Evidence map›Paper›PMID 31409583›Full record

ReviewBlood advances2019

Pathophysiology and management of monoclonal gammopathy of renal significance.

Ankur Jain, Richard Haynes, Jaimal Kothari, Akhil Khera, Maria Soares, Karthik Ramasamy

Open access · goldAbstract readReview
In one paragraph

Review in Blood advances, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
3.3field-weighted citation impact, top 7% 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

36 citing papers in PubMed, 71 citations in OpenAlex.

  1. A Comprehensive Review of Monoclonal Gammopathy of Undetermined Significance.Journal of the advanced practitioner in oncology · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Monoclonal gammopathy of renal significance from a hematologic perspective.Hematology. American Society of Hematology. Education Program · 2025
    Review
  6. Pulmonary plasma cell disorders: histopathology, diagnosis, and clinical perspectives.Virchows Archiv : an international journal of pathology · 2025
    Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Contemporary Monoclonal Antibody Utilization in Glomerular Diseases.Mayo Clinic proceedings. Innovations, quality & outcomes · 2023
    Review
  14. Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. 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

6 authors at 4 institutions in 2 countries.

Ankur JainDepartment of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Richard HaynesOxford Kidney Unit, Oxford University Hospitals, NHS Foundation Trust, Oxford, United Kingdom.
Jaimal KothariDepartment of Haematology, Oxford University Hospitals, NHS Foundation Trust, Oxford, United Kingdom.
Akhil KheraDepartment of Haematology, Oxford University Hospitals, NHS Foundation Trust, Oxford, United Kingdom.
Maria SoaresDepartment of Cellular Pathology, John Radcliffe Hospital, Oxford University Hospitals, NHS Foundation Trust, Oxford, United Kingdom; and.
Karthik RamasamyDepartment of Haematology, Oxford University Hospitals, NHS Foundation Trust, Oxford, United Kingdom.ORCID 0000-0003-3385-3707
Oxford BioMedica (United Kingdom) · GBOxford University Hospitals NHS Trust · GBJohn Radcliffe Hospital · GBPost Graduate Institute of Medical Education and Research · IN

Funding

Medical Research Council MC_UU_00017/3
6 · The paper itself

Abstract

Recent years have witnessed a rapid growth in our understanding of the pathogenic property of monoclonal proteins. It is evident that some of these small monoclonal proteins are capable of inducing end-organ damage as a result of their intrinsic physicochemical properties. Hence, an umbrella term, monoclonal gammopathy of clinical significance (MGCS), has been coined to include myriad conditions attributed to these pathogenic proteins. Because kidneys are the most commonly affected organ (but skin, peripheral nerves, and heart can also be involved), we discuss MGRS exclusively in this review. Mechanisms of renal damage may involve direct or indirect effects. Renal biopsy is mandatory and demonstration of monoclonal immunoglobulin in kidney, along with the corresponding immunoglobulin in serum or urine, is key to establish the diagnosis. Pitfalls exist at each diagnostic step, and a high degree of clinical suspicion is required to diagnose MGRS. Recognition of MGRS by hematologists and nephrologists is important, because timely clone-directed therapy improves renal outcomes. Autologous stem cell transplant may benefit selected patients.

Indexed as

AlgorithmsBiopsyFluorescent Antibody TechniqueHumansKidney DiseasesMonoclonal Gammopathy of Undetermined SignificanceParaproteinemiasPrevalenceTreatment Outcome

Identifiers

PMID31409583
PMCPMC6693003
OpenAlexW2968392782

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.