Evidence map›Paper›PMID 32720203›Full record

ArticleClinical and experimental nephrology2020

Influenza virus vaccination in children with nephrotic syndrome: insignificant risk of relapse.

Shingo Ishimori, Koichi Kamei, Takashi Ando, Takahisa Yoshikawa, Yuji Kano, Hiroko Nagata, Ken Saida, Mai Sato, Masao Ogura, Shuichi Ito and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical and experimental nephrology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

10 citing papers in PubMed, 11 citations in OpenAlex.

  1. Vaccines and Disease Relapses in Children with Nephrotic Syndrome.Clinical journal of the American Society of Nephrology : CJASN · 2021
    Trial
  2. Article
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  9. De Novo and Relapsing Glomerular Diseases After COVID-19 Vaccination: What Do We Know So Far?American journal of kidney diseases : the official journal of the National Kidney Foundation · 2021
    Article
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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

11 authors at 3 institutions in 1 country.

Shingo IshimoriDivision of Nephrology and Rheumatology, National Center for Child Health and Development, Tokyo, Japan.
Koichi KameiDivision of Nephrology and Rheumatology, National Center for Child Health and Development, Tokyo, Japan.
Takashi AndoInternational University of Health and Welfare Hospital, Tochigi, Japan.
Takahisa YoshikawaDivision of Nephrology and Rheumatology, National Center for Child Health and Development, Tokyo, Japan.
Yuji KanoDivision of Nephrology and Rheumatology, National Center for Child Health and Development, Tokyo, Japan.
Hiroko NagataDivision of Nephrology and Rheumatology, National Center for Child Health and Development, Tokyo, Japan.
Ken SaidaDivision of Nephrology and Rheumatology, National Center for Child Health and Development, Tokyo, Japan.
Mai SatoDivision of Nephrology and Rheumatology, National Center for Child Health and Development, Tokyo, Japan.
Masao OguraDivision of Nephrology and Rheumatology, National Center for Child Health and Development, Tokyo, Japan.
Shuichi ItoDepartment of Pediatrics, Graduate School of Medicine, Yokohama City University, Yokosuka, Japan.
Kenji IshikuraDivision of Nephrology and Rheumatology, National Center for Child Health and Development, Tokyo, Japan. kenzo@ii.e-mansion.com.ORCID http://orcid.org/0000-0003-2692-6437
National Center For Child Health and Development · JPInternational University of Health and Welfare · JPYokohama City University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmunization with various vaccines is considered desirable for children with idiopathic nephrotic syndrome (NS) because of their high risk of severe infections. Vaccinations may precipitate relapses of NS, but there is no available data regarding inactivated influenza (flu) virus vaccines.

methodsWe retrospectively reviewed the medical records of children with NS who had received flu vaccines between 2002 and 2015. The day of flu vaccination was defined as day 0, and the period between the pre-vaccination and the post-vaccination days was defined as - X to + Y. The risk ratios and their 95% confidence intervals for NS relapse rate were estimated by generalized estimating equation (GEE) Poisson regression.

resultsA total of 104 pediatric patients received 208 flu vaccines. The mean age at onset of NS was at 4.85 ± 3.87 years old. There were 261 NS relapses between days - 180 and + 180. Compared with the relapse rate in the - 180 to 0 interval (1.19 times/person-year), those in 0 to + 30 (1.23), + 31 to + 60 (1.58), + 61 to + 90 (1.41), + 91 to + 120 (1.41), and + 121 to + 180 (1.32) days groups were slightly increased, but without significance. Multivariate analysis using GEE Poisson regression also showed no significant increase in relapse rate in each day group compared with days - 180 to 0. Risk ratios for NS relapse were significantly higher in children who were treated with steroids at the first vaccination.

conclusionsOur results suggest that flu vaccines should not be avoided in children with NS based on the potential for NS relapses.

Indexed as

Age of OnsetChildChild, PreschoolFemaleHumansInfantInfluenza, HumanInfluenza VaccinesMaleNephrotic SyndromeOdds RatioRecurrenceRetrospective StudiesVaccinationInfluenza VaccinesAdverse eventIdiopathic nephrotic syndromeInfluenza virus vaccinationRelapse

Identifiers

PMID32720203
PMCPMC7383070
OpenAlexW3044995979

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.