Evidence map›Paper›PMID 38806210›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2024

Long-term consequences of urinary tract infection in childhood: an electronic population-based cohort study in Welsh primary and secondary care.

Kathryn Hughes, Rebecca Cannings-John, Hywel Jones, Fiona Lugg-Widger, Tin Man Mandy Lau, Shantini Paranjothy, Nick Francis, Alastair D Hay, Christopher C Butler, Lianna Angel and 2 more

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Observational
  4. Epidemiological profile of urinary tract infections in children before and during the COVID-19 pandemic: an observational study.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2026
    Observational
  5. 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

12 authors.

Kathryn HughesPRIME Centre Wales, School of Medicine, Cardiff University, Cardiff.ORCID 0000-0002-8099-066X
Rebecca Cannings-JohnCentre of Research Trials, School of Medicine, Cardiff University, Cardiff.ORCID 0000-0001-5235-6517
Hywel JonesDivision of Population Medicine, School of Medicine, Cardiff University, Cardiff.ORCID 0000-0001-8308-2002
Fiona Lugg-WidgerCentre of Research Trials, School of Medicine, Cardiff University, Cardiff.ORCID 0000-0003-0029-9703
Tin Man Mandy LauCentre of Research Trials, School of Medicine, Cardiff University, Cardiff.ORCID 0000-0001-5894-570X
Shantini ParanjothyAberdeen Centre for Health Data Science, University of Aberdeen, Aberdeen.ORCID 0000-0002-0528-3121
Nick FrancisPrimary Care Research Centre, University of Southampton; Aldermoor Health Centre, Southampton.ORCID 0000-0001-8939-7312
Alastair D HayCentre for Academic Primary Care, Bristol Medical School, University of Bristol, Bristol.ORCID 0000-0003-3012-375X
Christopher C ButlerNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford.ORCID 0000-0002-0102-3453
Lianna AngelDECIPHer, School of Social Sciences, Cardiff University, Cardiff.ORCID 0000-0003-3962-9773
Judith Van der VoortNoah's Ark Children's Hospital for Wales, Cardiff.ORCID 0000-0002-2868-3486
Kerenza HoodCentre for Trials Research, College of Biomedical and Life Sciences, Cardiff University, Cardiff.ORCID 0000-0002-5268-8631

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildhood urinary tract infection (UTI) can cause renal scarring, and possibly hypertension, chronic kidney disease (CKD), and end-stage renal failure (ESRF). Previous studies have focused on selected populations, with severe illness or underlying risk factors. The risk for most children with UTI is unclear.

aimTo examine the association between childhood UTI and outcomes in an unselected population of children. DESIGN AND

settingA retrospective population-based cohort study using linked GP, hospital, and microbiology records in Wales, UK.

methodParticipants were all children born in 2005-2009, with follow-up until 31 December 2017. The exposure was microbiologically confirmed UTI before the age of 5 years. The key outcome measures were renal scarring, hypertension, CKD, and ESRF.

resultsIn total, 159 201 children were included; 77 524 (48.7%) were female and 7% (

conclusionThe prevalence of renal scarring in an unselected population of children with UTI is low. Without underlying risk factors, UTI is not associated with CKD, hypertension, or ESRF by the age of 10 years. Further research with systematic scanning of children's kidneys, including those with less severe UTI and without UTI, is needed to increase the certainty of these results, as most children are not scanned. Longer follow-up is needed to establish if UTI, without additional risk factors, is associated with hypertension, CKD, or ESRF later in life.

Indexed as

Urinary Tract InfectionsChildChild, PreschoolCicatrixFemaleHumansHypertensionInfantKidney Failure, ChronicMalePrimary Health CareRenal Insufficiency, ChronicRetrospective StudiesRisk FactorsSecondary Health CareWaleschild, preschoolhypertensioninfantkidney failure, chronicrenal insufficiency, chronicrenal scarringurinary tract infections

Identifiers

PMID38806210
PMCPMC11147460

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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.