Evidence map›Paper›PMID 29651604›Full record

ArticlePediatric nephrology (Berlin, Germany)2018

Patterns and frequency of renal abnormalities in Fanconi anaemia: implications for long-term management.

Vijaya Sathyanarayana, Beth Lee, Neville B Wright, Rui Santos, Denise Bonney, Robert Wynn, Leena Patel, Kate Chandler, Ed Cheesman, Detlev Schindler and 2 more

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

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 26% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Late Effects Following Hematopoietic Stem Cell Transplantation Among Childhood Transplant Survivors with Fanconi AnemiaTurkish journal of haematology : official journal of Turkish Society of Haematology · 2025
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  17. Chromosome instability syndromes.Nature reviews. Disease primers · 2019
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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

12 authors at 2 institutions in 2 countries.

Vijaya SathyanarayanaDepartment of Paediatric Nephrology, Royal Manchester Children's Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
Beth LeeManchester Academic Health Science Centre, Manchester, UK.
Neville B WrightManchester Academic Health Science Centre, Manchester, UK.
Rui SantosManchester Academic Health Science Centre, Manchester, UK.
Denise BonneyManchester Academic Health Science Centre, Manchester, UK.
Robert WynnManchester Academic Health Science Centre, Manchester, UK.
Leena PatelManchester Academic Health Science Centre, Manchester, UK.
Kate ChandlerManchester Academic Health Science Centre, Manchester, UK.
Ed CheesmanManchester Academic Health Science Centre, Manchester, UK.
Detlev SchindlerDepartment of Human Genetics, University of Würzburg, Würzburg, Germany.
Nicholas J A WebbDepartment of Paediatric Nephrology, Royal Manchester Children's Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
Stefan MeyerManchester Academic Health Science Centre, Manchester, UK. stefan.meyer@manchester.ac.uk.ORCID 0000-0002-2283-3690
Manchester Academic Health Science Centre · GBUniversity of Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFanconi anaemia (FA) is an inherited disease with bone marrow failure, variable congenital and developmental abnormalities, and cancer predisposition. With improved survival, non-haematological manifestations of FA become increasingly important for long-term management. While renal abnormalities are recognized, detailed data on patterns and frequency and implications for long-term management are sparse.

methodsWe reviewed clinical course and imaging findings of FA patients with respect to renal complications in our centre over a 25-year period to formulate some practical suggestions for guidelines for management of renal problems associated with FA.

resultsThirty patients including four sibling sets were reviewed. On imaging, 14 had evidence of anatomical abnormalities of the kidneys. Two cases with severe phenotype, including renal abnormalities, had chronic kidney disease (CKD) at diagnosis. Haematopoietic stem cell transplantation was complicated by significant acute kidney injury (AKI) in three cases. In three patients, there was CKD at long-term follow-up. All patients had normal blood pressure.

conclusionsEvaluation of renal anatomy with ultrasound imaging is important at diagnostic workup of FA. While CKD is uncommon at diagnosis, our data suggests that the incidence of CKD increases with age, in particular after haematopoietic stem cell transplantation. Monitoring of renal function is essential for management of FA. Based on these long-term clinical observations, we formulate some practical guidelines for assessment and management of renal abnormalities in FA.

Indexed as

Acute Kidney InjuryChildChild, PreschoolDisease ProgressionFanconi AnemiaFemaleFollow-Up StudiesHematopoietic Stem Cell TransplantationHumansIncidenceInfantKidneyLong-Term CareMalePractice Guidelines as TopicRenal Insufficiency, ChronicFanconi anaemiaLong-term follow-upRenal abnormalities

Identifiers

PMID29651604
PMCPMC6061664
OpenAlexW2796838167

What OpenQuestion holds

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LicenceCC BY
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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.