Evidence map›Paper›PMID 32269302›Full record

ReviewNature reviews. Nephrology2020

Consensus guidelines for management of hyperammonaemia in paediatric patients receiving continuous kidney replacement therapy.

Rupesh Raina, Jirair K Bedoyan, Uta Lichter-Konecki, Philippe Jouvet, Stefano Picca, Nicholas Ah Mew, Marcel C Machado, Ronith Chakraborty, Meghana Vemuganti, Manpreet K Grewal and 10 more

Open access · hybridAbstract readConsensus StatementReview
In one paragraph

Review in Nature reviews. Nephrology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 2 pooled it
7.2field-weighted citation impact, top 2% 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

55 citing papers in PubMed, 2 syntheses or guidelines pooled it, 96 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Observational
  4. Article
  5. Observational
  6. Article
  7. [N-carbamylglutamate in the treatment of neonatal organic acidemia crisis: a report of five cases].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2026
    Article
  8. A multicenter descriptive study of neonatal-onset urea cycle disorder patients hospitalized in level IV NICUs.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  9. Article
  10. Review
  11. Continuous renal replacement therapy in acute liver failure.World journal of critical care medicine · 2026
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. [Sequential therapy with carglumic acid in three cases of organic acidemia crisis].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
    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

20 authors at 19 institutions in 8 countries.

Rupesh Raina *Department of Nephrology, Akron Children's Hospital, Akron, OH, USA. rraina@akronchildrens.org.
Jirair K Bedoyan *Center for Human Genetics, University Hospitals Cleveland Medical Center and Department of Genetics and Genome Sciences, Case Western Reserve University, Cleveland, OH, USA.
Uta Lichter-KoneckiDivision of Medical Genetics, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.
Philippe JouvetDepartment of Paediatrics, Sainte-Justine Hospital, University of Montreal, Montreal, Quebec, Canada.
Stefano PiccaDivision of Nephrology and Dialysis, Department of Paediatrics, Bambino Gesù Children's Hospital and Research Institute, Rome, Italy.
Nicholas Ah MewChildren's National Rare Disease Institute, The George Washington University, Washington, DC, USA.
Marcel C MachadoDepartment of Emergency Medicine, University of São Paulo School of Medicine, São Paulo, Brazil.
Ronith ChakrabortyAkron Nephrology Associates/Cleveland Clinic Akron General, Akron, OH, USA.
Meghana VemugantiDepartment of Pediatrics, Rainbow Babies and Children's Hospital, Cleveland, OH, USA.
Manpreet K GrewalDepartment of Pediatric Nephrology, Children's Hospital of Michigan, Detroit, MI, USA.
Timothy BunchmanPediatric Nephrology & Transplantation, Children's Hospital of Richmond, Virginia Commonwealth University, Richmond, VA, USA.
Sidharth Kumar SethiPaediatric Nephrology & Paediatric Kidney Transplantation, Kidney and Urology Institute, Medanta, The Medicity Hospital, Gurgaon, India.
Vinod KrishnappaAkron Nephrology Associates/Cleveland Clinic Akron General, Akron, OH, USA.
Mignon McCullochRed Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, South Africa.
Khalid AlhasanDepartment of Paediatrics, King Saud University, College of Medicine, Riyadh, Saudi Arabia.
Arvind BaggaDivision of Paediatric Nephrology, All India Institute of Medical Sciences, New Delhi, India.
Rajit K BasuDepartment of Pediatric Critical Care Medicine, Children's Healthcare of Atlanta, Atlanta, GA, USA.
Franz SchaeferDivision of Paediatric Nephrology, University Children's Hospital Heidelberg, Heidelberg, Germany.
Guido FillerDivision of Paediatric Nephrology, Department of Paediatrics, Western University, London, Ontario, Canada.ORCID http://orcid.org/0000-0003-1891-6765
Bradley A WaradyDivision of Nephrology, University of Missouri-Kansas City School of Medicine, Children's Mercy, Kansas City, MO, USA.
Cleveland Clinic · USAkron Children's Hospital · USAll India Institute of Medical Sciences · INBambino Gesù Children's Hospital · ITBoston Children's Hospital · USCentre Hospitalier Universitaire Sainte-Justine · CAChildren's Healthcare of Atlanta · USChildren's Hospital of Michigan · USChildren's Hospital of Pittsburgh · USChildren's National · USKing Saud University · SAMedanta The Medicity · INRainbow Babies & Children's Hospital · USUniversidade de São Paulo · BRUniversity Hospitals of Cleveland · USUniversity of Cape Town · ZAUniversity of Missouri–Kansas City · USVirginia Commonwealth University · USWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hyperammonaemia in children can lead to grave consequences in the form of cerebral oedema, severe neurological impairment and even death. In infants and children, common causes of hyperammonaemia include urea cycle disorders or organic acidaemias. Few studies have assessed the role of extracorporeal therapies in the management of hyperammonaemia in neonates and children. Moreover, consensus guidelines are lacking for the use of non-kidney replacement therapy (NKRT) and kidney replacement therapies (KRTs, including peritoneal dialysis, continuous KRT, haemodialysis and hybrid therapy) to manage hyperammonaemia in neonates and children. Prompt treatment with KRT and/or NKRT, the choice of which depends on the ammonia concentrations and presenting symptoms of the patient, is crucial. This expert Consensus Statement presents recommendations for the management of hyperammonaemia requiring KRT in paediatric populations. Additional studies are required to strengthen these recommendations.

Indexed as

ArginineCarnitineChildChild, PreschoolContinuous Renal Replacement TherapyDelphi TechniqueDiet, Protein-RestrictedHumansHybrid Renal Replacement TherapyHyperammonemiaInfantInfant, NewbornParenteral NutritionPeritoneal DialysisPhenylacetatesPhenylbutyratesArginineCarnitinePhenylacetatesphenylacetic acidPhenylbutyratesSodium BenzoateVitamin B Complex

Identifiers

PMID32269302
PMCPMC7366888
OpenAlexW3015614832

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.