Evidence map›Paper›PMID 32960397›Full record

ArticleInternational urology and nephrology2021

Glomerulosclerosis predicts poor renal outcome in patients with idiopathic membranous nephropathy.

Cuimei Wei, Yongcheng He, Tong Li, Haofei Hu, Haiying Song, Dongli Qi, Yuan Cheng, Jia Chen, Mijie Guan, Xiaohua Xiao and 1 more

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In one paragraph

Article in International urology and nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.7field-weighted citation impact, top 30% 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

8 citing papers in PubMed, 11 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Cuimei WeiDepartment of Geriatrics, The First Affiliated Hospital of Shenzhen University, No. 3002 Sungang Road, Futian, Shenzhen, 518035, Guangdong, China.
Yongcheng HeDepartment of Nephrology, The First Affiliated Hospital of Shenzhen University, Shenzhen, 518035, Guangdong, China.
Tong LiDepartment of Nephrology, The First Affiliated Hospital of Shenzhen University, Shenzhen, 518035, Guangdong, China. tonglidoc@126.com.
Haofei HuDepartment of Nephrology, The First Affiliated Hospital of Shenzhen University, Shenzhen, 518035, Guangdong, China.
Haiying SongDepartment of Nephrology, The First Affiliated Hospital of Shenzhen University, Shenzhen, 518035, Guangdong, China.
Dongli QiDepartment of Nephrology, The First Affiliated Hospital of Shenzhen University, Shenzhen, 518035, Guangdong, China.
Yuan ChengDepartment of Nephrology, The First Affiliated Hospital of Shenzhen University, Shenzhen, 518035, Guangdong, China.
Jia ChenDepartment of Nephrology, The First Affiliated Hospital of Shenzhen University, Shenzhen, 518035, Guangdong, China.
Mijie GuanDepartment of Nephrology, The First Affiliated Hospital of Shenzhen University, Shenzhen, 518035, Guangdong, China.
Xiaohua XiaoDepartment of Geriatrics, The First Affiliated Hospital of Shenzhen University, No. 3002 Sungang Road, Futian, Shenzhen, 518035, Guangdong, China.
Junyi LiDepartment of Applied Statistics, School of Applied Mathematics, Guangdong University of Technology, Guangzhou, 510643, China.
Shenzhen Second People's Hospital · CNShenzhen University · CNGuangdong University of Technology · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to investigate the association between the proportion of glomerulosclerosis (focal segmental glomerulosclerosis and/or global glomerulosclerosis) and renal prognosis in patients with idiopathic membranous nephropathy (IMN).

methodsA retrospective analysis performed from January 2008 to December 2017 in the First Affiliated Hospital of Shenzhen University by renal biopsy confirmed 200 patients with IMN, and their clinical pathology and prognosis were compared. Patients were divided into three groups on the basis of glomerular sclerosis proportion tertiles: low (Tertile1 group, proportion of glomerulosclerosis, 0-0%), middle (Tertile2 group, proportion of glomerulosclerosis, 0-5.5%) and high (Tertile3 group, proportion of glomerulosclerosis, 5.8-72.7%) tertiles. The follow-up endpoints were decreased estimated glomerular filtration rate (eGFR) by 20%, end-stage renal disease, and all-cause mortality.

results(1) Both, the Tertile1 and Tertile2, groups had significantly lower albumin level and higher 24-h urine protein level than that in the Tertile3 group. Regarding treatment, as the proportion of glomerulosclerosis increases, a more aggressive treatment with glucocorticoids and immunosuppressants should be provided. (2) Correlation analysis showed that the proportion of glomerulosclerosis was positively associated with age (P < 0.05). However, it was negatively associated with eGFR (P < 0.05). (3) Renal tubular atrophy and renal interstitial inflammatory cell infiltration were considered independent correlative factors for glomerulosclerosis. Kaplan-Meier analysis revealed that renal survival rate was significantly lower in patients with a proportion of glomerulosclerosis ≥ 6.45% than in patients with a proportion of glomerulosclerosis < 6.45%. Cox regression analysis revealed that as the proportion of glomerulosclerosis increases, the risk of renal outcomes increases gradually.

conclusionsPatients in the Tertile3 (higher proportion of glomerulosclerosis) group had more severe renal pathological damage compared to patients in the Tertile1 and Tertile2 groups. Glomerulosclerosis is a risk factor for renal function progression and poor renal prognosis in patients with IMN. As the proportion of glomerulosclerosis increases, the risk of renal endpoint events increases gradually.

Indexed as

AdolescentAdultAgedAged, 80 and overCohort StudiesFemaleGlomerulonephritis, MembranousGlomerulosclerosis, Focal SegmentalHumansMaleMiddle AgedPrognosisRenal Insufficiency, ChronicRetrospective StudiesYoung AdultGlomerulosclerosis proportionIdiopathic membranous nephropathyPrognosis

Identifiers

PMID32960397
OpenAlexW3087573542

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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.