Evidence map›Paper›PMID 40900938›Full record

ArticleClinical kidney journal2025

Identification of early predictors of clinical remission in primary membranous nephropathy: a

Jorge E Rojas-Rivera, Fernando Caravaca-Fontán, Anne-Els van de Logt, Angel Sevillano, Amir Shabaka, Ana Ávila, Cristina Rabasco, Virginia Cabello, Alberto Ortiz, Luis F Quintana and 6 more

Abstract read
In one paragraph

Article in Clinical kidney journal, 2025. 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

16 authors.

Jorge E Rojas-RiveraDepartment of Nephrology and Hypertension, Hospital Universitario Fundación Jiménez Díaz & Current Visiting Research Scholar, The Ohio State University - Wexner Medical Center, Columbus, OH, USA.ORCID https://orcid.org/0000-0003-2730-6328
Fernando Caravaca-FontánDepartment of Nephrology, Hospital Universitario 12 de Octubre,  Madrid, Spain.ORCID https://orcid.org/0000-0002-5830-9663
Anne-Els van de LogtDepartment of Nephrology, Radboud Institute of Health Sciences, Radboud University Medical Centre, Nijmegen, The Netherlands.
Angel SevillanoDepartment of Nephrology, Hospital Universitario 12 de Octubre,  Madrid, Spain.
Amir ShabakaDepartment of Nephrology, Hospital Universitario La Paz, Madrid, Spain.ORCID https://orcid.org/0000-0001-7039-4701
Ana ÁvilaDepartment of Nephrology, Hospital Universitario Doctor Peset, Valencia, Spain.
Cristina RabascoDepartment of Nephrology, Hospital Universitario Reina Sofía, Córdoba, Spain.
Virginia CabelloDepartment of Nephrology, Hospital Universitario Virgen del Rocío, Sevilla, Spain.
Alberto OrtizDepartment of Nephrology and Hypertension, Hospital Universitario Fundación Jiménez Díaz & Current Visiting Research Scholar, The Ohio State University - Wexner Medical Center, Columbus, OH, USA.ORCID https://orcid.org/0000-0002-9805-9523
Luis F QuintanaDepartment of Nephrology and Renal Transplantation, Hospital Clinic, Department of Medicine, University of Barcelona IDIBAPS and Centro de Referencia en Enfermedad Glomerular Compleja del Sistema Nacional de Salud (CSUR), Barcelona, Spain.ORCID https://orcid.org/0000-0001-7582-8476
Marian GoicoecheaDepartment of Nephrology, Hospital Universitario Gregorio Marañón, Madrid, Spain.
Montserrat DiazDepartment of Nephrology, Fundación Puigvert, Barcelona, Spain.ORCID https://orcid.org/0000-0001-5172-3370
Pierre RoncoInstitut National de la Santé et de la Recherche Médicale (INSERM UMRS), Hospital Tenon, Paris, France.ORCID https://orcid.org/0000-0002-0280-6900
Jack WetzelsDepartment of Nephrology, Radboud Institute of Health Sciences, Radboud University Medical Centre, Nijmegen, The Netherlands.
Gema Fernández-JuárezDepartment of Nephrology, Hospital Universitario La Paz, Madrid, Spain.
Manuel PragaInstituto de Investigación 12 de Octubre, Universidad Complutense de Madrid. Madrid, Spain.ORCID https://orcid.org/0000-0001-9270-1071

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patients with primary membranous nephropathy may progress to advanced chronic kidney disease despite immunosuppressive therapy (IST). Prediction of treatment response based on early and combined assessment of several standard clinical markers could improve risk stratification for progression, allowing timely individualization of treatment, which can optimize clinical outcomes and safety. Methods: In this Results: The best multivariate model excluding immunosuppression to predict complete or PR at 2 years, included 3-month 24-h proteinuria, serum creatinine and immunological response [area under the curve (AUC) 0.87, 95% confidence interval (CI) 0.76-0.94, efficiency 87%]. For CR at 2 years, the best model included the same clinical markers at 6 months, but predictive performance was lower (AUC 0.74, 95% CI 0.62-0.85, efficiency 70%). Conclusions: In the STARMEN cohort, a multivariable model that included 24-h proteinuria, serum creatinine and immunological response status at 3 months after initiation of IST predicted clinical remission at 2 years with significantly better predictive performance than baseline data or each clinical marker assessed separately.

Indexed as

anti-PLA2R antibodiesclinical remissionnephrotic syndromepredictive modelsprimary membranous nephropathy

Identifiers

PMID40900938
PMCPMC12399971

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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.