Evidence map›Paper›PMID 32772326›Full record

ArticlePediatric nephrology (Berlin, Germany)2021

Vitamin C overload may contribute to systemic oxalosis in children receiving dialysis.

Sabina S Kennedy, Ashley Perilloux, Renata C Pereira, Garry Handelman, Katherine Wesseling-Perry, Isidro B Salusky

Abstract read
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In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2021. 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
1.1field-weighted citation impact, top 25% 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, 15 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Review
  5. Plasma oxalate and glycolate concentrations in dialysis patients with and without primary hyperoxaluria type 1.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2023
    Article
  6. Article
  7. Review
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

6 authors at 4 institutions in 1 country.

Sabina S KennedyDepartment of Pediatrics, Emory University/Children's Hospital of Atlanta, Druid Hills, USA.
Ashley PerillouxDaVita Century City Dialysis, Los Angeles, USA.
Renata C PereiraDivision of Pediatric Nephrology, Department of Pediatrics, David Geffen School of Medicine at UCLA, 10833 Le Conte Avenue, Box, Los Angeles, 951752, USA.
Garry HandelmanDepartment of Clinical Laboratory and Nutritional Sciences, University of Massachusetts Lowell, Lowell, USA.
Katherine Wesseling-PerryDivision of Pediatric Nephrology, Department of Pediatrics, David Geffen School of Medicine at UCLA, 10833 Le Conte Avenue, Box, Los Angeles, 951752, USA.
Isidro B SaluskyDivision of Pediatric Nephrology, Department of Pediatrics, David Geffen School of Medicine at UCLA, 10833 Le Conte Avenue, Box, Los Angeles, 951752, USA. isalusky@mednet.ucla.edu.ORCID http://orcid.org/0000-0001-8052-416X
University of California, Los Angeles · USCentury (United States) · USEmory University · USUniversity of Massachusetts Lowell · US

Funding

UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
ROLE OF PTH IN RENAL OSTEODYSTROPHYR01DK067563 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SALUSKY, ISIDRO B. · 2005 to 2009
$1.9M
NCATS NIH HHS UL1 TR000124NIDDK NIH HHS R01 DK067563
6 · The paper itself

Abstract

backgroundMalnutrition and anorexia are common in children with chronic kidney disease (CKD) and gastrostomy tubes (GT) as well as nasogastric tubes (NGT) have been recommended to maximize nutritional support. The optimal requirement of vitamin C in children with CKD remains to be defined but oxalate is a breakdown product of vitamin C. Elevated vitamin C intake and bone oxalate were identified in two formula-fed dialyzed children with negative genetic testing for primary hyperoxaluria.

methodsWe evaluated the impact of nutritional support on serum ascorbic acid and plasma oxalate levels in 13 dialyzed infants and young children.

resultsAll patients were fed by GT or NGT since the first months of life; overall patients were receiving between 145 and 847% of the age-specific DRI for vitamin C. Mean serum ascorbic acid and plasma oxalate levels were elevated (244.7 ± 139.7 μM/L and 44.3 ± 23.1 μM/L, respectively), and values did not differ according to the degree of residual kidney function. Ascorbic acid levels did not correlate with oxalate levels (r = 0.44, p = 0.13).

conclusionsExcessive vitamin C intake may contribute to oxalate accumulation in dialyzed children.

Indexed as

HyperoxaluriaKidney Failure, ChronicAscorbic AcidChildChild, PreschoolHumansInfantOxalatesRenal DialysisRenal Insufficiency, ChronicVitaminsAscorbic AcidOxalatesVitaminsAscorbic acidChronic kidney diseaseHemodialysisNutritionOxalatePeritoneal dialysis

Identifiers

PMID32772326
OpenAlexW3048240222

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.