Evidence map›Paper›PMID 37795285›Full record

ArticleThe journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG2023

A Systematic Review and Meta-analysis of Rituximab-Associated Infections Among Children and Adolescents With Glomerular Disease: Focus on the Risk of Infections.

Zhara Pouransiri, Farahnak Assadi, Masoumeh Mohkam, Nakysa Hooman, Zahra Rostami, Mojgan Mazaheri, Anoush Azarfar, Fatemeh Ghane Sharbaf

Open access · bronzeAbstract read
In one paragraph

Article in The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 40% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

8 authors at 6 institutions in 2 countries.

Zhara PouransiriPediatric Nephrology Research Center (ZP, MaM), Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Farahnak AssadiDepartment of Pediatrics, Division of Nephrology (FA), Rush University of Medical Center, Chicago, IL, USA.
Masoumeh MohkamPediatric Nephrology Research Center (MM), Shahid Beheshi University of Medical Sciences, Tehran, Iran.
Nakysa HoomanAliasghar Clinical Research Development Center NH), Aliasghar Children's Hospital, Department of Pediatrics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Zahra RostamiEducation Development Center (ZR), Zanjan University of Medical Sciences, Zanjan, Iran.
Mojgan MazaheriDepartment of Pediatrics, Section of Nephrology (MoM), Semnan University of Medical Sciences, Semnan, Iran.
Anoush AzarfarKidney Transplantation Complications Research Center (AA), Mashhad University of Medical Sciences, Mashhad, Iran, and.
Fatemeh Ghane SharbafKidney Transplantation Complications Research Center (AA, FGS), Mashhad University of Medical Sciences, Mashhad, Iran.
Mashhad University of Medical Sciences · IRShahid Beheshti University of Medical Sciences · IRIran University of Medical Sciences · IRRush University Medical Center · USSemnan University of Medical Sciences · IRZanjan University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis systematic review and meta-analysis aimed to explore rituximab (RTX) associated infectious complications in children with glomerular disease.

methodsWe performed an electronic search of PubMed, International Scientific Information (ISI), Scopus, and EMBASE between January 2010 and July 2021. Infection rates and total drug-related adverse events were the outcomes. Statistical heterogeneity was evaluated by using the

resultsA total of 7 studies with 668 patients (136 with lupus nephritis [LN] and 532 with nephrotic syndrome were included in the meta-analysis. The pooled risk ratio showed that the administration of RTX was significantly associated with lower risk of infectious complications in patients with LN and nephrotic syndrome (0.72 [95% CI 0.58, 0.85]) when compared with population data of patients without glomerular disease (p = 0.2). There was no significant difference between the LN and nephrotic syndrome groups in terms of total serious adverse events or the occurrence of infections. There was significant heterogeneity among the reported studies (Q = 42.39, p < 0.001,

conclusionAdministration of RTX in children with glomerular disease is associated with a lower rate of infections when compared with population data of patients without LN or nephrotic syndrome. Additional high-quality randomized controlled trials with long-term follow-up are needed to identify the long-term potential complications. Trial registration PROPERO ID: CRD42021274869 (https://www.crd.york.ac/prospero/display_record.php?).

Indexed as

childrenglomerular diseaseinfectious complicationslupus nephritisnephrotic syndromerituximab

Identifiers

PMID37795285
PMCPMC10547046
OpenAlexW4385783061

What OpenQuestion holds

Textmetadata
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.