Evidence map›Paper›PMID 31392657›Full record

SynthesisClinical reviews in allergy & immunology2019

Extrarenal Immune-Mediated Disorders Linked with Acute Poststreptococcal Glomerulonephritis: a Systematic Review.

Elena A Bertola, Giacomo D Simonetti, Rosaria Del Giorno, Olivier Giannini, Emilio F Fossali, Martina Meoli, Mario G Bianchetti, Benedetta Terziroli Beretta-Piccoli, Gregorio P Milani

Open access · greenAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Clinical reviews in allergy & immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 30% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
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 6 institutions in 3 countries.

Elena A BertolaUniversità della Svizzera Italiana, Lugano, Switzerland.
Giacomo D SimonettiUniversità della Svizzera Italiana, Lugano, Switzerland.
Rosaria Del GiornoDepartment of Internal Medicine, Ente Ospedaliero Cantonale, Bellinzona, Switzerland.
Olivier GianniniDepartment of Internal Medicine, Ente Ospedaliero Cantonale, Mendrisio, Switzerland.
Emilio F FossaliPediatric Emergency Department, Foundation IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Milan, Italy.
Martina MeoliUniversità della Svizzera Italiana, Lugano, Switzerland.
Mario G BianchettiUniversità della Svizzera Italiana, Lugano, Switzerland.
Benedetta Terziroli Beretta-PiccoliEpatocentro Ticino, Via Soldino 5, 6900, Lugano, Switzerland. benedetta.terziroli@hin.ch.ORCID http://orcid.org/0000-0001-5004-5029
Gregorio P MilaniPediatric Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Ente Ospedaliero Cantonale · CHOspedale San Giovanni Bellinzona · CHUniversità della Svizzera italiana · CHEpatocentro Ticino · CHFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Streptococcus A infections have been associated with immune-mediated sequelae including acute glomerulonephritis, acute rheumatic fever, thrombocytopenia, hemolytic anemia, Henoch-Schönlein purpura, arthritis, uveitis, guttate psoriasis, and erythema nodosum. Available reviews do not report the occurrence of acute poststreptococcal glomerulonephritis in association with one of the mentioned conditions. We performed a systematic review of the literature on extrarenal immune-mediated disorders associated with acute poststreptococcal glomerulonephritis. The principles recommended by the Economic and Social Research Council guidance on the conduct of narrative synthesis and on the Preferred Reporting Items for Meta-Analyses and Systematic Reviews were used. We identified 41 original articles, published after 1965, which reported on 52 patients (34 males and 18 females aged from 1.7 to 57 years, median 9) affected by acute poststreptococcal glomerulonephritis associated with a further poststreptococcal disease: 29 cases with rheumatic fever (17 males and 12 females aged 3.0 to 57, median 17 years), 16 with hematologic diseases such as thrombocytopenia or hemolytic anemia (13 males and 3 females aged 1.8 to 13, median 6.0 years) and seven with Henoch-Schönlein syndrome, reactive arthritis or uveitis (4 males and 3 females aged 1.7 to 14, median 7.0 years). Patients affected by acute poststreptococcal glomerulonephritis associated with acute rheumatic fever were on the average older (P < 0.05) than patients with acute poststreptococcal glomerulonephritis associated with thrombocytopenia, hemolytic anemia, Henoch-Schönlein syndrome, reactive arthritis or uveitis. Five large case series describing 2058 patients affected by acute poststreptococcal glomerulonephritis did not mention its occurrence in association with further immune-mediated disorders. This systematic review points out that acute poststreptococcal glomerulonephritis can be associated, albeit rarely, with rheumatic fever, thrombocytopenia, hemolytic anemia, Henoch-Schönlein syndrome, reactive arthritis, or uveitis.

Indexed as

Acute DiseaseAdolescentAdultAnemia, HemolyticArthritis, ReactiveChildChild, PreschoolComorbidityFemaleGlomerulonephritisHumansIgA VasculitisInfantMaleMiddle AgedRheumatic FeverAcute poststreptococcal glomerulonephritisAcute rheumatic feverHemolytic anemiaHenoch-Schönlein purpuraReactive arthritisThrombocytopeniaUveitis

Identifiers

PMID31392657
OpenAlexW2966669815

What OpenQuestion holds

Textmetadata
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.