Evidence map›Paper›PMID 33712733›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2021

The underestimated burden of monogenic kidney disease in adults waitlisted for kidney transplantation.

Eva Schrezenmeier, Elisa Kremerskothen, Fabian Halleck, Oliver Staeck, Lutz Liefeldt, Mira Choi, Markus Schüler, Ulrike Weber, Nadine Bachmann, Maik Grohmann and 3 more

Erratum issuedAbstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 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 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
–field-weighted citation impact
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

38 citing papers in PubMed.

  1. Trial
  2. Article
  3. Genetic Testing in the Management of Adult CKD.Journal of the American Society of Nephrology : JASN · 2026
    Article
  4. Review
  5. Article
  6. Genetic testing in chronic kidney disease of uneXplained cause (CKDx): clinical insights and evolving diagnostic paradigms.Medizinische Genetik : Mitteilungsblatt des Berufsverbandes Medizinische Genetik e.V · 2026
    Article
  7. Observational
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. KDIGO 2024 Clinical Practice Guideline for the Evaluation and Management of Chronic Kidney Disease in Children and Adults: a commentary from the European Renal Best Practice (ERBP).Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Article
  17. Evaluation for genetic disease in kidney transplant candidates: A practice resource.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2025
    Review
  18. Review
  19. Utility of Genetic Testing in Adults with CKD: A Systematic Review and Meta-Analysis.Clinical journal of the American Society of Nephrology : CJASN · 2025
    Article
  20. Clinical kidney journal · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Eva Schrezenmeier *Charité-Universitätsmedizin Berlin, Department of Nephrology and Medical Intensive Care, Berlin, Germany. eva-vanessa.schrezenmeier@charite.de.
Elisa Kremerskothen *Charité-Universitätsmedizin Berlin, Department of Nephrology and Medical Intensive Care, Berlin, Germany.
Fabian HalleckCharité-Universitätsmedizin Berlin, Department of Nephrology and Medical Intensive Care, Berlin, Germany.
Oliver StaeckKfH kidney center Berlin Moabit, Berlin, Germany.
Lutz LiefeldtCharité-Universitätsmedizin Berlin, Department of Nephrology and Medical Intensive Care, Berlin, Germany.
Mira ChoiCharité-Universitätsmedizin Berlin, Department of Nephrology and Medical Intensive Care, Berlin, Germany.
Markus SchülerCharité-Universitätsmedizin Berlin, Department of Nephrology and Medical Intensive Care, Berlin, Germany.
Ulrike WeberCharité-Universitätsmedizin Berlin, Department of Nephrology and Medical Intensive Care, Berlin, Germany.
Nadine BachmannMedizinische Genetik Mainz, Limbach Genetics GmbH, Mainz, Germany.
Maik GrohmannMedizinische Genetik Mainz, Limbach Genetics GmbH, Mainz, Germany.
Timo WagnerMedizinische Genetik Mainz, Limbach Genetics GmbH, Mainz, Germany.
Klemens BuddeCharité-Universitätsmedizin Berlin, Department of Nephrology and Medical Intensive Care, Berlin, Germany.
Carsten BergmannMedizinische Genetik Mainz, Limbach Genetics GmbH, Mainz, Germany. carsten.bergmann@medgen-mainz.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChronic kidney disease (CKD) is a major health-care burden. Increasing evidence suggests that a considerable proportion of patients are affected by a monogenic kidney disorder.

methodsIn this study, the kidney transplantation waiting list at the Charité was screened for patients with undetermined cause of CKD. By next-generation sequencing (NGS) we targeted all 600 genes described and associated with kidney disease or allied disorders.

resultsIn total, 635 patients were investigated. Of these, 245 individuals had a known cause of CKD (38.5%) of which 119 had a proven genetic disease (e.g., ADPKD, Alport). The other 340 patients (53.5%) were classified as undetermined diagnosis, of whom 87 had kidney failure (KF) onset <40 years. To this latter group genetic testing was offered as well as to those patients (n = 29) with focal segmental glomerulosclerosis (FSGS) and all individuals (n = 21) suspicious for thrombotic microangiopathy (TMA) in kidney biopsy. We detected diagnostic variants in 26 of 126 patients (20.6%) of which 14 of 126 (11.1%) were pathogenic or likely pathogenic. In another 12 of 126 (9.5%) patients, variants of unknown significance (VUS) were detected.

conclusionOur study demonstrates the diagnostic value of comprehensive genetic testing among patients with undetermined CKD.

Indexed as

Glomerulosclerosis, Focal SegmentalKidney TransplantationPolycystic Kidney, Autosomal DominantRenal Insufficiency, ChronicAdultGenetic TestingHumansKidney

Identifiers

PMID33712733
PMCPMC8257480

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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.