Evidence map›Paper›PMID 39518580›Full record

ReviewJournal of clinical medicine2024

The Controversial Role of Glucocorticoids in Atheroembolic Renal Disease: A Narrative Review.

Maria Chiara Pacchiarini, Francesca Di Mario, Paolo Greco, Enrico Fiaccadori, Giovanni Maria Rossi

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2024. 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
–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

1 citing paper in PubMed.

  1. 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.

Maria Chiara PacchiariniDepartment of Medicine and Surgery, University of Parma, 43126 Parma, Italy.ORCID 0000-0002-4715-9524
Francesca Di MarioDepartment of Medicine and Surgery, University of Parma, 43126 Parma, Italy.ORCID 0000-0001-5496-4989
Paolo GrecoDepartment of Medicine and Surgery, University of Parma, 43126 Parma, Italy.
Enrico FiaccadoriDepartment of Medicine and Surgery, University of Parma, 43126 Parma, Italy.
Giovanni Maria RossiDepartment of Medicine and Surgery, University of Parma, 43126 Parma, Italy.ORCID 0000-0001-8886-4329

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cholesterol crystal embolism (CCE) is an underrecognized multisystemic disease caused by the displacement of cholesterol crystals from atheromatous aortic plaques to distal vascular beds, leading to ischemic injury of target organs, particularly the kidneys, i.e., atheroembolic renal disease (ARD). According to recent research, cellular necrosis, induced by crystal-induced cytotoxicity, enhances the autoinflammatory cascade of the NLPR3 inflammasome, leading in turn to the so-called "necroinflammation". The purported involvement of the latter in CCE offers a rationale for the therapeutic approach with anti-inflammatory drugs such as glucocorticoids, the use of which has long been a matter of debate in CCE. Diagnostic delay and no consistent evidence regarding efficacious treatment, leading to inconsistency in clinical practice, may worsen the already poor prognosis of ARD. The possible role of glucocorticoids in the treatment of ARD is thereby herein explored in a narrative fashion, analyzing the limited data from case reports and clinical trials.

Indexed as

acute kidney injury (AKI)atheroembolic renal disease (ARD)cholesterol crystal embolization (CCE)crystallopathiesglucocorticoidsnecroinflammation

Identifiers

PMID39518580
PMCPMC11546646

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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.