Evidence map›Paper›PMID 31057017›Full record

Observational studyRenal failure2019

Baseline proteinuria level is associated with prognosis in idiopathic membranous nephropathy.

Xinxin Chen, Yu Chen, Xiaokai Ding, Ying Zhou, Yinqiu Lv, Duo Li, Bo Chen, Tianxin Chen, Chaosheng Chen

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Renal failure, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 19% 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

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

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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

9 authors at 3 institutions in 1 country.

Xinxin Chena Department of Nephrology , The First Affiliated Hospital of Wenzhou Medical University , Wenzhou , China.
Yu Chenb Department of Nephrology , Zhejiang Chinese Medical University Affiliated Wenzhou Hospital of Traditional Chinese Medicine , Wenzhou , China.
Xiaokai Dinga Department of Nephrology , The First Affiliated Hospital of Wenzhou Medical University , Wenzhou , China.
Ying Zhoua Department of Nephrology , The First Affiliated Hospital of Wenzhou Medical University , Wenzhou , China.
Yinqiu Lva Department of Nephrology , The First Affiliated Hospital of Wenzhou Medical University , Wenzhou , China.
Duo Lia Department of Nephrology , The First Affiliated Hospital of Wenzhou Medical University , Wenzhou , China.
Bo Chena Department of Nephrology , The First Affiliated Hospital of Wenzhou Medical University , Wenzhou , China.
Tianxin Chena Department of Nephrology , The First Affiliated Hospital of Wenzhou Medical University , Wenzhou , China.
Chaosheng Chena Department of Nephrology , The First Affiliated Hospital of Wenzhou Medical University , Wenzhou , China.
Wenzhou Medical University · CNFirst Affiliated Hospital of Wenzhou Medical University · CNWenzhou Hospital of Traditional Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to investigate the unique prognostic, clinical, and renal histopathological characteristics of patients with idiopathic membranous nephropathy (IMN) with different levels of proteinuria.

methodsThis retrospective observational study included 190 IMN patients with low levels of proteinuria (low group), 193 IMN patients with medium levels of proteinuria (medium group), and 123 IMN patients with high levels of proteinuria (high group) treated between September 2006 and November 2015. Prognostic and baseline clinical and histopathological data were compared among the three groups. Poor prognostic events included the occurrence of a persistent 50% reduction in estimated glomerular filtration rate (eGFR), end-stage renal disease, or all-cause mortality.

resultsThe severity of clinical symptoms and laboratory indices, such as blood pressure; extent of edema and hematuria; levels of fibrinogen, immunoglobulin (Ig)-G, complement (C)-4, total protein, albumin (ALB), and serum creatinine (SCr); and eGFR increased with increasing proteinuria (all p< .001). Based on renal histopathology, the extent of segmental sclerosis and balloon adhesion and renal interstitial lesion stage also increased in severity with increasing proteinuria (all p< .001). The Kaplan-Meier analysis showed that compared with patients with low and medium levels of proteinuria, patients with high levels of proteinuria had significantly lower cumulative poor event-free renal survival rates (p= .0039).

conclusionsBaseline proteinuria level is indicative of prognosis in IMN patients; the greater the extent of proteinuria is, the worse the prognosis.

Indexed as

Severity of Illness IndexAdultAgedDisease-Free SurvivalFemaleGlomerular Filtration RateGlomerulonephritis, MembranousHumansKaplan-Meier EstimateKidneyKidney Failure, ChronicMaleMiddle AgedPrognosisProteinuriaRetrospective Studiesend-stage renal diseaseIdiopathic membranous nephropathyprognosisproteinuriaremission

Identifiers

PMID31057017
PMCPMC6508055
OpenAlexW2944238358

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.