Evidence map›Paper›PMID 33240518›Full record

ArticleCanadian journal of kidney health and disease2020

Management of Canadian Pediatric Patients With Glomerular Diseases During the COVID-19 Pandemic: Recommendations From the Canadian Association of Pediatric Nephrologists COVID-19 Rapid Response Team.

Cal Robinson, Michelle Ruhl, Amrit Kirpalani, Abdullah Alabbas, Damien Noone, Chia Wei Teoh, Valerie Langlois, Veronique Phan, Mathieu Lemaire, Rahul Chanchlani and 1 more

Open access · goldAbstract read
In one paragraph

Article in Canadian journal of kidney health and disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 15% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

11 authors at 6 institutions in 1 country.

Cal RobinsonDepartment of Paediatrics, Division of Nephrology, The Hospital for Sick Children, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-2223-0646
Michelle RuhlDepartment of Paediatrics, Division of Nephrology, University of Saskatchewan, Saskatoon, Canada.
Amrit KirpalaniDepartment of Paediatrics, Division of Nephrology, Western University, London, ON, Canada.
Abdullah AlabbasDepartment of Paediatrics, Division of Nephrology, University of Alberta, Edmonton, Canada.
Damien NooneDepartment of Paediatrics, Division of Nephrology, The Hospital for Sick Children, Toronto, ON, Canada.
Chia Wei TeohDepartment of Paediatrics, Division of Nephrology, The Hospital for Sick Children, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-5994-0799
Valerie LangloisDepartment of Paediatrics, Division of Nephrology, The Hospital for Sick Children, Toronto, ON, Canada.
Veronique PhanDepartment of Paediatrics, Division of Nephrology, Université de Montréal, QC, Canada.
Mathieu LemaireDepartment of Paediatrics, Division of Nephrology, The Hospital for Sick Children, Toronto, ON, Canada.
Rahul ChanchlaniDepartment of Paediatrics, Division of Nephrology, McMaster University, Hamilton, ON, Canada.
authors of the CCRRT recommendations for adults with glomerulonephritis
Hospital for Sick Children · CAUniversity of Saskatchewan · CAMcMaster University · CAUniversité de Montréal · CAUniversity of Alberta · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe goal of these recommendations is to provide guidance on the optimal care of children with glomerular diseases during the COVID-19 pandemic. Patients with glomerular diseases are known to be more susceptible to infection. Risk factors include decreased vaccine uptake, urinary loss of immunoglobulins, and treatment with immunosuppressive medications. The Canadian Society of Nephrology (CSN) recently published guidelines on the care of adult glomerulonephritis patients. This guideline aims to expand and adapt those recommendations for programs caring for children with glomerular diseases. SOURCES OF INFORMATION: We used the CSN COVID-19 Rapid Response Team adult glomerulonephritis recommendations, published in the

methodsThe leadership of the Canadian Association of Pediatric Nephrologists (CAPN), which is affiliated with the CSN, identified a team of clinicians and researchers with expertise in pediatric glomerular diseases. The aim was to adapt Canadian adult glomerulonephritis guidelines to make them applicable to children and discuss pediatric-specific considerations. The updated guidelines were peer-reviewed by senior clinicians with expertise in the care of childhood glomerular diseases. KEY

findingsWe identified a number of key areas of glomerular disease care likely to be affected by the COVID-19 pandemic, including (1) clinic visit scheduling, (2) visit types, (3) provision of multidisciplinary care, (4) blood work and imaging, (5) home monitoring, (6) immunosuppression, (7) other medications, (8) immunizations, (9) management of children with suspected COVID-19, (10) renal biopsy, (11) patient education and support, and (12) school and child care. LIMITATIONS: There are minimal data regarding the characteristics and outcomes of COVID-19 in adult or pediatric glomerular disease patients, as well as the efficacy of strategies to prevent infection transmission within these populations. Therefore, the majority of these recommendations are based on expert opinion and consensus guidance. To expedite the publication of these guidelines, an internal peer-review process was conducted, which may not have been as rigorous as formal journal peer-review. IMPLICATIONS: These guidelines are intended to promote optimal care delivery for children with existing or newly diagnosed glomerular diseases during the COVID-19 pandemic. The implications of modified care delivery, altered immunosuppression strategies, and limited access to existing resources remain uncertain.

Indexed as

glomerular diseaseshealth services deliveryinfectious diseasespediatric nephrology

Identifiers

PMID33240518
PMCPMC7672717
OpenAlexW3098699997

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.