Evidence map›Paper›PMID 34386662›Full record

ArticleKidney international reports2021

Apheresis in Adult With Refractory Idiopathic Nephrotic Syndrome on Native Kidneys.

Léa Moret, Alexandre Ganea, Myriam Dao, Aurélie Hummel, Bertrand Knebelman, Jean François Subra, Johan Noble, Christophe Mariat, Noémie Jourde-Chiche, Fatouma Toure and 11 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 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. 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

21 authors at 18 institutions in 1 country.

Léa MoretService de Néphrologie-Hypertension, Dialyses, Transplantation Rénale, CHRU Tours, Tours, France.
Alexandre GaneaService de Néphrologie, CHR Orléans, Orléans, France.
Myriam DaoService de Néphrologie, Assistance Publique des Hôpitaux de Paris (AP-HP), Hôpital Necker, Paris, France.
Aurélie HummelService de Néphrologie, Assistance Publique des Hôpitaux de Paris (AP-HP), Hôpital Necker, Paris, France.
Bertrand KnebelmanService de Néphrologie, Assistance Publique des Hôpitaux de Paris (AP-HP), Hôpital Necker, Paris, France.
Jean François SubraService de Néphrologie-Dialyse-Transplantation, CHU d'Angers, Angers, France.
Johan NobleService de Néphrologie, Hémodialyse, Aphérèses et Transplantation Rénale, CHU Grenoble-Alpes, Grenoble, France.
Christophe MariatCHU Saint-Etienne, Hôpital Nord Avenue Albert Raimond, Saint Priest en Jarez, France.
Noémie Jourde-ChicheAix-Marseille University, C2VN, INSERM, INRAE, AP-HM, Centre de Néphrologie et Transplantation Rénale, Marseille, France.
Fatouma ToureService de Néphrologie-Dialyse-Transplantation Rénale, CHU Limoges, Limoges, France.
Cyril GarrousteService de Néphrologie-Dialyse et Transplantation, CHU Clermont-Ferrand, Clermont-Ferrand, France.
Charlotte LaurentService de Néphrologie, CHU Rouen, Rouen, France.
Lacraz AdelineService Néphrologie Hémodialyse, CH de la côte Basque, Bayonne, France.
Yahsou DelmasService de Néphrologie, Transplantation et Dialyse, CHU Bordeaux, Bordeaux, France.
Alexandre CezService de Néphrologie, AP-HP, Hôpital Tenon, Paris, France.
Olivier FritzService de Néphrologie, Centre Hospitalier de La Rochelle, La Rochelle, France.
Christiane MoussonService de Néphrologie, Hôpital François Mitterrand, Dijon, France.
Lise Marie PouteauService de Néphrologie et Hémodialyse, Centre Hospitalier de Laval, Laval, France.
Olivier MoranneService de Néphrologie-Dialyses-Aphérèse, Hôpital Caremeau, CHU Nîmes, Nîmes, France.
Jean-Michel HalimiService de Néphrologie-Hypertension, Dialyses, Transplantation Rénale, CHRU Tours, Tours, France.
Vincent AudardService de Néphrologie et Transplantation, Centre de Référence Maladie Rare « Syndrome Néphrotique Idiopathique », Fédération Hospitalo-Universitaire « Innovative Therapy for Immune Disorders », AP-HP, Hôpitaux Universitaires Henri Mondor, Créteil, France.
Hôpital Necker-Enfants Malades · FRInserm · FRCentre Hospitalier de la Côte Basque · FRCentre Hospitalier de La Rochelle · FRCentre Hospitalier Universitaire d'Angers · FRCentre Hospitalier Universitaire de Bordeaux · FRCentre Hospitalier Universitaire de Clermont-Ferrand · FRCentre Hospitalier Universitaire de Grenoble · FRCentre Hospitalier Universitaire de Limoges · FRCentre Hospitalier Universitaire de Nîmes · FRCentre Hospitalier Universitaire de Rouen · FRCentre Hospitalier Universitaire de Tours · FRCentre hospitalier universitaire d'Orléans · FRCHU Dijon Bourgogne · FRHôpital Nord · FRLaval Mayenne Technopole · FRSorbonne Université · FRUniversité de Tours · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundApheresis is the gold standard for idiopathic nephrotic syndrome (INS) relapse after transplantation, but it remains unknown whether such treatment is useful for adults with refractory INS on native kidneys.

methodsThis retrospective study included patients older than 16 years with biopsy-proven refractory (persistent nephrotic syndrome on corticosteroids plus at least 1 immunosuppressive drug) INS treated by apheresis and followed for at least 3 months.

resultsBetween September 1997 and January 2020, 21 patients (focal segmental glomerulosclerosis: 12, minimal change nephrotic syndrome: 9, men: 67%, median age: 34 years) were identified. At last follow-up (12 months), 7 of 21 patients were in complete or partial remission. Remission was associated with older age (51 vs. 30 years,

conclusionApheresis may result in remission in adult patients with refractory INS, particularly in those at risk of renal failure, with limited sensitivity to medical treatments, if apheresis is initiated within a year of diagnosis.

Indexed as

apheresisfocal segmental glomerulosclerosisminimal change nephrotic syndromenephrotic syndrome

Identifiers

PMID34386662
PMCPMC8343786
OpenAlexW3157583609

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.