Evidence map›Paper›PMID 34049919›Full record

ArticleBMJ open2021

Aetiology, course and treatment of acute tubulointerstitial nephritis in paediatric patients: a cross-sectional web-based survey.

Sarah Wente-Schulz, Marina Aksenova, Atif Awan, Cahyani Gita Ambarsari, Francesca Becherucci, Francesco Emma, Marc Fila, Telma Francisco, Ibrahim Gokce, Bora Gülhan and 20 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

17 citing papers in PubMed, 21 citations in OpenAlex.

  1. Proteinuria in adolescence.Pediatric nephrology (Berlin, Germany) · 2026
    Review
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  10. Drugs in treating paediatric acute kidney injury.Pediatric nephrology (Berlin, Germany) · 2023
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Pediatric uveitis: Role of the pediatrician.Frontiers in pediatrics · 2022
    Review
  16. Article
  17. 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

30 authors at 20 institutions in 14 countries.

Sarah Wente-SchulzDepartment of Pediatric Nephrology, MHH, Hannover, Germany.
Marina AksenovaDepartment of Pediatric Nephrology, Veltischev Research and Clinical Institute for Pediatrics of the Pirogov Russian National Research Medical University, Moskva, Russian Federation.
Atif AwanDepartment of Pediatric Nephrology, Temple Street Children's University Hospital, Dublin, Ireland.
Cahyani Gita AmbarsariDepartment of Pediatric Nephrology, Cipto Mangunkusumo Hospital, Faculty of Medicine, University of Indonesia, Central Jakarta, Indonesia.
Francesca BecherucciDepartment of Pediatric Nephrology, Meyer Children's Hospital, Florence, Italy.
Francesco EmmaDepartment of Pediatric Nephrology, Bambino Gesù Children's Hospital, Roma, Italy.
Marc FilaDepartment of Pediatric Nephrology, Montpellier University, Arnaud de Villeneuve Hospital, Montpellier, France.ORCID 0000-0001-8857-7100
Telma FranciscoDepartment of Pediatric Nephrology, Dona Estefânia Hospital, Lisboa, Portugal.
Ibrahim GokceDepartment of Pediatric Nephrology, Faculty of Medicine, Marmara University, Istanbul, Turkey.
Bora GülhanDepartment of Pediatric Nephrology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Matthias HansenKfH Centre of Pediatric Nephrology, Clementine Kinderhospital, Frankfurt am Main, Germany.
Timo JahnukainenDepartment of Pediatric Nephrology and Transplantation, New Children's Hospital and Helsinki University Hospital, Helsinki, Finland.
Mahmoud KallashDepartment of Pediatric Nephrology, Nationwide Children's Hospital, Columbus, Ohio, USA.
Konstantinos KamperisDepartment of Pediatric Nephrology, Aarhus University Hospital, Aarhus, Denmark.
Sherene MasonDepartment of Pediatric Nephrology, Connecticut Children's Medical Center, Hartford, Connecticut, USA.
Antonio MastrangeloDepartment of Pediatric Nephrology, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Francesca MencarelliDepartment of Pediatric Nephrology, Azienda Ospedaliero-Universitaria di Bologna, Ospedale S. Orsola-Malpighi, Bologna, Italy.
Bogna Niwinska-FarynaDepartment of Pediatric Nephrology, Karolinska University Hospital, Stockholm, Sweden.
Michael RiordanDepartment of Pediatric Nephrology, Temple Street Children's University Hospital, Dublin, Ireland.
Rina R RusDepartment of Pediatric Nephrology, University Children's Hospital, Ljubljana, Slovenia.
Seha SaygiliDepartment of Pediatric Nephrology, Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Erkin SerdarogluDepartment of Pediatric Nephrology, Dr Behcet Uz Children Hospital, Izmir, Turkey.
Sevgin TanerDepartment of Pediatric Nephrology, Faculty of Medicine, Ege University, Izmir, Turkey.
Rezan TopalogluDepartment of Pediatric Nephrology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Enrico VidalDepartment of Pediatric Nephrology, University Hospital of Padova, Padova, Italy.
Robert WoronieckiDepartment of Pediatric Nephrology, Stony Brook Children's Hospital, Stony Brook, New York, USA.
Sibel YelDepartment of Pediatric Nephrology, Faculty of Medicine, Erciyes University, Kayseri, Turkey.
Jakub ZiegDepartment of Pediatric Nephrology, 2nf Faculty of Medicine, University Hospital Motol, Charles University, Praha, Czech Republic.
Lars PapeDepartment of Pediatrics II, University Hospital Essen, Essen, Germany lars.pape@uk-essen.de.ORCID 0000-0002-3635-6418
international TIN study group
Hacettepe University · TRTemple Street Children's University Hospital · IEAarhus University Hospital · DKBambino Gesù Children's Hospital · ITCharles University · CZConnecticut Children's Medical Center · USDr. Behçet Uz Çocuk Hastalıkları Hastanesi · TREge University · TRErciyes University · TREssen University Hospital · DEFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITHelsinki University Hospital · FIHospital de Dona Estefânia · PTIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITIstanbul University-Cerrahpaşa · TRKarolinska University Hospital · SELjubljana University Medical Centre · SIMarmara University · TRMeyer Children's Hospital · ITNationwide Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute tubulointerstitial nephritis (TIN) is a significant cause of acute renal failure in paediatric and adult patients. There are no large paediatric series focusing on the aetiology, treatment and courses of acute TIN. PATIENTS, DESIGN AND

settingWe collected retrospective clinical data from paediatric patients with acute biopsy-proven TIN by means of an online survey. Members of four professional societies were invited to participate.

resultsThirty-nine physicians from 18 countries responded. 171 patients with acute TIN were included (54% female, median age 12 years). The most frequent causes were tubulointerstitial nephritis and uveitis syndrome in 31% and drug-induced TIN in 30% (the majority of these caused by non-steroidal anti-inflammatory drugs). In 28% of patients, no initiating noxae were identified (idiopathic TIN). Median estimated glomerular filtration rate (eGFR) rose significantly from 31 at time of renal biopsy to 86 mL/min/1.73 m

conclusionsDespite different aetiologies, acute paediatric TIN had a favourable outcome overall with 88% of patients showing no or mild impairment of eGFR after 3-6 months. Prospective randomised controlled trials are needed to evaluate the efficacy of glucocorticoid treatment in paediatric patients with acute TIN.

Indexed as

Nephritis, InterstitialAdultChildCross-Sectional StudiesFemaleHumansInternetMaleProspective StudiesRetrospective Studiesacute renal failurepaediatric nephrologypaediatrics

Identifiers

PMID34049919
PMCPMC8166597
OpenAlexW3165820898

What OpenQuestion holds

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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.