Evidence map›Paper›PMID 31745585›Full record

ArticleEuropean journal of clinical pharmacology2020

Risk factors and clinical characteristics of tacrolimus-induced acute nephrotoxicity in children with nephrotic syndrome: a retrospective case-control study.

Ping Gao, Xin-Lei Guan, Rui Huang, Xiao-Fang Shang-Guan, Jiang-Wei Luan, Mao-Chang Liu, Hua Xu, Xiao-Wen Wang

Abstract read
PubMed Publisher
In one paragraph

Article in European journal of clinical pharmacology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. 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

8 authors at 2 institutions in 1 country.

Ping GaoDepartment of Clinical Pharmacy, Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Xin-Lei GuanDepartment of Pharmacy, Wuhan Fourth Hospital, Puai Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Rui HuangSchool of Pharmacy, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Xiao-Fang Shang-GuanSchool of Pharmacy, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Jiang-Wei LuanDepartment of Nephrology, Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Mao-Chang LiuDepartment of Clinical Pharmacy, Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Hua XuDepartment of Clinical Pharmacy, Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. 690680952@qq.com.
Xiao-Wen WangDepartment of Nephrology, Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. wangxiaowen_hust@163.com.
Huazhong University of Science and Technology · CNWuhan Children's Hospital · CN

Funding

National Natural Science Foundation of China 71874062Wuhan Health and Family Planning Commission WZ18Q03Young Scientists Fund 81803503
6 · The paper itself

Abstract

purposeAcute nephrotoxicity is a common adverse reaction of tacrolimus therapy; however, its risk factors in pediatric nephrotic syndrome (NS) remain to be evaluated. The objective of this study was to investigate the risk factors and characteristics of tacrolimus-induced acute nephrotoxicity in children with NS.

methodsPast records of children with NS admitted to our hospital from 2014 to 2018 were reviewed. The incidence and characteristics of nephrotoxicity were analyzed. Multivariate logistic regression analysis was used to identify the risk factors of nephrotoxicity. A clinically applicable risk score was developed and validated.

resultsTacrolimus-induced nephrotoxicity occurred in 25 of 129 patients, 13 patients were grade 1, and the renal function was recovered in 22 patients. Multivariate regression analysis showed that the maximum trough concentrations (C

conclusionsHigh trough concentration of tacrolimus and diarrhea can potentiate the risk of tacrolimus-induced acute nephrotoxicity in children with NS, while huaiqihuang granules can protect this condition.

Indexed as

Case-Control StudiesChildChild, PreschoolDiarrheaDrugs, Chinese HerbalFemaleFollow-Up StudiesHumansImmunosuppressive AgentsKidney DiseasesMaleNephrotic SyndromeRetrospective StudiesRisk FactorsTacrolimusDrugs, Chinese Herbalhuai qi huangImmunosuppressive AgentsTacrolimusAcute nephrotoxicityChildrenNephrotic syndromeRisk factorTacrolimus

Identifiers

PMID31745585
OpenAlexW2991456662

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.