Evidence map›Paper›PMID 40825227›Full record

SynthesisJornal brasileiro de nefrologia

The role of cystatin C in kidney injury in children and adolescents with type 1 diabetes mellitus: a systematic review.

Nikolaos Gkiourtzis, Anastasia Stoimeni, Panagiota Michou, Maria Moutafi, Konstantinos Cheirakis, Aristeidis Christakopoulos, Agni Glava, Paraskevi Panagopoulou, Georgios Tsigaras, Assimina Galli-Tsinopoulou and 2 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Jornal brasileiro de nefrologia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Nikolaos GkiourtzisAristotle University of Thessaloniki, Faculty of Health Sciences, School of Medicine, 4th Department of Pediatrics, Papageorgiou General Hospital, Thessaloniki, Greece.ORCID http://orcid.org/0000-0001-8348-8520
Anastasia StoimeniAristotle University of Thessaloniki, Faculty of Health Sciences, School of Medicine, 4th Department of Pediatrics, Papageorgiou General Hospital, Thessaloniki, Greece.ORCID http://orcid.org/0009-0009-5450-8313
Panagiota MichouAristotle University of Thessaloniki, Faculty of Health Sciences, School of Medicine, Program of Postgraduate Studies Adolescent Medicine and Adolescent Health Care, Thessaloniki, Greece.
Maria MoutafiAristotle University of Thessaloniki, Faculty of Health Sciences, School of Medicine, 4th Department of Pediatrics, Papageorgiou General Hospital, Thessaloniki, Greece.ORCID http://orcid.org/0000-0001-8795-0911
Konstantinos CheirakisAristotle University of Thessaloniki, Faculty of Health Sciences, School of Medicine, 4th Department of Pediatrics, Papageorgiou General Hospital, Thessaloniki, Greece.
Aristeidis ChristakopoulosAristotle University of Thessaloniki, Faculty of Health Sciences, School of Medicine, 4th Department of Pediatrics, Papageorgiou General Hospital, Thessaloniki, Greece.
Agni GlavaAristotle University of Thessaloniki, Faculty of Health Sciences, School of Medicine, 4th Department of Pediatrics, Papageorgiou General Hospital, Thessaloniki, Greece.
Paraskevi PanagopoulouAristotle University of Thessaloniki, Faculty of Health Sciences, School of Medicine, 4th Department of Pediatrics, Papageorgiou General Hospital, Thessaloniki, Greece.ORCID http://orcid.org/0000-0002-1585-1372
Georgios TsigarasAristotle University of Thessaloniki, Faculty of Health Sciences, School of Medicine, 1st Department of Pediatrics, Hippokratio General Hospital, Thessaloniki, Greece.ORCID http://orcid.org/0000-0002-3024-8029
Assimina Galli-TsinopoulouAristotle University of Thessaloniki, Faculty of Health Sciences, School of Medicine, Program of Postgraduate Studies Adolescent Medicine and Adolescent Health Care, Thessaloniki, Greece.ORCID http://orcid.org/0000-0002-8503-3893
Athanasios ChristoforidisAristotle University of Thessaloniki, Faculty of Health Sciences, School of Medicine, 1st Department of Pediatrics, Hippokratio General Hospital, Thessaloniki, Greece.ORCID http://orcid.org/0000-0003-4964-5726
Despoina TrammaAristotle University of Thessaloniki, Faculty of Health Sciences, School of Medicine, 4th Department of Pediatrics, Papageorgiou General Hospital, Thessaloniki, Greece.ORCID http://orcid.org/0000-0002-0085-7384

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDiabetic kidney disease (DKD) is a major complication of type 1 diabetes mellitus (T1D). In clinical practice, albuminuria and reduced estimated glomerular filtration rate (eGFR) are the main characteristics of DKD. Later studies revealed that interstitial damage is also observed as DKD occurs. Therefore, the application of a biomarker for early DKD detection was critical. This systematic review aimed to summarize the literature about the prognostic role of cystatin C in kidney injury in children and adolescents with T1D.

methodsFrom inception until September 24, 2024, an extensive literature search through major databases (MEDLINE/PubMed, Cochrane Library, and Scopus) was carried out to investigate the prognostic role of cystatin C in kidney injury in pediatric patients with T1D. The mean difference was used for continuous outcomes with 95%CI. A p < 0.05 was considered statistically significant. A quality assessment of included studies was conducted using the Newcastle-Ottawa Scale.

resultsWe included eleven studies with 2199 participants in this systematic review. The meta-analysis included four studies. No statistically significant difference was observed in serum cystatin C levels between patients with T1D and the control group.

conclusionAlthough individual studies showed some benefit of using serum cystatin C for the prognosis of DKD in pediatric patients with T1D, the meta-analysis of included studies reached no statistical significance. Future clinical studies should focus on the prognostic role of cystatin C (serum and urinary) in identifying kidney injury in pediatric patients with T1D.

Indexed as

Cystatin CDiabetes Mellitus, Type 1Diabetic NephropathiesAdolescentBiomarkersChildFemaleGlomerular Filtration RateHumansMalePrognosisBiomarkersCystatin C

Identifiers

PMID40825227
PMCPMC12360829

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.