Evidence map›Paper›PMID 37915894›Full record

ArticleClinical kidney journal2023

Genetic testing in focal segmental glomerulosclerosis: in whom and when?

Ana María Tato, Noa Carrera, Maria García-Murias, Amir Shabaka, Ana Ávila, María Teresa Mora Mora, Cristina Rabasco, Karina Soto, Francisco Jose de la Prada Alvarez, Loreto Fernández-Lorente and 13 more

Open access · goldAbstract read
In one paragraph

Article in Clinical kidney journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

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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

23 authors at 20 institutions in 2 countries.

Ana María TatoDepartment of Nephrology, Hospital Universitario Fundación Alcorcón, Alcorcón, Spain.
Noa CarreraLaboratorio de Nefroloxía (No. 11), Grupo de Xenética e Bioloxía do Desenvolvemento das Enfermidades Renais, Instituto de investigación sanitaria de Santiago de Compostela - IDIS, Santiago de Compostela, Spain.
Maria García-MuriasLaboratorio de Nefroloxía (No. 11), Grupo de Xenética e Bioloxía do Desenvolvemento das Enfermidades Renais, Instituto de investigación sanitaria de Santiago de Compostela - IDIS, Santiago de Compostela, Spain.
Amir ShabakaDepartment of Nephrology, Hospital Universitario Fundación Alcorcón, Alcorcón, Spain.ORCID https://orcid.org/0000-0001-7039-4701
Ana ÁvilaDepartment of Nephrology, Hospital Universitario Doctor Peset, Valencia, Spain.
María Teresa Mora MoraDepartment of Nephrology, Hospital Universitario Juan Ramón Jiménez, Huelva, Spain.
Cristina RabascoDepartment of Nephrology, Hospital Universitario Reina Sofía, Córdoba, Spain.
Karina SotoDepartment of Nephrology, Hospital Fernando Fonseca, Lisbon, Portugal.
Francisco Jose de la Prada AlvarezDepartment of Nephrology, Hospital Universitario Virgen Macarena, Sevilla, Spain.
Loreto Fernández-LorenteDepartment of Nephrology, Hospital Virgen del Camino, Pamplona, Spain.
Antolina Rodríguez-MorenoDepartment of Nephrology, Hospital Universitario Clínico San Carlos, Madrid, Spain.
Ana HuertaDepartment of Nephrology, Hospital Universitario Puerta de Hierro, Majadahonda, Spain.ORCID https://orcid.org/0000-0003-3342-7628
Carmen MonDepartment of Nephrology, Hospital Universitario Severo Ochoa, Leganés, Spain.
Clara García-CarroDepartment of Nephrology, Hospital Vall d'Hebrón, Barcelona, Spain.ORCID https://orcid.org/0000-0002-5130-603X
Fayna González CabreraDepartment of Nephrology, Hospital Universitario de Gran Canaria Doctor Negrín, Gran Canaria, Spain.
Juan Antonio Martín NavarroDepartment of Nephrology, Hospital Universitario Infanta Leonor, Madrid , Spain.
Ana RomeraDepartment of Nephrology, Hospital de Ciudad Real, Ciudad Real, Spain.
Eduardo GutiérrezDepartment of Nephrology, Hospital Universitario Doce de Octubre, Madrid, Spain.
Javier VillacortaDepartment of Nephrology, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Alberto de LorenzoDepartment of Nephrology, Hospital HM San Chinarro, Madrid, Spain.
Beatriz AvilésDepartment of Nephrology, Hospital Costa del Sol, Marbella, Spain.ORCID https://orcid.org/0000-0002-0733-8595
Miguel Angel Garca-GonzálezLaboratorio de Nefroloxía (No. 11), Grupo de Xenética e Bioloxía do Desenvolvemento das Enfermidades Renais, Instituto de investigación sanitaria de Santiago de Compostela - IDIS, Santiago de Compostela, Spain.
Gema Fernández-JuárezDepartment of Nephrology, Hospital Universitario La Paz, Madrid, Spain.
Hospital Universitario Fundación Alcorcón · ESInstituto de Investigación Sanitaria de Santiago · ESFundación Pública Galega de Medicina Xenómica · ESHospital Clínico San Carlos · ESHospital Costa del Sol · ESHospital General Universitario de Ciudad Real · ESHospital Juan Ramón Jiménez · ESHospital Prof. Dr. Fernando Fonseca · PTHospital Universitario 12 De Octubre · ESHospital Universitario de Gran Canaria Doctor Negrín · ESHospital Universitario Doctor Peset · ESHospital Universitario Infanta Leonor · ESHospital Universitario La Paz · ESHospital Universitario Puerta de Hierro Majadahonda · ESHospital Universitario Ramón y Cajal · ESHospital Universitario Reina Sofía · ESHospital Universitario Severo Ochoa · ESHospital Universitario Virgen Macarena · ESHospital Virgen del Camino · ESVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Genetic causes are increasingly recognized in patients with focal segmental glomerulosclerosis (FSGS), but it remains unclear which patients should undergo genetic study. Our objective was to determine the frequency and distribution of genetic variants in steroid-resistant nephrotic syndrome FSGS (SRNS-FSGS) and in FSGS of undetermined cause (FSGS-UC). Methods: We performed targeted exome sequencing of 84 genes associated with glomerulopathy in patients with adult-onset SRNS-FSGS or FSGS-UC after ruling out secondary causes. Results: Seventy-six patients met the study criteria; 24 presented with SRNS-FSGS and 52 with FSGS-UC. We detected FSGS-related disease-causing variants in 27/76 patients (35.5%). There were no differences between genetic and non-genetic causes in age, proteinuria, glomerular filtration rate, serum albumin, body mass index, hypertension, diabetes or family history. Hematuria was more prevalent among patients with genetic causes. We found 19 pathogenic variants in Conclusions: FSGS-related variants were detected in a substantial number of patients with SRNS-FSGS or FSGS-UC, regardless of age of onset of disease or the patient's family history. In our experience, genetic testing should be performed in routine clinical practice for the diagnosis of this group of patients.

Indexed as

FSGShereditary diseasesnephrotic syndromepodocytopathysteroid-resistant

Identifiers

PMID37915894
PMCPMC10616495
OpenAlexW4385752409

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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.