Evidence map›Paper›PMID 29882450›Full record

SynthesisThe Journal of international medical research2018

Efficacy and safety of tacrolimus combined with glucocorticoid treatment for IgA nephropathy: a meta-analysis.

Yong Zhang, Jun Luo, Bin Hu, Tean Ma

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in The Journal of international medical research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 16% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Current treatment of IgA nephropathy.Seminars in immunopathology · 2021
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. [Clinical effect of tacrolimus combined with glucocorticoid in the treatment of IgA nephropathy in children].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2019
    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

4 authors at 2 institutions in 1 country.

Yong Zhang1 Department of Nephrology, The First Affiliated Hospital of Yangtze University, Jingzhou, Hubei, China.
Jun Luo2 Department of Pediatrics, Renhe Hospital, China Three Gorges University, Yichang, Hubei, China.
Bin Hu3 Department of Nephrology, Renhe Hospital, China Three Gorges University, Yichang, Hubei, China.
Tean Ma1 Department of Nephrology, The First Affiliated Hospital of Yangtze University, Jingzhou, Hubei, China.
China Three Gorges University · CNYangtze University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective As a classical immunosuppressant, tacrolimus (TAC) has been widely used in organ transplantation therapy, but the general benefits of TAC for the treatment of IgA nephropathy (IgAN) remain uncertain. We conducted a meta-analysis to examine the effects of TAC combined with glucocorticoid on IgAN. Methods We searched the information databases PubMed/Medline, Embase, Science Citation Index, Chinese Biomedical Literature and the Chinese databases VIP, CNKI and Wan Fang for randomized controlled trials of TAC combined with glucocorticoid as a therapy for IgAN. Results Ten relevant studies involving 472 patients were included in a meta-analysis. Overall, the TAC group showed a significant decrease in proteinuria compared with the control group (MD: -0.18 g/d, 95% CI: -0.32 to -0.04). No increased risk of adverse events was observed (OR: 0.93, 95% CI: 0.65 to 1.33). In general, the TAC group showed good tolerance. Conclusion Evidence to date clearly indicates that TAC combined with glucocorticoid is quite effective in reducing proteinuria and albuminuria in patients with IgAN. Moreover, we found that patients receiving TAC therapy did not show an increased risk of side effects compared with control group patients. TAC combined with glucocorticoid is a promising medication and merits further research.

Indexed as

Drug Therapy, CombinationGlomerulonephritis, IGAGlucocorticoidsHumansImmunosuppressive AgentsRandomized Controlled Trials as TopicTacrolimusTreatment OutcomeGlucocorticoidsImmunosuppressive AgentsTacrolimusglucocorticoidIgA nephropathyimmunosuppressantmeta-analysisproteinuriaTacrolimus

Identifiers

PMID29882450
PMCPMC6134674
OpenAlexW2805567054

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.