Evidence map›Paper›PMID 40636680›Full record

ArticleJournal of pediatric nephrology2023

Investigating the Abnormal Presentation of Ureteropelvic Junction Obstruction in Adolescence: A Case Report.

Ryan S Wexler, Leslie Fuller, Kristen Kelly

Abstract read
In one paragraph

Article in Journal of pediatric nephrology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

3 authors.

Ryan S WexlerHelfgott Research Institute, National University of Natural Medicine, Portland, United States.ORCID 0000-0003-0121-2323
Leslie FullerUniversity of Western States, Portland, United States.ORCID 0000-0001-9201-6402
Kristen KellyNational University of Natural Medicine Health Centers, Portland, United States.

Funding

University of Michigan (UM) HEAL Initiative National K12 Clinical Pain Career Development Program (UM-HCPDP)K12NS130673 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Daniel J Clauw, Steven Edward Harte · 2022 to 2026
$12.5M
NINDS NIH HHS K12 NS130673
6 · The paper itself

Abstract

Background and Aim: Ureteropelvic junction obstruction (UPJO) is a common cause of hydronephrosis and is typically diagnosed antenatally. About 70% of these cases will self-resolve; however, symptomatic children may present with abdominal pain (i.e. Dietl crisis), vomiting, rash, or fever. Case Presentation: A 14-year-old male patient presented with cyclical vomiting every two months for the past two years. The patient's mother also described an eight-year history of headaches and intermittent abdominal pain. A renal magnetic resonance urography scan revealed decreased right kidney function and delayed cortex to ureter transit time. A pyeloplasty and stent placement were performed to correct the obstructing vessel. Conclusion: Clinical guidelines for abdominal pain and cyclical vomiting earlier in the patients' healthcare may have led to an appropriate workup and treatment years before. We recommend physicians consider UPJO as a differential diagnosis in adolescent patients with cyclical vomiting and abdominal pain and consult the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition (NASPGHN) guidelines to better guide the diagnosis.

Indexed as

Cyclical vomitingDietl crisisHydronephrosisUPJO

Identifiers

PMID40636680
PMCPMC12240563

What OpenQuestion holds

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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.