Evidence map›Paper›PMID 42032254›Full record

ArticleAnnals of hematology2026

Renal complications in pediatric sickle cell disease: results from a single-center study.

Silvio Marchesani, Luca Antonucci, Fabiola Scaramuzzino, Livia Schettini, Margherita Di Mauro, Francesca Fini, Giuseppe Palumbo, Giulia Ceglie

Abstract read
In one paragraph

Article in Annals of hematology, 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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1 · What the graph read from it

What it found

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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

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

8 authors.

Silvio MarchesaniThe School of Pediatrics, University of Rome Tor Vergata, Rome, Italy. silvio.marchesani@libero.it.
Luca AntonucciDivision of Nephrology, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.
Fabiola ScaramuzzinoDivision of Nephrology, Bambino Gesù Children's Hospital IRCCS, Rome, Italy.
Livia SchettiniThe School of Pediatrics, University of Rome Tor Vergata, Rome, Italy.
Margherita Di MauroDepartment of Hematology/Oncology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Francesca FiniThe School of Pediatrics, University of Rome Tor Vergata, Rome, Italy.
Giuseppe PalumboDepartment of Hematology/Oncology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Giulia CeglieDepartment of Hematology/Oncology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sickle cell disease (SCD), caused by a mutation in the β-globin gene, leads to acute hemolytic crises and chronic anemia, necessitating frequent blood transfusions. Renal involvement begins early in life and is multifactorial. Chronic kidney disease (CKD) develops in about 30% of SCD adults and is a major cause of death. This study aims to identify markers of glomerular and tubular damage, along with potential risk factors, in a pediatric SCD cohort. We conducted monthly blood and urine tests over 24 months on pediatric patients with SCD. Glomerular hyperfiltration was defined as an estimated glomerular filtration rate (eGFR) > 140 ml/min/1.73 m², while CKD was defined as either eGFR < 60 ml/min/1.73 m² or the presence of specific structural or functional abnormalities. Proteinuria was measured by urinary albumin–creatinine ratio (uACR) or urinary protein-creatinine ratio (UPCR). The study enrolled 46 pediatric SCD patients with a median age of 12 years (range 3–18 years). Glomerular hyperfiltration was observed in 82.6% of patients. uACR and elevated UPCR were found in 15.2% and 32.6% of patients, respectively. A high transfusion requirement correlated with glomerular hyperfiltration and UPCR, irrespective of age. A significant portion of the cohort exhibited glomerular hyperfiltration and proteinuria, particularly those with high transfusion needs. These changes were observed independently of age, more as a consequence of disease progression over time, suggesting the need for early evaluation and potential treatment to prevent disease progression even at an early stage.

Indexed as

Anemia, Sickle CellRenal Insufficiency, ChronicAdolescentAlbuminuriaChildChild, PreschoolCohort StudiesCreatinineFemaleGlomerular Filtration RateHumansMaleProteinuriaRisk FactorsCreatinineHemoglobinopatiesRenal DiseaseSickle Cell Disease

Identifiers

PMID42032254
PMCPMC13109267

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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.