Evidence map›Paper›PMID 31167184›Full record

ArticleAmerican journal of nephrology2019

Histological Evidence of Diabetic Kidney Disease Precede Clinical Diagnosis.

Giorgia Comai, Deborah Malvi, Andrea Angeletti, Francesco Vasuri, Sabrina Valente, Francesca Ambrosi, Irene Capelli, Matteo Ravaioli, Gianandrea Pasquinelli, Antonietta D'Errico and 2 more

Open access · greenAbstract read
In one paragraph

Article in American journal of nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
1.8field-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

23 citing papers in PubMed, 36 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

12 authors at 2 institutions in 2 countries.

Giorgia ComaiDepartment of Experimental, Diagnostic and Specialty Medicine, Nephrology, Dialysis and Renal Transplant Unit, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Deborah MalviDepartment of Experimental, Diagnostic and Specialty Medicine, Pathology Unit, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Andrea AngelettiDepartment of Experimental, Diagnostic and Specialty Medicine, Nephrology, Dialysis and Renal Transplant Unit, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Francesco VasuriDepartment of Experimental, Diagnostic and Specialty Medicine, Pathology Unit, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Sabrina ValenteDepartment of Experimental, Diagnostic and Specialty Medicine, Clinical Pathology S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Francesca AmbrosiDepartment of Experimental, Diagnostic and Specialty Medicine, Pathology Unit, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Irene CapelliDepartment of Experimental, Diagnostic and Specialty Medicine, Nephrology, Dialysis and Renal Transplant Unit, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Matteo RavaioliUnit of General and Transplant Surgery Department of Medical and Surgical Sciences University of Bologna, S. Orsola Malpighi Hospital Bologna, Bologna, Italy.
Gianandrea PasquinelliDepartment of Experimental, Diagnostic and Specialty Medicine, Clinical Pathology S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Antonietta D'ErricoDepartment of Experimental, Diagnostic and Specialty Medicine, Pathology Unit, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Alessia FornoniKatz Family Drug Discovery Center, Department of Medicine, University of Miami, Miami, Florida, USA.
Gaetano La MannaDepartment of Experimental, Diagnostic and Specialty Medicine, Nephrology, Dialysis and Renal Transplant Unit, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy, gaetano.lamanna@unibo.it.
IRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITUniversity of Miami · US

Funding

Training Program in Clinical & Translationa Research in Human Glomerular DiseaseU54DK083912 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI KRETZLER, MATTHIAS · 2009 to 2023
$20.3M
Miami Clinical and Translational Science InstituteUL1TR000460 · NCATS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI SACCO, RALPH L. · 2012 to 2016
$16.9M
Crosstalk Between Lipid Droplets and Other Organelles in PodocytesR01DK104753 · NIDDK · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI FORNONI, ALESSIA · 2015 to 2025
$5.9M
Primary Outcomes in Glomerulonephritis Study (PROGRESS)UM1DK100846 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI HOLZMAN, LAWRENCE B. · 2013 to 2018
$5.8M
1/13 ApoL1 Genotypes in Kidney Donors and Long-Term Outcomes in Kidney Transplant Recipients Clinical CenterU01DK116101 · NIDDK · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI ALESSIA FORNONI, Mariella Cecilia Ortigosa-goggins · 2017 to 2026
$2.4M
(PQ12) Targeting SMPDL3b to Prevent Radiation-Induced NephrotoxicityR01CA227493 · NCI · UNIVERSITY OF ROCHESTER · PI MARPLES, BRIAN · 2018 to 2022
$2.0M
Novel Targets of Rituximab in FSGSR01DK090316 · NIDDK · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI FORNONI, ALESSIA · 2011 to 2015
$1.7M
SMPDL3b and podocyte insulin signaling in DKDR01DK117599 · NIDDK · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI FORNONI, ALESSIA · 2018 to 2021
$1.4M
NCATS NIH HHS UL1 TR000460NCI NIH HHS R01 CA227493NIDDK NIH HHS R01 DK090316NIDDK NIH HHS R01 DK104753NIDDK NIH HHS R01 DK117599NIDDK NIH HHS U01 DK116101NIDDK NIH HHS U54 DK083912NIDDK NIH HHS UM1 DK100846
6 · The paper itself

Abstract

backgroundIn the absence of a histological diagnosis, persistent albuminuria is globally accepted as the main diagnostic criteria for diabetic kidney disease (DKD).

methodsIn the present retrospective study, we evaluated data from an Italian cohort of 42 deceased diabetic donors (mainly with type 2 diabetes). Using the kidney biopsies obtained at the time of donation to evaluate single or double allocation based on Karpinski score, we determined the prevalence of histological lesions attributable to diabetes.

resultsAll 42 donors presented with proteinuria in the normal range and an estimated glomerular filtration rate (eGFR) (chronic kidney disease [CKD]-EPI) >60 mL/min/1.73 m2. A kidney biopsy was available for 36 patients; of these, one was not interpretable and 32 showed histopathological lesions consistent with DKD and encompassing all histological classes. Thus, we found a relatively high proportion of histologically proven DKD that had been clinically undiagnosed, as none of the patient had significant proteinuria and eGFR <60 mL/min/1.73 m2.

conclusionsThe data we present here support the need to implement routine kidney biopsies in normoalbuminuric diabetic subjects in the early stages of CKD. Such strategy may help to improve risk stratification in diabetic patients and guide therapeutic decisions during the early stages of the disease.

Indexed as

AgedAlbuminuriaBiopsyDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Diabetic NephropathiesFemaleGlomerular Basement MembraneGlomerular Filtration RateHumansMaleMicroscopy, Electron, TransmissionMiddle AgedRetrospective StudiesRisk AssessmentAlbuminuria diabetes mellitusDiabetic kidney diseaseDiabetic nephropathyKidney biopsy

Identifiers

PMID31167184
PMCPMC6691362
OpenAlexW2958407862

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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.