Evidence map›Paper›PMID 40059899›Full record

ArticleWorld journal of clinical pediatrics2025

Post-streptococcal acute glomerulonephritis in children: Association between proteinuria levels and renal outcomes.

Randula Ranawaka, Kavinda Dayasiri, Udara Sandakelum, Dulani Nelson, Manoji Gamage

Abstract read
In one paragraph

Article in World journal of clinical pediatrics, 2025. 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.

Randula RanawakaDepartment of Paediatrics, Faculty of Medicine, University of Colombo, Colombo 0094, Sri Lanka.
Kavinda DayasiriDepartment of Paediatrics, Faculty of Medicine, University of Kelaniya, Ragama 0094, Sri Lanka.
Udara SandakelumUniversity Pediatric Unit, Lady Ridgeway Hospital for Children, Colombo 0094, Western, Sri Lanka.
Dulani NelsonUniversity Paediatric Unit, Lady Ridgeway Hospital for Children, Colombo 0094, Western, Sri Lanka.
Manoji GamageNutrition Division, Ministry of Health, Colombo 0094, Sri Lanka.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPost-streptococcal acute glomerular nephritis (PSAGN) is mostly a benign condition. The usual sequelae of PSAGN include hypertension, its complications, and acute kidney injury. Severe PSAGN is associated with significant long-term morbidity, and histological abnormalities such as crescentic glomerulonephritis are infrequently reported. PSAGN has also been linked to late-onset chronic kidney disease in some populations due to high levels of proteinuria.

aimTo evaluate the association between proteinuria levels and renal outcomes in children with PSAGN.

methodsThis prospective observational study was conducted at Lady Ridgeway Hospital (Colombo, Sri Lanka) over 15 months. Children with PSAGN were enrolled based on clinical and laboratory criteria. Persistent proteinuria ≥ 2+ for 2 weeks and serum creatinine > 100 μmol/L warranted renal biopsy, assessed

resultsForty-four patients were recruited. There were 27 (61.4%) male patients and 17 (38.6%) female patients. Thirty-seven (84%) of them were above 5 years of age. Twenty (45%) patients had a history of skin sepsis, and eighteen (41%) had a history of throat infection. Among patients with proteinuria ≥ 2+, 53% had serum creatinine > 100 µmol/L, while among those with proteinuria < 2+, 7% had serum creatinine > 100 µmol/L. The association of high-degree proteinuria with elevated serum creatinine was significant (

conclusionHigh-degree proteinuria was significantly associated with elevated serum creatinine (> 100 μmol/L) in children with PSAGN. The majority of children with persistent proteinuria ≥ 2+ for more than 2 weeks and the highest recorded serum creatinine > 100 μmol/L had atypical renal histological findings.

Indexed as

CrescentsPost-streptococcal acute glomerulonephritisProteinuriaRenal biopsyRenal outcomeSerum creatinine

Identifiers

PMID40059899
PMCPMC11686579

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.