measurements were compared with arterial pressure measurements in two control groups, i.e. healthy controls (n = 8) and operated controls (n = 8). Markers of oxidative stress and NO homeostasis were analyzed in matched urine and plasma samples.

resultsThe preoperative mean arterial pressure was significantly higher in hydronephrotic patients [83 mmHg; 95% confidence interval (CI) 80-88 mmHg] than in healthy controls (74 mmHg; 95% CI 68-80 mmHg; p < 0.05), and surgical correction of ureteral obstruction reduced arterial pressure (76 mmHg; 95% CI 74-79 mmHg; p < 0.05). Markers of oxidative stress (i.e., 11-dehydroTXB

conclusionThis study demonstrates increased arterial pressure and oxidative stress in children with hydronephrosis compared with healthy controls, which can be restored to normal levels by surgical correction of the obstruction. Once reference data on ambulatory blood pressure in this young age group become available, we hope cut-off values can be defined for deciding whether or not to correct hydronephrosis surgically.

Indexed as

Arterial PressureBiomarkersBlood Pressure Monitoring, AmbulatoryChildChild, PreschoolFemaleHomeostasisHumansHydronephrosisHypertensionInfantKidneyKidney Function TestsMaleNitric OxideOxidative StressBiomarkersNitric OxideBlood pressureHydronephrosisHypertensionNitric oxideOxidative stressUreteral obstruction

Identifiers

PMID29196979
PMCPMC5859689
OpenAlexW2773728993

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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.