Evidence map›Paper›PMID 35022016›Full record

ArticleBMC pediatrics2022

Efficacy of rituximab therapy in children with nephrotic syndrome: a 10-year experience from an Iranian pediatric hospital.

Behnaz Bazargani, Zahra Noparast, Leila Khedmat, Daryoosh Fahimi, Seyed Taher Esfahani, Mastaneh Moghtaderi, Arash Abbasi, Azadeh Afshin, Sayed Yousef Mojtahedi

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 22% 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, 9 citations in OpenAlex.

  1. Review
  2. Observational
  3. Forging the Future: B Cell Activating Factor's Impact on Nephrotic Syndrome.The Malaysian journal of medical sciences : MJMS · 2024
    Review
  4. Article
  5. Article
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

9 authors at 3 institutions in 1 country.

Behnaz BazarganiPediatric Chronic Kidney Disease Research Center, The Children's Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Zahra NoparastPediatric Chronic Kidney Disease Research Center, The Children's Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Leila KhedmatHealth Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Daryoosh FahimiPediatric Chronic Kidney Disease Research Center, The Children's Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Seyed Taher EsfahaniDepartment of Pediatrics, Division of Nephrology, Children's Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Mastaneh MoghtaderiPediatric Chronic Kidney Disease Research Center, The Children's Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Arash AbbasiPediatric Chronic Kidney Disease Research Center, The Children's Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Azadeh AfshinPediatric Chronic Kidney Disease Research Center, The Children's Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran.
Sayed Yousef MojtahediPediatric Chronic Kidney Disease Research Center, The Children's Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran. drmojtahed@yahoo.com.ORCID 0000-0002-6231-2662
Tehran University of Medical Sciences · IRBaqiyatallah University of Medical Sciences · IRChildren's Medical Center · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are controversy results in the optimal management of children with steroid-dependent and steroid-resistant nephrotic syndrome (SDNS, SRNS). This study aimed to determine the efficacy and safety of rituximab (RTX) in these pediatric patients.

methodsMedical records of 1-18-year-old Iranian children with SDNS (n = 26) and SRNS (n = 22) with a follow-up for at least 24 months were included from 2009 to 2019. The short- and long-term responses to RTX were respectively evaluated to determine the random protein-to-creatinine ratio after 6 and 24 months and classified as complete (CR) and partial (PR) remission or no response.

resultsMale patients (n = 26) were slightly predominate. The median age of patients at the time of RTX therapy was 8.6 ± 4.01 years. At the end of the 6-month follow-up, CR and PR occurred in 23 (47.9%) and 12 (25%) patients, respectively. Of 23 patients with CR, 18 (69.2%) and 5(22.7%) had SDNS and SRNS, respectively (p < 0.005). However, only 18 (37.5%) of patients after 24 months had been in CR. No significant difference in the CR rate was found between the two groups. RTX was more effective when administered during the proteinuria-free period (p = 0.001).

conclusionIn the short term, RTX significantly was efficient in inducing complete or PR in SDNS and SRNS patients. However, the favorable response rate in a long-term follow-up was insignificantly lower between the two groups.

Indexed as

Nephrotic SyndromeAdolescentChildChild, PreschoolHospitals, PediatricHumansInfantIranMaleRituximabSteroidsTreatment OutcomeRituximabSteroidsNephrotic syndromePediatricsRituximabSteroid dependent nephrotic syndromeSteroid resistant nephrotic syndrome

Identifiers

PMID35022016
PMCPMC8753871
OpenAlexW4206214206

What Socratic holds

Textmetadata
LicenceCC BY
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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.