Evidence map›Paper›PMID 41079156›Full record

ReviewClinical kidney journal2025

Indications and recent evidence for apheresis in children and adults with kidney diseases: a comprehensive review.

Rupesh Raina, Eugene Yu-Hin Chan, Jieji Hu, Pujan Moradiya, Bryce Pember, Priyanka Khandelwal, Ruchi Mahajan, Ali Düzova, Kinnari Vala, Vivekanand Jha and 3 more

Abstract readReview
In one paragraph

Review 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 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. Review
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

13 authors.

Rupesh RainaDepartment of Nephrology, Akron Nephrology Associates at Cleveland Clinic Akron General Medical Center, Akron, OH, USA.
Eugene Yu-Hin ChanDepartment of Paediatrics, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong SAR.ORCID https://orcid.org/0000-0002-1463-6005
Jieji HuDepartment of Nephrology, Akron Nephrology Associates at Cleveland Clinic Akron General Medical Center, Akron, OH, USA.ORCID https://orcid.org/0009-0000-3982-7118
Pujan MoradiyaCollege of Medicine, Northeast Ohio Medical University, Rootstown, OH, USA.
Bryce PemberCollege of Medicine, Northeast Ohio Medical University, Rootstown, OH, USA.
Priyanka KhandelwalDivision of Nephrology, Department of Pediatrics, The Hospital for Sick Children, Toronto, Canada.
Ruchi MahajanDepartment of Pediatric Nephrology, Atrium Health, Levine Children's Hospital, Charlotte, NC, USA.
Ali DüzovaDivision of Pediatric Nephrology, Faculty of Medicine, Hacettepe University, Ankara, Türkiye.ORCID https://orcid.org/0000-0002-4365-2995
Kinnari ValaDepartment of Pediatric Nephrology, Institute of Kidney Diseases and Research Centre & Gujarat University of Transplantation Sciences, Ahmedabad, India.
Vivekanand JhaGeorge Institute for Global Health, UNSW, New Delhi, India; School of Public Health, Imperial College, London, UK; Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, India.
Olivia BoyerNéphrologie Pédiatrique, Centre de Référence du Syndrome Néphrotique Idiopathique de L'enfant Et L'adulte, Hôpital Necker - Enfants Malades, APHP, Inserm U1163, Institut Imagine, Université Paris Cité, Paris, France.ORCID https://orcid.org/0000-0002-3957-1359
Sidharth SethiDivision of Pediatric Nephrology, Kidney Institute, Medanta, the Medicity Hospital, Gurgaon, Haryana, India.ORCID https://orcid.org/0000-0002-1516-3393
Pietro CanettaDepartment of Medicine, Division of Nephrology, Columbia University Irving Medical Center, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Plasmapheresis has been a therapeutic option in kidney diseases to eliminate disease-causing autoantibodies, circulating factors, and abnormal components involved in complement pathways. We aim to systematically review the effectiveness and adverse events associated with plasmapheresis and related apheresis therapies in treating kidney diseases in paediatric and adult populations. Methods: We searched databases including EMBASE, CINAHL, PubMed, and Cochrane Central for studies from 2010 to October 2023. The search terms included terms related to glomerulonephritis treated with plasmapheresis. Outcomes included the patient's length of hospital stay, mortality, development of kidney failure, associated comorbidities, and adverse events. Risk of bias was assessed using the Newcastle-Ottawa Scale, and meta-analyses were performed to calculate pooled adverse event rates. Results: A total of 33 studies with 1363 participants were included. The pooled proportion of kidney failure was 26.36% (95% CI 17.38%-36.47%), and the rate of dialysis requirement was 30.43% (95% CI 14.80%-48.82%). The mortality rate was 10.86% (95% CI 9.12%-12.81%). Adverse events were reported in 31.03% (95% CI 12.78%-53.05%) of cases. Heterogeneity was significant for most outcomes. We also performed a literature review due to a lack of adequate studies regarding the use of plasmapheresis in lupus nephritis, multiple myeloma, and atypical haemolytic uremic syndrome, as well as the use of low-density lipoprotein apheresis in kidney diseases. Discussion: Plasmapheresis has demonstrated remission in patients with kidney diseases, particularly in those with ANCA-associated vasculitis and FSGS. Based on the results of our systematic review, we discuss the use of plasmapheresis for treating glomerular diseases, atypical haemolytic uremic syndrome, other kidney diseases, and the usage of low-density lipoprotein apheresis. Further research is needed to improve patient outcomes and reduce complications, especially in paediatric populations.

Indexed as

apheresisLDL-apheresisplasmapheresistherapeutic plasma exchange

Identifiers

PMID41079156
PMCPMC12511939

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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.