Evidence map›Paper›PMID 35737115›Full record

ReviewPediatric nephrology (Berlin, Germany)2022

Kidney disease and thyroid dysfunction: the chicken or egg problem.

Fabian Echterdiek, Michael B Ranke, Vedat Schwenger, Uwe Heemann, Joerg Latus

Abstract readReview
PubMed Publisher
In one paragraph

Review in Pediatric nephrology (Berlin, Germany), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
–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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Observational
  6. Review
  7. Article
  8. Article
  9. Article
  10. Optimizing Care for Primary Glomerulonephritis: The Role of Thyroid Evaluation.Endocrine, metabolic & immune disorders drug targets · 2025
    Observational
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Uric Acid Metabolic Disorders in Pituitary-Target Gland Axis.Diabetes, metabolic syndrome and obesity : targets and therapy · 2024
    Review
  17. Observational
  18. Article
  19. Article
  20. 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

5 authors.

Fabian EchterdiekDepartment of Nephrology, Klinikum Stuttgart - Katharinenhospital, Stuttgart, Germany. fabian.echterdiek@mri.tum.de.ORCID 0000-0001-7239-4959
Michael B RankeClinic of Pediatric Endocrinology, Children's Hospital, University of Tuebingen, Tuebingen, Germany.ORCID 0000-0002-3855-6157
Vedat SchwengerDepartment of Nephrology, Klinikum Stuttgart - Katharinenhospital, Stuttgart, Germany.ORCID 0000-0001-7688-4576
Uwe HeemannDepartment of Nephrology, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
Joerg LatusDepartment of Nephrology, Klinikum Stuttgart - Katharinenhospital, Stuttgart, Germany.ORCID 0000-0003-0584-4870

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with non-dialysis-dependant chronic kidney disease (NDD-CKD) and dialysis-dependant chronic kidney disease (DD-CKD) frequently also suffer from thyroid disorders, especially hypothyroidism which is found two to five times more often among them compared to the general population. Emerging research has illustrated the potential prognostic implications of this association as NDD-CKD and DD-CKD patients with hypothyroidism have been shown to have higher mortality rates, and treatment of subclinical hypothyroidism in NDD-CKD patients has been reported to attenuate the decline of glomerular filtration rate over time. This review illustrates the bidirectional, multi-layered interplay between the kidneys and the thyroid gland explaining how pathologies in one organ will affect the other and vice versa. Additionally, it outlines the impact of thyroid disorders on routine parameters of kidney function (especially serum creatinine and serum cystatin C) that nephrologists should be aware of in their clinical practice. Lastly, it summarizes the emerging evidence from clinical studies on how treatment of subclinical hypothyroidism in NDD-CKD and DD-CKD patients may potentially have beneficial effects on kidney function as well as mortality. While most of the research in this area has been performed on adult patients, we specifically discuss what is currently known about thyroid dysfunctions in paediatric CKD patients as well and provide management suggestions. The evidence accumulated so far clearly indicates that further, prospective studies with meticulous methodology are warranted to refine our understanding of thyroid disorders in paediatric and adult CKD patients and establish optimal treatment pathways.

Indexed as

HypothyroidismRenal Insufficiency, ChronicCreatinineCystatin CGlomerular Filtration RateHumansProspective StudiesRenal DialysisCreatinineCystatin CChronic kidney diseaseCystatin CDialysisHypothyroidismKidney functionSerum creatinineThyroid function

Identifiers

What OpenQuestion holds

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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.