Evidence map›Paper›PMID 42718829›Full record

ArticleFrontiers in pediatrics2026

Cytokine-augmented risk stratification for six-month incident nephritis in children with IgA vasculitis.

Fan Liu, Yang Pan, Yan Ding, Dan Wang

Abstract read
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Article in Frontiers in pediatrics, 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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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

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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.

Fan Liu *Department of Rheumatology and Immunology, Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, Wuhan, Hubei, China.
Yang Pan *Department of Laboratory Medicine, Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, Wuhan, Hubei, China.
Yan DingDepartment of Rheumatology and Immunology, Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, Wuhan, Hubei, China.
Dan WangDepartment of Gastroenterology, Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, Wuhan, Hubei, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Children with IgA vasculitis (IgAV) may develop nephritis after initially presenting without kidney involvement. We evaluated whether a cytokine augmentation score (CAS) was associated with improved six-month incident nephritis risk stratification beyond clinical variables and routine inflammatory markers. Methods: This single-center cohort screened children younger than 18 years with IgAV from January 2023 to June 2024 and used standardized six-month renal outcome ascertainment. Children meeting accepted IgAV classification criteria, with no nephritis during the baseline decision window, complete baseline biomarker data, and six-month renal outcome ascertainment formed the cohort. A routine inflammatory index score (RIIS) summarized Results: Among 447 screened children, 337 were analyzed; 91 (27.0%) developed incident nephritis. CAS was independently associated with nephritis after adjustment for age, sex, symptom-to-blood-draw interval, gastrointestinal involvement, systolic blood-pressure percentile, subthreshold urinary warning signs, and RIIS (adjusted odds ratio per standard deviation (SD), 2.97; 95% confidence interval (CI), 2.01-4.39; Conclusions: In this single-center derivation cohort, CAS improved internally evaluated discrimination, Brier score, and risk separation beyond clinical variables and RIIS. The model remains investigational pending external validation, assay standardization, and implementation testing.

Indexed as

childrencytokinesIgA vasculitisnephritisrisk stratification

Identifiers

PMID42718829
PMCPMC13553951

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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.