Evidence map›Paper›PMID 34016023›Full record

SynthesisRenal failure2021

Tacrolimus versus cyclophosphamide for patients with idiopathic membranous nephropathy and treated with steroids: a systematic review and meta-analysis of randomized controlled trials.

Haiting Huang, Zhao Liang, Xintong Zheng, Qin Qing, Xiuri Du, Zhiming Tang, Meili Wei, Chen Wang, Qiuhong Zhong, Xu Lin

Open access · goldAbstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Renal failure, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 3 pooled it
0.9field-weighted citation impact, top 28% 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

7 citing papers in PubMed, 3 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Article
  7. Article
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

10 authors at 1 institution in 1 country.

Haiting HuangDepartment of Nephrology, The Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, China.
Zhao LiangDepartment of Nephrology, The Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, China.
Xintong ZhengDepartment of Nephrology, The Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, China.
Qin QingDepartment of Nephrology, The Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, China.
Xiuri DuDepartment of Nephrology, The Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, China.
Zhiming TangDepartment of Nephrology, The Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, China.
Meili WeiDepartment of Nephrology, The Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, China.
Chen WangDepartment of Nephrology, The Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, China.
Qiuhong ZhongDepartment of Ultrasound, The Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, China.
Xu LinDepartment of Nephrology, The Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, China.
Affiliated Hospital of Youjiang Medical University for Nationalities · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe therapeutic effects of tacrolimus (TAC) versus cyclophosphamide (CTX) were not fully illustrated for patients with idiopathic membranous nephropathy (IMN).

methodsThe PubMed, EmBase, Cochrane library, and CNKI were systematically searched throughout March 2020 for randomized controlled trials evaluating the therapeutic effects of TAC versus CTX for IMN patients treated with steroids. The pooled relative risks (RRs) and weighted mean differences (WMDs) with 95% confidence intervals (CIs) were calculated using the random-effects model.

resultsTwelve trials recruited a total of 868 IMN patients were identified and contained in final meta-analysis. Patients in TAC group was associated with an increased incidence of overall remission (12 trials: 868 patients; RR: 1.21; 95% CI: 1.11-1.31;

conclusionsThis study found IMN patients treated with TAC combined with steroids provides a better therapeutic effect and less adverse events than those treated with CTX combined with steroids, with moderate-certainty evidence.

Indexed as

CyclophosphamideGlomerulonephritis, MembranousHumansImmunosuppressive AgentsRandomized Controlled Trials as TopicRemission InductionSteroidsTacrolimusCyclophosphamideImmunosuppressive AgentsSteroidsTacrolimuscyclophosphamideIdiopathic membranous nephropathymeta-analysissteroidstacrolimus

Identifiers

PMID34016023
PMCPMC8158268
OpenAlexW3163518221

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.