Evidence map›Paper›PMID 33677691›Full record

ReviewPediatric nephrology (Berlin, Germany)2022

The wind of change in the management of autosomal dominant polycystic kidney disease in childhood.

Charlotte Gimpel, Carsten Bergmann, Djalila Mekahli

Erratum issuedOpen access · hybridAbstract readReview
In one paragraph

Review in Pediatric nephrology (Berlin, Germany), 2022. 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 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

15 citing papers in PubMed, 31 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Review
  7. Diseases of the primary cilia: a clinical characteristics review.Pediatric nephrology (Berlin, Germany) · 2025
    Review
  8. Unraveling the Genetic Links Between Polycystic Kidney Disease and Hypertension Through ARL13B.International journal of nephrology and renovascular disease · 2025
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Perspectives on Drug Development in Early ADPKD.Clinical journal of the American Society of Nephrology : CJASN · 2022
    Article
  14. Germline Mutations for Kidney Volume in ADPKD.Kidney international reports · 2022
    Article
  15. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

Charlotte GimpelDepartment of Internal Medicine IV (Nephrology), Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany. Charlotte.Gimpel@uniklinik-freiburg.de.ORCID 0000-0003-1296-9081
Carsten BergmannDepartment of Internal Medicine IV (Nephrology), Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany. Carsten.Bergmann@medgen-mainz.de.
Djalila MekahliDepartment of Pediatric Nephrology, University Hospital of Leuven, Herestraat 49, 3000 Leuven, Belgium. Djalila.Mekahli@uzleuven.be.
University of Freiburg · DEKU Leuven · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Significant progress has been made in understanding the genetic basis of autosomal dominant polycystic kidney disease (ADPKD), quantifying disease manifestations in children, exploring very-early onset ADPKD as well as pharmacological delay of disease progression in adults. At least 20% of children with ADPKD have relevant, yet mainly asymptomatic disease manifestations such as hypertension or proteinuria (in line with findings in adults with ADPKD, where hypertension and cardiovascular damage precede decline in kidney function). We propose an algorithm for work-up and management based on current recommendations that integrates the need to screen regularly for hypertension and proteinuria in offspring of affected parents with different options regarding diagnostic testing, which need to be discussed with the family with regard to ethical and practical aspects. Indications and scope of genetic testing are discussed. Pharmacological management includes renin-angiotensin system blockade as first-line therapy for hypertension and proteinuria. The vasopressin receptor antagonist tolvaptan is licensed for delaying disease progression in adults with ADPKD who are likely to experience kidney failure. A clinical trial in children is currently ongoing; however, valid prediction models to identify children likely to suffer kidney failure are lacking. Non-pharmacological interventions in this population also deserve further study.

Indexed as

HypertensionPolycystic Kidney, Autosomal DominantRenal InsufficiencyAdultAntidiuretic Hormone Receptor AntagonistsChildDisease ProgressionFemaleHumansMaleProteinuriaAntidiuretic Hormone Receptor AntagonistsAdolescentAutosomal dominant polycystic kidney disease (ADPKD)ChildrenHypertensionNeonateProteinuriaTolvaptan

Identifiers

PMID33677691
PMCPMC8921141
OpenAlexW3133814581

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.