Evidence map›Paper›PMID 3712971›Full record

ArticleKidney international1986

Glomerular filtration surface in type I diabetes mellitus.

E N Ellis, M W Steffes, F C Goetz, D E Sutherland, S M Mauer

Registry-linked trialOpen access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Kidney international, 1986. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02911792 (Effect of Farxiga on Renal Function and Size in Type 2 Diabetic Patients With Hyperfiltration), which is not on this map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
6.6field-weighted citation impact, top 2% 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.

NCT02911792 phase4completedstarted 2016, after this paper: background citation

Effect of Farxiga on Renal Function and Size in Type 2 Diabetic Patients With Hyperfiltration

Ran2016Enrolled72Registered outcomes1Posted comparisons0ConditionsDiabetes Mellitus, Type 2Armsdapagliflozin, Glipizide 5 MG, Metformin
Open the trial in the graph
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 173 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Review
  9. The Glomerulus According to the Mesangium.Frontiers in medicine · 2021
    Review
  10. Article
  11. Article
  12. Urine metabolites are associated with glomerular lesions in type 2 diabetes.Metabolomics : Official journal of the Metabolomic Society · 2018
    Article
  13. Article
  14. Renal glomerular dysfunction in relation to retinal arteriolar narrowing and high pulse pressure in seniors.Hypertension research : official journal of the Japanese Society of Hypertension · 2016
    Article
  15. Structural Predictors of Loss of Renal Function in American Indians with Type 2 Diabetes.Clinical journal of the American Society of Nephrology : CJASN · 2016
    Observational
  16. Glomerular structural-functional relationship models of diabetic nephropathy are robust in type 1 diabetic patients.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2015
    Review
  17. Article
  18. Diabetic kidney disease in children and adolescents.Pediatric nephrology (Berlin, Germany) · 2015
    Review
  19. Comprehensive approach to diabetic nephropathy.Kidney research and clinical practice · 2014
    Review
  20. Renal lesions predict progression of diabetic nephropathy in type 1 diabetes.Journal of the American Society of Nephrology : JASN · 2013
    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 at 2 institutions in 1 country.

E N Ellis
M W Steffes
F C Goetz
D E Sutherland
S M Mauer
University of Minnesota · USPediatric Nephrology of Alabama · US

Funding

NIADDK NIH HHS AM07087
6 · The paper itself

Abstract

Previously we have shown that relative glomerular mesangial expansion was an important correlate of renal dysfunction in diabetes. To extend the understanding of structural functional relationships, 37 patients with type I diabetes mellitus for 5 to 33 years were studied with multiple creatinine clearance (Ccr), urinary albumin excretion, and blood pressure measurements, and percutaneous renal biopsies. Glomerular volume and percent sclerosed glomeruli were determined; quantitative stereology was performed to determine relative glomerular structural parameters. Per glomerulus we calculated mesangial volume and capillary filtration surface and per patient we estimated capillary filtration surface. Capillary filtration surface per glomerulus or per patient were highly predictive of Ccr (r = +0.78, r = +0.79, P less than 0.001). There was a significant but weak relationship between Ccr and mesangial volume. However, mesangial volume and glomerular volume together were highly predictive of both Ccr and filtration surface. Mesangial volume was increased and filtration surface decreased in the hypertensive patients and the patients with urinary albumin excretion less than 250 mg/24 hr. Thus, it appears that mesangial expansion within a relatively large glomerulus has less influence on filtration than does a similar increase in mesangial volume within a smaller glomerulus. There is a striking relationship between glomerular filtration rate and filtration surface in diabetes throughout the range from hyperfiltration to significant hypofiltration.

Indexed as

Glomerular Filtration RateAdolescentAdultBiopsyCapillariesChildDiabetes Mellitus, Type 1Diabetic NephropathiesFemaleGlomerular MesangiumHumansKidney Failure, ChronicKidney GlomerulusMaleMiddle Aged

Identifiers

PMID3712971
OpenAlexW2140015949

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.