Evidence map›Paper›PMID 32449206›Full record

ArticleJournal of clinical laboratory analysis2020

Phospholipase-A2 receptor antibody, 24 hours proteinuria, and serum albumin as indicators of cyclophosphamide efficacy in idiopathic membranous nephropathy.

Chunying Xiao, Yong Liu, Xinpeng Zhang, Lin Luo, Xiaoying Li, Tingting Wang, Zhe Tian, Xiaosong Qin, Jianhua Liu

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical laboratory analysis, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 38% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. [Pharmacogenetic testing improves treatment responses in patients with PLA2R-related membranous nephropathy].Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2023
    Article
  2. 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

9 authors at 1 institution in 1 country.

Chunying XiaoDepartment of Laboratory Medicine, Shengjing Hospital of China Medical University, Shenyang, China.ORCID https://orcid.org/0000-0003-1992-8725
Yong LiuDepartment of Laboratory Medicine, Shengjing Hospital of China Medical University, Shenyang, China.
Xinpeng ZhangDepartment of Laboratory Medicine, Shengjing Hospital of China Medical University, Shenyang, China.
Lin LuoDepartment of Laboratory Medicine, Shengjing Hospital of China Medical University, Shenyang, China.
Xiaoying LiDepartment of Laboratory Medicine, Shengjing Hospital of China Medical University, Shenyang, China.
Tingting WangDepartment of Laboratory Medicine, Shengjing Hospital of China Medical University, Shenyang, China.
Zhe TianDepartment of Laboratory Medicine, Shengjing Hospital of China Medical University, Shenyang, China.
Xiaosong QinDepartment of Laboratory Medicine, Shengjing Hospital of China Medical University, Shenyang, China.
Jianhua LiuDepartment of Laboratory Medicine, Shengjing Hospital of China Medical University, Shenyang, China.
China Medical University · CN

Funding

"345 talent project" of Shengjing Hospital of China Medical UniversityGuangdong Province Major key projects of industrial technology 201902010003Liaoning Province Central Government's special project to guide local scientific and technological development 2019JH6/ 10400009Liaoning Province Natural Science Foundation Project 20180550523,2019-ZD-0752Major Special Project of Construction Program of China Medical University in 2018 112/3110118034National Science and Technology Major Project of China 2018ZX10302205
6 · The paper itself

Abstract

backgroundWe aimed to evaluate cyclophosphamide efficacy in the treatment of idiopathic membranous nephropathy (IMN) and explore the efficacy of phospholipase-A2 receptor antibody (PLA2R-Ab), 24 hours proteinuria, and serum albumin in predicting 6- and 12-month treatment effects.

methodsA retrospective analysis was performed on 135 patients with IMN who followed up after treatment. The observation points were before, and after 3, 6, and 12 months of treatment. We collected clinical indicator data at each observation point and measured PLA2R-Ab levels before and after 3-month treatment.

resultsThe remission rates at 3, 6, and 12 months of cyclophosphamide therapy for patients with IMN were 41.4, 74.8, and 76.1%, respectively. Patients in whom PLA2R-Ab turned negative within 3 months had high remission rates at 3, 6, and 12 months after treatment (P < .05). PLA2R-Ab change at 3 months had a strong correlation with 24 hours proteinuria change at 6 months. The change in albumin concentration before and after 3-month treatment was an independent variable related to remission rate at 6 months, and 24 hours proteinuria change before and after 6-month treatment was an independent variable related to remission rate at 12 months after treatment.

conclusionCyclophosphamide showed good efficacy at 3, 6, and 12 months for patients with IMN. Serum albumin change and PLA2R-Ab change at 3 months can be used as indicators to predict remission at 6 months, respectively. Moreover, 24 hours proteinuria change at 6 months can predict remission at 12 months.

Indexed as

AdultAgedAged, 80 and overAutoantibodiesCyclophosphamideFollow-Up StudiesGlomerulonephritis, MembranousHumansImmunosuppressive AgentsMiddle AgedProteinuriaReceptors, Phospholipase A2Remission InductionRetrospective StudiesSerum AlbuminTreatment OutcomeAutoantibodiesCyclophosphamideImmunosuppressive AgentsReceptors, Phospholipase A2Serum Albumin24h proteinuriacyclophosphamideIdiopathic Membranous NephropathyPLA2R-Abpredictionremission

Identifiers

PMID32449206
PMCPMC7521260
OpenAlexW3027827099

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.