Evidence map›Paper›PMID 31646979›Full record

SynthesisBMC nephrology2019

Efficacy and safety of cyclosporine a for patients with steroid-resistant nephrotic syndrome: a meta-analysis.

Hong-Yan Li, Xialan Zhang, Tianbiao Zhou, Zhiqing Zhong, Hongzhen Zhong

Open access · goldAbstract readComparative StudyMeta-AnalysisReview
In one paragraph

Synthesis in BMC nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 36% of its field
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. 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

5 authors at 2 institutions in 1 country.

Hong-Yan LiDepartment of Nephrology, Huadu District People's Hospital of Guangzhou, Southern Medical University, Guangzhou, China.
Xialan ZhangDepartment of Obestetrics and Gynecology, the Second Affiliated Hospital of Shantou University Medical College, Shantou, 515041, China.
Tianbiao ZhouDepartment of Nephrology, the Second Affiliated Hospital of Shantou University Medical College, Shantou, 515041, China. zhoutb@aliyun.com.
Zhiqing ZhongDepartment of Nephrology, the Second Affiliated Hospital of Shantou University Medical College, Shantou, 515041, China.
Hongzhen ZhongDepartment of Nephrology, the Second Affiliated Hospital of Shantou University Medical College, Shantou, 515041, China.
Second Affiliated Hospital of Shantou University Medical College · CNSouthern Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study was to determine efficacy and safety of cyclosporine A (CsA) for patients with steroid-resistant nephrotic syndrome (SRNS).

methodsThe Cochrane Library and PubMed were searched to extract the associated studies on Oct 10, 2018, and the meta-analysis method was used to pool and analyze the applicable investigations included in this study. The P(opulation) I(ntervention) C(omparison) O(utcome) of the study were defined as follows: P: Patients with SRNS; I: treated with CsA, cyclophosphamide (CYC), tacrolimus (TAC) or placebo/not treatment (P/NT); C: CsA vs. placebo/nontreatment (P/NT), CsA vs. CYC, CsA vs. TAC; O: complete remission (CR), total remission (TR; complete or partial remission (PR)), urine erythrocyte number, proteinuria levels, albumin, proteinuria, serum creatinine, and plasma cholesterol, etc. Data were extracted and pooled using RevMan 5.3.

resultsIn the therapeutic regimen of CsA vs. placebo/nontreatment (P/NT), the results indicated that the CsA group had high values of CR, TR, and low values of proteinuria, serum creatinine, and plasma cholesterol when compared with those in the placebo group. In comparing CsA vs. cyclophosphamide (CYC), the results indicated that the CsA group had higher TR than the CYC group. In comparing CsA vs. tacrolimus (TAC), the results revealed insignificant differences in CR, and TR between the CsA and TAC groups. The safety of CsA was also assessed. The incidence of gum hyperplasia in CsA group was higher than that in the P/NT group, with no differences in incidence of infections or hypertension between CsA and P/NT groups. There was no difference in the incidence of hypertension between the CsA and TAC groups.

conclusionsCsA is an effective and safe agent in the therapy of patients with SRNS.

Indexed as

CholesterolCreatinineCyclophosphamideCyclosporineDrug ResistanceGingivaHumansHyperplasiaHypertensionImmunosuppressive AgentsInfectionsNephrotic SyndromeProteinuriaSteroidsTacrolimusCholesterolCreatinineCyclophosphamideCyclosporineImmunosuppressive AgentsSteroidsTacrolimusComplete remission (CR)Cyclosporine a (CsA)Meta-analysisSteroid-resistant nephrotic syndrome (SRNS)Total remission (TR)

Identifiers

PMID31646979
PMCPMC6813125
OpenAlexW2982187299

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.