Evidence map›Paper›PMID 29569191›Full record

ArticlePediatric nephrology (Berlin, Germany)2018

Urinary CD80 excretion is a predictor of good outcome in children with primary nephrotic syndrome.

Chen Ling, Xiaorong Liu, Ying Shen, Zhi Chen, Jianfeng Fan, Yeping Jiang, Qun Meng

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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 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 18% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Biomarkers in pediatric glomerulonephritis and nephrotic syndrome.Pediatric nephrology (Berlin, Germany) · 2021
    Review
  7. Review
  8. Article
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  10. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Chen LingDepartment of Nephrology, Beijing Children's Hospital affiliated with Capital Medical University, West District Nan Li Shi Lu 56th, Beijing, 100045, China.
Xiaorong LiuDepartment of Nephrology, Beijing Children's Hospital affiliated with Capital Medical University, West District Nan Li Shi Lu 56th, Beijing, 100045, China. desin2000@sina.com.
Ying ShenDepartment of Nephrology, Beijing Children's Hospital affiliated with Capital Medical University, West District Nan Li Shi Lu 56th, Beijing, 100045, China.
Zhi ChenDepartment of Nephrology, Beijing Children's Hospital affiliated with Capital Medical University, West District Nan Li Shi Lu 56th, Beijing, 100045, China.
Jianfeng FanDepartment of Nephrology, Beijing Children's Hospital affiliated with Capital Medical University, West District Nan Li Shi Lu 56th, Beijing, 100045, China.
Yeping JiangDepartment of Nephrology, Beijing Children's Hospital affiliated with Capital Medical University, West District Nan Li Shi Lu 56th, Beijing, 100045, China.
Qun MengDepartment of Nephrology, Beijing Children's Hospital affiliated with Capital Medical University, West District Nan Li Shi Lu 56th, Beijing, 100045, China.
Beijing Children’s Hospital · CNCapital Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe level of urinary cluster of differentiation 80 (uCD80) is elevated in most children with minimal change disease (MCD) as opposed to focal segmental glomerulosclerosis (FSGS) during the acute phase. The objective of this follow-up study was to evaluate whether uCD80 elevation is actually associated with MCD and whether it signals better prognosis.

methodsWe evaluated uCD80 levels and a series of putative progression factors in a cohort of 64 patients with nephrotic syndrome (NS) seen between 2011 and 2016. We monitored progression of chronic kidney disease (CKD), assessed as a glomerular filtration rate of < 90 ml/min/1.73 m

resultsDuring a mean follow-up period of 4.8 ± 0.6 (range 3.5-6.0) years, 13 children (20%) evolved to at least CKD stage 2. The 64 patients with NS and normal baseline renal function were divided into two groups based on uCD80 excretion, i.e. below or above a defined cutoff (< or > 328.98 ng/g creatinine). The predicted response to immunosuppression therapy was 34.5 and 100% in the low- and high-uCD80 excretion, respectively (p < 0.001). Progression to CKD was 41.4 vs. 2.9% in NS patients (p < 0.001). Using the Cox model, only uCD80 excretion (p = 0.013, relative risk 6.171) predicted progression to CKD.

conclusionsUrinary CD80 predicts progression and remission in children with NS. The use of uCD80 as a prognostic marker facilitates the identification of high-risk patients at an early stage and may lead to better treatment selection.

Indexed as

B7-1 AntigenBiomarkersChildChild, PreschoolDiagnosis, DifferentialDisease ProgressionFemaleFollow-Up StudiesGlomerular Filtration RateGlomerulosclerosis, Focal SegmentalHumansImmunosuppressive AgentsInfantKidneyKidney Function TestsMaleB7-1 AntigenBiomarkersCD80 protein, humanImmunosuppressive AgentsCD80ChildrenChronic kidney diseaseFSGSMCDProgression

Identifiers

PMID29569191
OpenAlexW2790059657

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Registered trials

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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.