Evidence map›Paper›PMID 29610995›Full record

ArticlePediatric nephrology (Berlin, Germany)2018

Extra-Renal manifestations of atypical hemolytic uremic syndrome in children.

Kibriya Fidan, Nilüfer Göknar, Bora Gülhan, Engin Melek, Zeynep Y Yıldırım, Esra Baskın, Mutlu Hayran, Kaan Gülleroglu, Zeynep B Özçakar, Fatih Ozaltin and 1 more

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

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Updates in atypical hemolytic syndrome.Current opinion in pediatrics · 2026
    Review
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  18. Article
  19. Hemolytic Uremic Syndrome in Children.Turkish archives of pediatrics · 2021
    Article
  20. 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

11 authors at 7 institutions in 1 country.

Kibriya FidanGazi University, School of Medicine, Department of Pediatric Nephrology, Istanbul, Turkey. kibriyafidan@yahoo.co.uk.
Nilüfer GöknarBezmialem Vakif University, School of Medicine, Department of Pediatric Nephrology, Istanbul, Turkey.
Bora GülhanHacettepe University, School of Medicine, Department of Pediatric Nephrology, Ankara, Turkey.
Engin MelekCukurova University, School of Medicine, Department of Pediatric Nephrology, Ankara, Turkey.
Zeynep Y YıldırımIstanbul University, School of Medicine, Department of Pediatric Nephrology, Istanbul, Turkey.
Esra BaskınBaskent University, School of Medicine, Department of Pediatric Nephrology, Ankara, Turkey.
Mutlu HayranHacettepe University, School of Medicine, Department of Pediatric Nephrology, Ankara, Turkey.
Kaan GüllerogluBaskent University, School of Medicine, Department of Pediatric Nephrology, Ankara, Turkey.
Zeynep B ÖzçakarAnkara University, School of Medicine, Department of Pediatric Nephrology, Ankara, Turkey.
Fatih OzaltinHacettepe University, School of Medicine, Department of Pediatric Nephrology, Ankara, Turkey.
Oguz SoylemezogluGazi University, School of Medicine, Department of Pediatric Nephrology, Istanbul, Turkey.
Hacettepe University · TRBaşkent University · TRGazi University · TRAnkara University · TRBezmiâlem Vakıf Üniversitesi · TRCukurova University · TRIstanbul University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtypical hemolytic uremic syndrome (aHUS) is a chronic disease characterized by thrombotic microangiopathy and a high risk of end-stage kidney disease. Dysregulation and/or excessive activation of the complement system results in thrombotic microangiopathy. Interest in extrarenal manifestations of aHUS is increasing. This study aimed to determine the clinical characteristics of patients with extrarenal manifestations of aHUS in childhood.

methodsThis study included 70 children with extrarenal manifestations of HUS from the national Turkish aHUS Registry. The demographics, clinical characteristics, genetic test results, all treatments, and renal/hematologic status of aHUS patients with extrarenal involvement were recorded.

resultsThe most common extrarenal manifestation was neurological system involvement (n = 46 [27.2%]), followed by gastrointestinal (n = 20 [11.8%]), cardiovascular (n = 12 [7%]), and respiratory (n = 12 [7%]) involvement. The patients with neurological involvement had a higher mortality rate and a lower estimated glomerular filtration rate (eGFR) than the other patients at last follow-up. Eculizumab (with or without plasma exchange/plasma infusion) treatment increased the renal and hematologic recovery rates.

conclusionsThe most common and serious extrarenal manifestation of aHUS is neurological involvement and treatment outcome findings presented herein are important to all relevant clinicians.

Indexed as

AdolescentAntibodies, Monoclonal, HumanizedAtypical Hemolytic Uremic SyndromeCardiovascular DiseasesCentral Nervous System DiseasesChildChild, PreschoolFemaleFollow-Up StudiesGastrointestinal DiseasesGlomerular Filtration RateHumansInfantMalePlasma ExchangePrognosisAntibodies, Monoclonal, HumanizedeculizumabAtypical hemolytic uremic syndromeChildrenEculizumabExtrarenal involvementNeurological involvement

Identifiers

PMID29610995
OpenAlexW2795501462

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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.