Evidence map›Paper›PMID 32382828›Full record

GuidelinePediatric nephrology (Berlin, Germany)2020

IPNA clinical practice recommendations for the diagnosis and management of children with steroid-resistant nephrotic syndrome.

Agnes Trautmann, Marina Vivarelli, Susan Samuel, Debbie Gipson, Aditi Sinha, Franz Schaefer, Ng Kar Hui, Olivia Boyer, Moin A Saleem, Luciana Feltran and 11 more

Open access · hybridAbstract readPractice Guideline
In one paragraph

Guideline in Pediatric nephrology (Berlin, Germany), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 208 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
208citing papers in PubMed, 5 pooled it
27.6field-weighted citation impact, top 1% 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

208 citing papers in PubMed, 5 syntheses or guidelines pooled it, 359 citations in OpenAlex.

  1. Pooled it
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  4. Guideline
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  6. Steroid-sparing drugs in children and young adults with nephrotic syndrome: a target trial emulation.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026
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  19. Novel immune-related susceptibility loci associated with pediatric steroid-sensitive nephrotic syndrome identified by a transethnic genome-wide association study.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026
    Article
  20. Article

148 more citing papers are in PubMed but not listed here.

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

21 authors at 19 institutions in 14 countries.

Agnes TrautmannDivision of Pediatric Nephrology, Center for Pediatrics and Adolescent Medicine, Heidelberg, Germany.
Marina VivarelliDepartment of Pediatric Subspecialties, Division of Nephrology and Dialysis, Bambino Gesù Pediatric Hospital and Research Center, Rome, Italy.
Susan SamuelDepartment of Pediatrics, Section of Pediatric Nephrology, Alberta Children's Hospital, University of Calgary, Calgary, Canada.
Debbie GipsonDivision of Nephrology, University of Michigan, Ann Arbor, MI, USA.
Aditi SinhaDepartment of Pediatrics, Division of Nephrology, All India Institute of Medical Sciences, New Delhi, India.
Franz SchaeferDivision of Pediatric Nephrology, Center for Pediatrics and Adolescent Medicine, Heidelberg, Germany.
Ng Kar HuiDepartment of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Olivia BoyerLaboratory of Hereditary Kidney Diseases, Imagine Institute, INSERM U1163, Paris Descartes University, Paris, France.
Moin A SaleemDepartment of Pediatric Nephrology, Bristol Royal Hospital for Children, University of Bristol, Bristol, UK.
Luciana FeltranHospital Samaritano and HRim/UNIFESP, Federal University of São Paulo, São Paulo, Brazil.
Janina Müller-DeileDepartment of Nephrology, University Hospital Erlangen, Erlangen, Germany.
Jan Ulrich BeckerInstitute of Pathology, University Hospital of Cologne, Cologne, Germany.
Francisco CanoDepartment of Nephrology, Luis Calvo Mackenna Children's Hospital, University of Chile, Santiago, Chile.
Hong XuDepartment of Nephrology, Children's Hospital of Fudan University, Shanghai, China.
Yam Ngo LimDepartment of Pediatrics, Prince Court Medical Centre, Kuala Lumpur, Malaysia.
William SmoyerThe Research Institute at Nationwide Children's Hospital, The Ohio State University, Columbus, OH, USA.
Ifeoma AnochieDepartment of Paediatrics, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria.
Koichi NakanishiDepartment of Child Health and Welfare (Pediatrics), Graduate School of Medicine, University of the Ryukyus, Okinawa, Japan.
Elisabeth HodsonCochrane Kidney and Transplant, Centre for Kidney Research, The Children's Hospital at Westmead and the Sydney School of Public Health, University of Sydney, Sydney, Australia.
Dieter HaffnerDepartment of Paediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School Children's Hospital, Hannover, Germany. Haffner.Dieter@mh-hannover.de.
International Pediatric Nephrology Association
All India Institute of Medical Sciences · INAssistance Publique – Hôpitaux de Paris · FRBambino Gesù Children's Hospital · ITChildren's Hospital of Fudan University · CNHeidelberg University · DEHospital Luis Calvo Mackenna · CLHospital Samaritano de São Paulo · BRMedizinische Hochschule Hannover · DENational University of Singapore · SGThe Ohio State University · USUniversitätsklinikum Erlangen · DEUniversity Hospital Cologne · DEUniversity Hospital Heidelberg · DEUniversity of Bristol · GBUniversity of Calgary · CAUniversity of Michigan–Ann Arbor · USUniversity of Port Harcourt Teaching Hospital · NGUniversity of Sydney · AUUniversity of the Ryukyus · JP

Funding

Medical Research Council G0800571Medical Research Council MR/P024297/1
6 · The paper itself

Abstract

Idiopathic nephrotic syndrome newly affects 1-3 per 100,000 children per year. Approximately 85% of cases show complete remission of proteinuria following glucocorticoid treatment. Patients who do not achieve complete remission within 4-6 weeks of glucocorticoid treatment have steroid-resistant nephrotic syndrome (SRNS). In 10-30% of steroid-resistant patients, mutations in podocyte-associated genes can be detected, whereas an undefined circulating factor of immune origin is assumed in the remaining ones. Diagnosis and management of SRNS is a great challenge due to its heterogeneous etiology, frequent lack of remission by further immunosuppressive treatment, and severe complications including the development of end-stage kidney disease and recurrence after renal transplantation. A team of experts including pediatric nephrologists and renal geneticists from the International Pediatric Nephrology Association (IPNA), a renal pathologist, and an adult nephrologist have now developed comprehensive clinical practice recommendations on the diagnosis and management of SRNS in children. The team performed a systematic literature review on 9 clinically relevant PICO (Patient or Population covered, Intervention, Comparator, Outcome) questions, formulated recommendations and formally graded them at a consensus meeting, with input from patient representatives and a dietician acting as external advisors and a voting panel of pediatric nephrologists. Research recommendations are also given.

Indexed as

AdolescentChildChild, PreschoolDrug ResistanceFemaleGlucocorticoidsHumansImmunosuppressive AgentsInfantInfant, NewbornMaleNephrotic SyndromeProteinuriaRemission InductionSystematic Reviews as TopicGlucocorticoidsImmunosuppressive AgentsChildrenChronic kidney diseaseGeneticsImmunosuppressive treatmentOutcomePediatricsSteroid-resistant nephrotic syndrome

Identifiers

PMID32382828
PMCPMC7316686
OpenAlexW3021746826

What OpenQuestion holds

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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.