Evidence map›Paper›PMID 30721392›Full record

ArticleClinical and experimental nephrology2019

The long-term outcome of childhood nephrotic syndrome in Germany: a cross-sectional study.

Malik Aydin, Ingo Franke, Lisa Kurylowicz, Rainer Ganschow, Michael Lentze, Mark Born, Rebekka Hagemann

Abstract read
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In one paragraph

Article in Clinical and experimental nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
1.9field-weighted citation impact, top 15% 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

10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Corticosteroid therapy for nephrotic syndrome in children.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Pooled it
  3. Corticosteroid therapy for nephrotic syndrome in children.The Cochrane database of systematic reviews · 2020
    Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Disease-Associated Systemic Complications in Childhood Nephrotic Syndrome: A Systematic Review.International journal of nephrology and renovascular disease · 2022
    Article
  10. Adult survivors of idiopathic childhood onset nephrotic syndrome.Pediatric nephrology (Berlin, Germany) · 2021
    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

7 authors at 2 institutions in 1 country.

Malik Aydin *Department of General Pediatrics, University Children's Hospital Bonn, Bonn, Germany. malik.aydin@uni-wh.de.
Ingo Franke *Department of General Pediatrics, University Children's Hospital Bonn, Bonn, Germany.
Lisa KurylowiczDepartment of General Pediatrics, University Children's Hospital Bonn, Bonn, Germany.
Rainer GanschowDepartment of General Pediatrics, University Children's Hospital Bonn, Bonn, Germany.
Michael LentzeDepartment of General Pediatrics, University Children's Hospital Bonn, Bonn, Germany.
Mark Born *Department of Radiology, Pediatric Radiology, University Hospital Bonn, Bonn, Germany.
Rebekka Hagemann *Department of General Pediatrics, University Children's Hospital Bonn, Bonn, Germany.
University Hospital Bonn · DEHelios Universitätsklinikum Wuppertal · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong-term outcomes of children with nephrotic syndrome have not been well described in the literature.

methodsCross-sectional study data analysis of n = 43 patients with steroid-sensitive (SSNS) and n = 7 patients with steroid-resistant (SRNS) nephrotic syndrome were retrospectively collected; patients were clinically examined at a follow-up visit (FUV), on average 30 years after onset, there was the longest follow-up period to date.

resultsThe mean age at FUV was 33.6 years (14.4-50.8 years, n = 41). The mean age of patients with SSNS at onset was 4.7 years (median 3.8 years (1.2-14.5 years), the mean number of relapses was 5.8 (0 to 29 relapses). Seven patients (16.3%) had no relapses. Eleven patients were "frequent relapsers" (25.6%) and four patients still had relapses beyond the age of 18 years. Except of cataracts and arterial hypertension, there were no negative long-term outcomes and only one patient was using immunosuppressant therapy at FUV. 55% of patients suffered from allergies and 47.5% had hypercholesterolemia. Two patients suffered a heart attack in adulthood. A younger age at onset (< 4 years) was a risk factor for frequent relapses. An early relapse (within 6 months after onset) was a risk factor and a low birth weight was not a significant risk factor for a complicated NS course. The mean age of patients with SRNS at onset was 4.6 ± 4.4 years and 27.5 ± 9.9 years at FUV. Three patients received kidney transplantations.

conclusionsThe positive long-term prognosis of SSNS can reduce the concern of parents about the probability of the child developing a chronic renal disease during the clinical course after onset.

Indexed as

AdolescentAdultBone and BonesChildChild, PreschoolComorbidityCross-Sectional StudiesFemaleFertilityGermanyHumansInfantMaleMiddle AgedNephrotic SyndromePregnancyChildhood nephrotic syndromeComplicationOutcomeSteroid-resistant nephrotic syndromeSteroid-sensitive nephrotic syndrome

Identifiers

PMID30721392
OpenAlexW2915049238

What OpenQuestion holds

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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.