Evidence map›Paper›PMID 38570350›Full record

GuidelinePediatric nephrology (Berlin, Germany)2024

Assessment and management of vitamin status in children with CKD stages 2-5, on dialysis and post-transplantation: clinical practice points from the Pediatric Renal Nutrition Taskforce.

Caroline E Anderson, Jetta Tuokkola, Leila Qizalbash, Matthew Harmer, Christina L Nelms, Stella Stabouli, Barry Toole, Nonnie Polderman, An Desloovere, Jose Renken-Terhaerdt and 9 more

Open access · hybridAbstract readPractice Guideline
In one paragraph

Guideline in Pediatric nephrology (Berlin, Germany), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 6% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Association of Dietary Micronutrient Intake and the Metabolome in Children with CKD.Clinical journal of the American Society of Nephrology : CJASN · 2025
    Article
  9. Review
  10. Untangling the Web of Dietary Micronutrient Intake and the Metabolome in Children with CKD.Clinical journal of the American Society of Nephrology : CJASN · 2025
    Article
  11. Article
  12. 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

19 authors at 13 institutions in 8 countries.

Caroline E AndersonUniversity Hospital Southampton NHS Foundation Trust, Southampton, UK. caroline.anderson@uhs.nhs.uk.ORCID 0000-0002-0116-9006
Jetta TuokkolaClinical Nutrition Unit, Internal Medicine and Rehabilitation, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.ORCID 0000-0002-8523-2008
Leila QizalbashGreat Northern Children's Hospital, Newcastle Upon Tyne, UK.
Matthew HarmerUniversity Hospital Southampton NHS Foundation Trust, Southampton, UK.
Christina L NelmsChildren's Mercy Kansas City, Kansas City, MO, USA.
Stella Stabouli1st Department of Pediatrics, Aristotle University, Hippokratio Hospital, Thessaloniki, Greece.
Barry TooleGreat Northern Children's Hospital, Newcastle Upon Tyne, UK.
Nonnie PoldermanBritish Columbia Children's Hospital, Vancouver, Canada.
An DesloovereUniversity Hospital Ghent, Ghent, Belgium.
Jose Renken-TerhaerdtWilhemina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
Molly R Wong VegaTexas Children's Hospital, Houston, TX, USA.
Evelien SnauwaertUniversity Hospital Ghent, Ghent, Belgium.
Johan Vande WalleUniversity Hospital Ghent, Ghent, Belgium.
Dieter HaffnerHannover Medical School, Children's Hospital, Hannover, Germany.
Fabio PaglialongaFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Rukshana ShroffUniversity College London Great Ormond Street Hospital Institute of Child Health, London, UK.ORCID 0000-0001-8501-1072
Vanessa ShawUniversity College London Great Ormond Street Hospital Institute of Child Health, London, UK.ORCID 0000-0003-3886-6291
Larry A GreenbaumEmory University, Atlanta, GA, USA.ORCID 0000-0002-2490-021X
Bradley A WaradyChildren's Mercy Kansas City, Kansas City, MO, USA.
Ghent University Hospital · BEChildren's Mercy Hospital · USGreat North Children's Hospital · GBGreat Ormond Street Hospital · GBBC Children's Hospital · CAEmory University · USFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITMedizinische Hochschule Hannover · DETexas Children's Hospital · USUniversity Hospital Southampton NHS Foundation Trust · GBUniversity Medical Center Utrecht · NLUniversity of Helsinki · FIUniversity of Winchester · GB

Funding

Career Development Fellowship.National Institute for Health Research (NIHR) CDF-2016-09-038Vitaflo International Ltd
6 · The paper itself

Abstract

Children with chronic kidney disease (CKD) are at risk for vitamin deficiency or excess. Vitamin status can be affected by diet, supplements, kidney function, medications, and dialysis. Little is known about vitamin requirements in CKD, leading to practice variation.The Pediatric Renal Nutrition Taskforce (PRNT), an international team of pediatric kidney dietitians and pediatric nephrologists, was established to develop evidence-based clinical practice points (CPPs) to address challenges and to serve as a resource for nutritional care. Questions were formulated using PICO (Patient, Intervention, Comparator, Outcomes), and literature searches undertaken to explore clinical practice from assessment to management of vitamin status in children with CKD stages 2-5, on dialysis and post-transplantation (CKD2-5D&T). The CPPs were developed and finalized using a Delphi consensus approach. We present six CPPs for vitamin management for children with CKD2-5D&T. We address assessment, intervention, and monitoring. We recommend avoiding supplementation of vitamin A and suggest water-soluble vitamin supplementation for those on dialysis. In the absence of evidence, a consistent structured approach to vitamin management that considers assessment and monitoring from dietary, physical, and biochemical viewpoints is needed. Careful consideration of the impact of accumulation, losses, comorbidities, and medications needs to be explored for the individual child and vitamin before supplementation can be considered. When supplementing, care needs to be taken not to over-prescribe. Research recommendations are suggested.

Indexed as

Dietary SupplementsKidney TransplantationRenal DialysisRenal Insufficiency, ChronicChildHumansNutritional StatusReview Literature as TopicVitaminsVitaminsChildrenChronic kidney diseaseClinical practice pointsPediatric Renal Nutrition TaskforceVitamins

Identifiers

PMID38570350
PMCPMC11349803
OpenAlexW4393932542

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.