Evidence map›Paper›PMID 41018998›Full record

ArticleClinical case reports2025

Roxadustat for ESA-Hyporesponsive Renal Anemia in a 13-Year-Old on Hemodialysis: Case Report and Mini-Review.

Meng Zhang, Yanchao Guo, Yan Zhu, Juan Yang

Abstract read
In one paragraph

Article in Clinical case reports, 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

4 authors.

Meng ZhangDepartment of Nephrology, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan Hubei China.
Yanchao GuoDepartment of Clinical Nutrition, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan Hubei China.
Yan ZhuBlood Purification Center, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan Hubei China.
Juan YangDepartment of Nephrology, Tongji Hospital, Tongji Medical College Huazhong University of Science and Technology Wuhan Hubei China.ORCID https://orcid.org/0000-0003-2035-9259

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anemia is the most common complication of end-stage renal disease (ESRD). While erythropoiesis-stimulating agents (ESA) have improved treatment outcomes, some patients exhibit intolerance or hyporesponsiveness. Roxadustat, a hypoxia-inducible factor prolyl hydroxylase inhibitor (HIF-PHI), improves erythropoiesis and iron metabolism, offering advantages in ESA-refractory cases. However, its use in pediatric populations remains limited. We present a case of a 13-year-old girl on maintenance hemodialysis who exhibited both hyporesponsiveness and intolerance to ESA. Initiation of oral Roxadustat resulted in a sustained improvement in hemoglobin levels, accompanied by notable enhancements in iron metabolism and clinical symptoms. So far, over 5 years of follow-up, no significant adverse events were observed. Oral Roxadustat appears to be an effective and safe treatment option for teenage hemodialysis patients who are resistant or intolerant to ESA.

Indexed as

adolescentanemiaprolyl‐hydroxylase inhibitorsrenal dialysisRoxadustat

Identifiers

PMID41018998
PMCPMC12474552

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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.