Evidence map›Paper›PMID 42543789›Full record

ArticleNephrology (Carlton, Vic.)2026

Persistent Haematuria Is Associated With Reduced Kidney Survival in Primary Podocytopathies.

Gabriel Ștefan, Nicoleta Petre, Adrian Zugravu, Simona Stancu

Abstract read
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Article in Nephrology (Carlton, Vic.), 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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Gabriel ȘtefanDepartment of Nephrology, University of Medicine and Pharmacy 'Carol Davila', Bucharest, Romania.ORCID https://orcid.org/0000-0002-7336-5874
Nicoleta PetreDepartment of Pathology, University of Medicine and Pharmacy 'Carol Davila', Bucharest, Romania.
Adrian ZugravuDepartment of Nephrology, University of Medicine and Pharmacy 'Carol Davila', Bucharest, Romania.
Simona StancuDepartment of Nephrology, University of Medicine and Pharmacy 'Carol Davila', Bucharest, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimHaematuria is frequently present in podocytopathies, but its significance and prognostic value are not well described. This study aimed to determine the prevalence and association between persistent haematuria and kidney survival in patients with membranous nephropathy (MN), minimal change disease (MCD) and focal segmental glomerulosclerosis (FSGS).

methodsWe conducted a retrospective cohort study of 236 adults with biopsy-proven primary podocytopathies. Persistent haematuria was defined as ≥ 5 red blood cells per high-power field in ≥ 3 consecutive urine specimens within 3 months post-biopsy. The primary outcome was end-stage kidney disease (ESKD) requiring chronic renal replacement therapy. Kaplan-Meier analysis and Cox proportional hazards regression were performed.

resultsAmong 236 participants (114 MN, 76 MCD, 46 FSGS), 73 (31%) had persistent haematuria. Participants with haematuria had higher proteinuria (5.3 vs. 3.2 g/g, p = 0.01) and were more likely to have hypertension (55% vs. 36%, p = 0.007). During a median follow-up of 96 months, 38 patients (16%) reached ESKD. ESKD incidence was significantly higher in patients with persistent haematuria (32% vs. 9%, p < 0.001). After adjusting for diagnosis, eGFR, proteinuria, Charlson comorbidity score and histological chronicity score, persistent haematuria remained independently associated with ESKD (hazard ratio: 3.55; 95% CI: 1.78-7.05; p < 0.001).

conclusionPersistent haematuria is prevalent among patients with podocytopathies and is significantly and independently associated with ESKD. Urinalysis, including microscopic haematuria assessment, is widely available and inexpensive, providing a valuable data point to help formulate patient prognosis.

Indexed as

Glomerulonephritis, MembranousGlomerulosclerosis, Focal SegmentalHematuriaKidney Failure, ChronicNephrosis, LipoidPodocytesAdultAgedBiopsyDisease ProgressionFemaleHumansIncidenceKaplan-Meier EstimateMaleMiddle Agedfocal segmental glomerulosclerosishaematuriakidney failuremembranous nephropathyminimal change diseasepodocytopathy

Identifiers

PMID42543789
PMCPMC13430087

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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.