Evidence map›Paper›PMID 35371455›Full record

ArticleClinical kidney journal2022

Corticosteroids and mycophenolic acid analogues in immunoglobulin A nephropathy with progressive decline in kidney function.

Ana Huerta, Eva Mérida, Laura Medina, Maria Fernandez, Eduardo Gutierrez, Eduardo Hernandez, Paula López-Sánchez, Angel Sevillano, Jose Portolés, Hernan Trimarchi and 1 more

Open access · goldAbstract read
In one paragraph

Article in Clinical kidney journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

9 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Review
  7. IgA nephropathy.Nature reviews. Disease primers · 2023
    Review
  8. Article
  9. Crescents and IgA Nephropathy: A Delicate Marriage.Journal of clinical medicine · 2022
    Review
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

11 authors at 6 institutions in 2 countries.

Ana HuertaDepartment of Nephrology, Hospital Universitario Puerta del Hierro Majadahonda, Madrid, Spain.ORCID https://orcid.org/0000-0003-3342-7628
Eva MéridaREDInREN ISCIII 016/009, Madrid,  Spain.
Laura MedinaDepartment of Nephrology, Hospital Universitario Infanta Leonor, Madrid, Spain.
Maria FernandezDepartment of Nephrology, Hospital Universitario Doce de Octubre, Madrid, Spain.
Eduardo GutierrezREDInREN ISCIII 016/009, Madrid,  Spain.
Eduardo HernandezREDInREN ISCIII 016/009, Madrid,  Spain.
Paula López-SánchezDepartment of Nephrology, Hospital Universitario Puerta del Hierro Majadahonda, Madrid, Spain.ORCID https://orcid.org/0000-0002-4332-5759
Angel SevillanoREDInREN ISCIII 016/009, Madrid,  Spain.
Jose PortolésDepartment of Nephrology, Hospital Universitario Puerta del Hierro Majadahonda, Madrid, Spain.ORCID https://orcid.org/0000-0002-2114-1385
Hernan TrimarchiDepartment of Nephrology, Hospital Británico de Buenos Aires, Buenos Aires, Argentina.ORCID https://orcid.org/0000-0002-6921-4811
Manuel PragaREDInREN ISCIII 016/009, Madrid,  Spain.
Instituto de Salud Carlos III · ESHospital Británico de Buenos Aires · ARHospital Universitario 12 De Octubre · ESHospital Universitario Infanta Leonor · ESHospital Universitario Puerta de Hierro Majadahonda · ESUniversidad Complutense de Madrid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: A randomized controlled trial demonstrated a beneficial effect of corticosteroids (CS) + cyclophosphamide followed by azathioprine in progressive immunoglobulin A nephropathy (IgAN). Although treatment with CS and mycophenolic acid analogues (MPAAs) remains controversial in IgAN, there is no information about their effects in progressive IgAN. Methods: Patients with progressive IgAN, defined by a decrease in estimated glomerular filtration rate (eGFR) of at least 10 mL/min/1.73 m Results: A total of 25 patients were included in the study. The mean duration of CS + MPAA treatment was 24.7 ± 15.2 months. In the 12 months prior to treatment the median rate of kidney function decline was 23 mL/min/1.73 m Conclusions: CS + MPAA is an effective treatment in IgAN patients with a sustained decline in kidney function accompanied by persistent proteinuria and haematuria despite optimized conservative treatment. Prospective studies are needed to confirm these results.

Indexed as

GFRhaematuriaIgA nephropathyimmunosuppressionproteinuria

Identifiers

PMID35371455
PMCPMC8967683
OpenAlexW4206438992

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.