Evidence map›Paper›PMID 33615070›Full record

ArticleKidney international reports2021

A National Registry Study of Patient and Renal Survival in Adult Nephrotic Syndrome.

Anna Kolb, Peter J Gallacher, Jacqueline Campbell, Martin O'Neill, James R Smith, Samira Bell, Bryan R Conway, Wendy Metcalfe, Nicola Joss, Vishal Dey and 8 more

Open access · goldAbstract read
In one paragraph

Article in Kidney international reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
1.7field-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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. PLA2R autoantibodies, a multifaceted biomarker in nephrotic syndrome and membranous nephropathy.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
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  15. Early Diagnosis and Treatment of Kidney Injury: A Focus on Urine Protein.International journal of molecular sciences · 2024
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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

18 authors at 11 institutions in 1 country.

Anna KolbDepartment of Renal Medicine, Royal Infirmary of Edinburgh, Edinburgh Bioquarter, Edinburgh, Scotland, UK.
Peter J GallacherCentre for Cardiovascular Science, Queen's Medical Research Institute, Edinburgh Bioquarter, University of Edinburgh, Edinburgh, Scotland, UK.
Jacqueline CampbellThe Scottish Renal Registry, Scottish Health Audits, Public Health & Intelligence, Information Services, Glasgow, Scotland, UK.
Martin O'NeillThe Scottish Renal Registry, Scottish Health Audits, Public Health & Intelligence, Information Services, Glasgow, Scotland, UK.
James R SmithDepartment of Renal Medicine, Aberdeen Royal Infirmary, Foresterhill Health Campus, Aberdeen, Scotland, UK.
Samira BellCentre for Cardiovascular Science, Queen's Medical Research Institute, Edinburgh Bioquarter, University of Edinburgh, Edinburgh, Scotland, UK.
Bryan R ConwayDepartment of Renal Medicine, Royal Infirmary of Edinburgh, Edinburgh Bioquarter, Edinburgh, Scotland, UK.
Wendy MetcalfeDepartment of Renal Medicine, Royal Infirmary of Edinburgh, Edinburgh Bioquarter, Edinburgh, Scotland, UK.
Nicola JossDepartment of Renal Medicine, Raigmore Hospital, Inverness, Scotland, UK.
Vishal DeyDepartment of Renal Medicine, University Hospital, Crosshouse, Kilmarnock, Scotland, UK.
Annette AlfonzoDepartment of Renal Medicine, Victoria Hospital, Kirkcaldy, Scotland, UK.
Michael KellyDepartment of Renal Medicine, Dumfries & Galloway Royal Infirmary, Dumfries, Scotland, UK.
Shahzad ShahDepartment of Renal Medicine, University Hospital Monklands, Airdrie, Scotland, UK.
Emily McQuarrieThe Scottish Renal Registry, Scottish Health Audits, Public Health & Intelligence, Information Services, Glasgow, Scotland, UK.
Colin GeddesThe Scottish Renal Registry, Scottish Health Audits, Public Health & Intelligence, Information Services, Glasgow, Scotland, UK.
Jamie TraynorThe Scottish Renal Registry, Scottish Health Audits, Public Health & Intelligence, Information Services, Glasgow, Scotland, UK.
Robert W HunterDepartment of Renal Medicine, Royal Infirmary of Edinburgh, Edinburgh Bioquarter, Edinburgh, Scotland, UK.
Scottish Renal Biopsy Registry
Edinburgh Royal Infirmary · GBScottish Health Services · GBAberdeen Royal Infirmary · GBDumfries and Galloway Royal Infirmary · GBMonklands Hospital · GBQueen Elizabeth University Hospital · GBRaigmore Hospital · GBThe Queen's Medical Research Institute · GBUniversity Hospital Crosshouse · GBUniversity of Edinburgh · GBVictoria Hospital · GB

Funding

Wellcome Trust 209562/Z/17/Z
6 · The paper itself

Abstract

introductionWe aimed to determine the mortality rate, cause of death, and rate of end-stage kidney disease (ESKD) in adults with nephrotic syndrome (NS).

methodsWe conducted a national registry-based study, including all 522 adults who had a kidney biopsy for NS in Scotland in 2014-2017. We linked the Scottish Renal Registry to death certificate data. We performed survival and Cox proportional hazards analyses, accounting for competing risks of death and ESKD. We compared mortality rates with those in the age- and sex-matched general population.

resultsA total of 372 patients had primary NS; 150 had secondary NS. Over a median follow-up of 866 days, 110 patients (21%) died. In patients with primary NS, observed versus population 3-year mortality was 2.1% (95% CI 0.0%-4.6%) versus 0.9% (0.8%-1.0%) in patients aged <60 years and 24.9% (18.4%-30.8%) versus 9.4% (8.3%-10.5%) in those aged ≥60 years. In secondary NS, this discrepancy was 17.1% (5.6%-27.2%) versus 1.1% (0.9%-1.2%) in <60-year-olds and 49.4% (36.6%-59.7%) versus 8.1% (6.6%-9.6%) in ≥60-year-olds. In primary NS, cardiovascular causes accounted for 28% of deaths, compared with 18% in the general population. Eighty patients (15%) progressed to ESKD. Incidence of ESKD by 3 years was 8.4% (95% CI 4.9%-11.7%) in primary and 35.1% (24.3%-44.5%) in secondary NS. Early remission of proteinuria and the absence of early acute kidney injury (AKI) were associated with lower rates of death and ESKD.

conclusionsAdults with NS have high rates of death and ESKD. Cardiovascular causes account for excess mortality in primary NS.

Indexed as

cardiovascular diseaseESKDglomerular diseaseminimal-change nephropathymortalitynephrotic syndrome

Identifiers

PMID33615070
PMCPMC7879209
OpenAlexW3096982041

What OpenQuestion holds

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LicenceCC BY
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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.