Evidence map›Paper›PMID 41882420›Full record

ArticlePediatric nephrology (Berlin, Germany)2026

The epidemiology of kidney and urinary tract infections in pediatric chronic kidney disease: prevalence, risk factors and association with GFR decline in the Chronic Kidney Disease in Children Study.

Derek K Ng, Andrea R Molino, Siyao Zhang, Emily J Stonebrook, Craig S Wong, Pratyush Gyawali, Kimberly J Reidy, Susan L Furth, Bradley A Warady, Jeffrey J Fadrowski and 1 more

Abstract read
In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Derek K NgDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street Rm. E7642, Baltimore, MD, 21075, USA. dng@jhu.edu.ORCID http://orcid.org/0000-0001-5878-5101
Andrea R MolinoDepartment of Epidemiology, University of Washington School of Public Health, Seattle, WA, USA.
Siyao ZhangDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street Rm. E7642, Baltimore, MD, 21075, USA.
Emily J StonebrookDivision of Nephrology and Hypertension, Department of Pediatrics, Nationwide Children's Hospital, Columbus, OH, USA.
Craig S WongDepartment of Pediatrics, Division of Nephrology, University of New Mexico Children's Hospital, Albuquerque, NM, USA.
Pratyush GyawaliAlbert Einstein College of Medicine, Children's Hospital at Montefiore Einstein, Pediatric Nephrology, Bronx, NY, USA.
Kimberly J ReidyAlbert Einstein College of Medicine, Children's Hospital at Montefiore Einstein, Pediatric Nephrology, Bronx, NY, USA.
Susan L FurthDepartment of Pediatrics, Division of Nephrology, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Bradley A WaradyDepartment of Pediatrics, Division of Nephrology, Children's Mercy Kansas City, Kansas City, MO, USA.
Jeffrey J FadrowskiDepartment of Pediatrics, Division of Nephrology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
CKiD Study Investigators

Funding

Chronic Kidney Disease in Children Study (C-Kid)U01DK066174 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI SUSAN L. FURTH · 2003 to 2026
$25.1M
CKiD Cardiovascular Testing Travel SupplementU01DK066143 · NIDDK · CHILDREN'S MERCY HOSP (KANSAS CITY, MO) · PI Bradley Alan Warady · 2003 to 2026
$24.2M
The Kidney Disease in Children Data Management and Analysis Center (KIDMAC)U24DK066116 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI Derek K Ng · 2018 to 2026
$12.6M
The Central Biochemistry Laboratory for the Chronic Kidney Disease in Children Cohort (CKiD)U24DK137522 · NIDDK · UNIVERSITY OF MINNESOTA · PI Jesse C Seegmiller · 2023 to 2026
$1.3M
NIDDK NIH HHS U01 DK066143NIDDK NIH HHS U01-DK-066143NIDDK NIH HHS U01 DK066174NIDDK NIH HHS U01-DK-066174NIDDK NIH HHS U24 DK066116NIDDK NIH HHS U24-DK-066116NIDDK NIH HHS U24 DK137522NIDDK NIH HHS U24-DK-137522
6 · The paper itself

Abstract

backgroundUrinary tract and kidney infections are potential complications in pediatric chronic kidney disease (CKD), especially among patients with congenital anomalies of the kidney and urinary tract (CAKUT). We characterized the prevalence of self-reported infections from childhood through young adulthood; evaluated risk factors; and quantified the association with CKD progression.

methodsInfections in the past year were self-reported at annual Chronic Kidney Disease in Children (CKiD) study visits. Age-specific infection prevalences were stratified by sex and CKD diagnoses (glomerular, non-glomerular non-CAKUT, CAKUT low-risk for infections, and three CAKUT high-risk categories: reflux nephropathy, obstructive uropathy, and other high-risk). Repeated measures logistic regression quantified associations between infections and clinical variables. Estimated glomerular filtration rate (eGFR) change in the year after infection was assessed using linear regression, adjusted for age, sex, diagnoses, previous year eGFR, medications, and bladder catheterization.

results943 participants contributed 4707 person-visits. Among 175 with obstructive uropathy, approximately one-third of boys and two-thirds of girls reported a previous year infection; infection prevalence for other CAKUT diagnoses ranged from about 20% to 50%. Bladder catheterization and history of infections were significantly associated with recent infections. Adjusted eGFR decline in the year after reporting infection was -1.7% faster compared to those free of infection (95%CI: -3.2%, -0.1%, p < 0.05), but this was attenuated when adjusted for catheterization (p = 0.082).

conclusionsCAKUT diagnoses were associated with higher infection risk, especially among those with obstructive uropathy, and girls reported more infections than boys. Self-reported infection was significantly associated with accelerated eGFR decline in the following year.

Indexed as

Renal Insufficiency, ChronicUrinary Tract InfectionsUrogenital AbnormalitiesAdolescentChildChild, PreschoolDisease ProgressionFemaleGlomerular Filtration RateHumansInfantKidneyMalePrevalenceRisk FactorsSex FactorsBladder infectionCongenital anomalies of the kidney and urinary tractGlomerular filtration rateKidney infectionPediatric chronic kidney diseaseUrinary tract infection

Identifiers

PMID41882420
PMCPMC13481756

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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.