AustralieFrV1, PascalFrancis, Curation, bibRecord, 004112

Plasma Exchange for Renal Vasculitis and Idiopathic Rapidly Progressive Glomerulonephritis: A Meta-analysis

Identifieur interne : 004112 ( PascalFrancis/Curation ); précédent : 004111; suivant : 004113

Plasma Exchange for Renal Vasculitis and Idiopathic Rapidly Progressive Glomerulonephritis: A Meta-analysis

Auteurs : Michael Walsh [Canada, Royaume-Uni] ; Fausta Catapano [Royaume-Uni] ; Wladimir Szpirt [Danemark] ; Kristian Thorlund [Canada] ; Annette Bruchfeld [Suède] ; Loic Guillevin [France] ; Marion Haubitz [Allemagne] ; Peter A. Merkel [États-Unis] ; CHEN AU PEH [Australie] ; Charles Pusey [Royaume-Uni] ; David Jayne [Royaume-Uni]

Source :

American journal of kidney diseases [ 0272-6386 ] ; 2011.

RBID : Pascal:11-0199219

Descripteurs français

Pascal (Inist)
- Echange plasmatique, Rein, Vascularite, Idiopathique, Progressif, Néphropathie glomérulaire, Métaanalyse, Néphrologie, Urologie.

English descriptors

KwdEn :
- Glomerulonephritis, Idiopathic, Kidney, Metaanalysis, Nephrology, Plasma exchange, Progressive, Urology, Vasculitis.

Abstract

Background: Plasma exchange may be effective adjunctive treatment for renal vasculitis. We performed a systematic review and meta-analysis of randomized controlled trials of plasma exchange for renal vasculitis. Study Design: Systematic review and meta-analysis of articles identified from electronic databases, bibliographies, and studies identified by experts. Data were abstracted in parallel by 2 reviewers. Setting & Population: Adults with idiopathic renal vasculitis or rapidly progressive glomerulonephritis. Selection Criteria for Studies: Randomized controlled trials that compared standard care with standard care plus adjuvant plasma exchange in adult patients with either renal vasculitis or idiopathic rapidly progressive glomerulonephritis. Intervention: Adjuvant plasma exchange. Outcome: Composite of end-stage renal disease or death. Results: We identified 9 trials including 387 patients. In a fixed-effects model, the pooled RR for end-stage renal disease or death was 0.80 for patients treated with adjunctive plasma exchange compared with standard care alone (95% CI, 0.65-0.99; P = 0.04). No significant heterogeneity was detected (P = 0.5; I² = 0%). The effect of plasma exchange did not differ significantly across the range of baseline serum creatinine values (P = 0.7) or number of plasma exchange treatments (P = 0.8). The RR for end-stage renal disease was 0.64 (95% CI, 0.47-0.88; P= 0.006), whereas the RR for death alone was 1.01 (95% CI, 0.71-1.4; P= 0.9). Limitations: Although the primary result was statistically significant, there is insufficient statistical information to reliably determine whether plasma exchange decreases the composite of end-stage renal disease or death. Conclusions: Plasma exchange may decrease the composite end point of end-stage renal disease or death in patients with renal vasculitis. Additional trials are required given the limited data available.

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A03		`1`		`@0 Am. j. kidney dis.`
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A08	`01`	`1`	`ENG`	`@1 Plasma Exchange for Renal Vasculitis and Idiopathic Rapidly Progressive Glomerulonephritis: A Meta-analysis`
A11	`01`	`1`		`@1 WALSH (Michael)`
A11	`02`	`1`		`@1 CATAPANO (Fausta)`
A11	`03`	`1`		`@1 SZPIRT (Wladimir)`
A11	`04`	`1`		`@1 THORLUND (Kristian)`
A11	`05`	`1`		`@1 BRUCHFELD (Annette)`
A11	`06`	`1`		`@1 GUILLEVIN (Loic)`
A11	`07`	`1`		`@1 HAUBITZ (Marion)`
A11	`08`	`1`		`@1 MERKEL (Peter A.)`
A11	`09`	`1`		`@1 CHEN AU PEH`
A11	`10`	`1`		`@1 PUSEY (Charles)`
A11	`11`	`1`		`@1 JAYNE (David)`
A14	`01`			`@1 Department of Clinical Epidemiology and Biostatistics, McMaster University @2 Hamilton @3 CAN @Z 1 aut. @Z 4 aut.`
A14	`02`			`@1 Vasculitis and Lupus Clinic, Addenbrooke's Hospital @2 Cambridge @3 GBR @Z 1 aut. @Z 2 aut. @Z 11 aut.`
A14	`03`			`@1 Department of Nephrology, Copenhagen University Hospital, Rigshospitalet @2 Copenhagen @3 DNK @Z 3 aut.`
A14	`04`			`@1 Department of Renal Medicine, Karolinska Institute, Karolinska University Hospital @2 Stockholm @3 SWE @Z 5 aut.`
A14	`05`			`@1 Hopital Cochin, Assistance Publique, Hopitaux de Paris, Universite Paris Descartes @2 Paris @3 FRA @Z 6 aut.`
A14	`06`			`@1 Department ofNephrology and Hypertension, Hannover School of Medicine @2 Hannover @3 DEU @Z 7 aut.`
A14	`07`			`@1 Vasculitis Center, Section of Rheumatology, and the Clinical Epidemiology Unit, Boston University School of Medicine @2 Boston, MA @3 USA @Z 8 aut.`
A14	`08`			`@1 Renal Unit, Royal Adelaide Hospital @2 Adelaide @3 AUS @Z 9 aut.`
A14	`09`			`@1 Renal Section, Division of Medicine, Imperial College London, Hammersmith Hospital @2 London @3 GBR @Z 10 aut.`
A20				`@1 566-574`
A21				`@1 2011`
A23	`01`			`@0 ENG`
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A64	`01`	`1`		`@0 American journal of kidney diseases`
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C01	`01`		`ENG`	@0 Background: Plasma exchange may be effective adjunctive treatment for renal vasculitis. We performed a systematic review and meta-analysis of randomized controlled trials of plasma exchange for renal vasculitis. Study Design: Systematic review and meta-analysis of articles identified from electronic databases, bibliographies, and studies identified by experts. Data were abstracted in parallel by 2 reviewers. Setting & Population: Adults with idiopathic renal vasculitis or rapidly progressive glomerulonephritis. Selection Criteria for Studies: Randomized controlled trials that compared standard care with standard care plus adjuvant plasma exchange in adult patients with either renal vasculitis or idiopathic rapidly progressive glomerulonephritis. Intervention: Adjuvant plasma exchange. Outcome: Composite of end-stage renal disease or death. Results: We identified 9 trials including 387 patients. In a fixed-effects model, the pooled RR for end-stage renal disease or death was 0.80 for patients treated with adjunctive plasma exchange compared with standard care alone (95% CI, 0.65-0.99; P = 0.04). No significant heterogeneity was detected (P = 0.5; I² = 0%). The effect of plasma exchange did not differ significantly across the range of baseline serum creatinine values (P = 0.7) or number of plasma exchange treatments (P = 0.8). The RR for end-stage renal disease was 0.64 (95% CI, 0.47-0.88; P= 0.006), whereas the RR for death alone was 1.01 (95% CI, 0.71-1.4; P= 0.9). Limitations: Although the primary result was statistically significant, there is insufficient statistical information to reliably determine whether plasma exchange decreases the composite of end-stage renal disease or death. Conclusions: Plasma exchange may decrease the composite end point of end-stage renal disease or death in patients with renal vasculitis. Additional trials are required given the limited data available.
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C03	`09`	`X`	`FRE`	`@0 Urologie @5 17`
C03	`09`	`X`	`ENG`	`@0 Urology @5 17`
C03	`09`	`X`	`SPA`	`@0 Urología @5 17`
C07	`01`	`X`	`FRE`	`@0 Appareil urinaire @5 37`
C07	`01`	`X`	`ENG`	`@0 Urinary system @5 37`
C07	`01`	`X`	`SPA`	`@0 Aparato urinario @5 37`
C07	`02`	`X`	`FRE`	`@0 Pathologie de l'appareil circulatoire @5 38`
C07	`02`	`X`	`ENG`	`@0 Cardiovascular disease @5 38`
C07	`02`	`X`	`SPA`	`@0 Aparato circulatorio patología @5 38`
C07	`03`	`X`	`FRE`	`@0 Pathologie des vaisseaux sanguins @5 39`
C07	`03`	`X`	`ENG`	`@0 Vascular disease @5 39`
C07	`03`	`X`	`SPA`	`@0 Vaso sanguíneo patología @5 39`
C07	`04`	`X`	`FRE`	`@0 Pathologie de l'appareil urinaire @5 40`
C07	`04`	`X`	`ENG`	`@0 Urinary system disease @5 40`
C07	`04`	`X`	`SPA`	`@0 Aparato urinario patología @5 40`
C07	`05`	`X`	`FRE`	`@0 Pathologie du rein @5 41`
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C07	`05`	`X`	`SPA`	`@0 Riñón patología @5 41`
N21				`@1 129`
N44	`01`			`@1 OTO`
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Le document en format XML

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<author><name sortKey="Haubitz, Marion" sort="Haubitz, Marion" uniqKey="Haubitz M" first="Marion" last="Haubitz">Marion Haubitz</name>
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<author><name sortKey="Merkel, Peter A" sort="Merkel, Peter A" uniqKey="Merkel P" first="Peter A." last="Merkel">Peter A. Merkel</name>
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<author><name sortKey="Jayne, David" sort="Jayne, David" uniqKey="Jayne D" first="David" last="Jayne">David Jayne</name>
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<series><title level="j" type="main">American journal of kidney diseases</title>
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<seriesStmt><title level="j" type="main">American journal of kidney diseases</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Glomerulonephritis</term>
<term>Idiopathic</term>
<term>Kidney</term>
<term>Metaanalysis</term>
<term>Nephrology</term>
<term>Plasma exchange</term>
<term>Progressive</term>
<term>Urology</term>
<term>Vasculitis</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Echange plasmatique</term>
<term>Rein</term>
<term>Vascularite</term>
<term>Idiopathique</term>
<term>Progressif</term>
<term>Néphropathie glomérulaire</term>
<term>Métaanalyse</term>
<term>Néphrologie</term>
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<front><div type="abstract" xml:lang="en">Background: Plasma exchange may be effective adjunctive treatment for renal vasculitis. We performed a systematic review and meta-analysis of randomized controlled trials of plasma exchange for renal vasculitis. Study Design: Systematic review and meta-analysis of articles identified from electronic databases, bibliographies, and studies identified by experts. Data were abstracted in parallel by 2 reviewers. Setting & Population: Adults with idiopathic renal vasculitis or rapidly progressive glomerulonephritis. Selection Criteria for Studies: Randomized controlled trials that compared standard care with standard care plus adjuvant plasma exchange in adult patients with either renal vasculitis or idiopathic rapidly progressive glomerulonephritis. Intervention: Adjuvant plasma exchange. Outcome: Composite of end-stage renal disease or death. Results: We identified 9 trials including 387 patients. In a fixed-effects model, the pooled RR for end-stage renal disease or death was 0.80 for patients treated with adjunctive plasma exchange compared with standard care alone (95% CI, 0.65-0.99; P = 0.04). No significant heterogeneity was detected (P = 0.5; I<sup>2</sup>
 = 0%). The effect of plasma exchange did not differ significantly across the range of baseline serum creatinine values (P = 0.7) or number of plasma exchange treatments (P = 0.8). The RR for end-stage renal disease was 0.64 (95% CI, 0.47-0.88; P= 0.006), whereas the RR for death alone was 1.01 (95% CI, 0.71-1.4; P= 0.9). Limitations: Although the primary result was statistically significant, there is insufficient statistical information to reliably determine whether plasma exchange decreases the composite of end-stage renal disease or death. Conclusions: Plasma exchange may decrease the composite end point of end-stage renal disease or death in patients with renal vasculitis. Additional trials are required given the limited data available.</div>
</front>
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<fA03 i2="1"><s0>Am. j. kidney dis.</s0>
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<fA05><s2>57</s2>
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<fA06><s2>4</s2>
</fA06>
<fA08 i1="01" i2="1" l="ENG"><s1>Plasma Exchange for Renal Vasculitis and Idiopathic Rapidly Progressive Glomerulonephritis: A Meta-analysis</s1>
</fA08>
<fA11 i1="01" i2="1"><s1>WALSH (Michael)</s1>
</fA11>
<fA11 i1="02" i2="1"><s1>CATAPANO (Fausta)</s1>
</fA11>
<fA11 i1="03" i2="1"><s1>SZPIRT (Wladimir)</s1>
</fA11>
<fA11 i1="04" i2="1"><s1>THORLUND (Kristian)</s1>
</fA11>
<fA11 i1="05" i2="1"><s1>BRUCHFELD (Annette)</s1>
</fA11>
<fA11 i1="06" i2="1"><s1>GUILLEVIN (Loic)</s1>
</fA11>
<fA11 i1="07" i2="1"><s1>HAUBITZ (Marion)</s1>
</fA11>
<fA11 i1="08" i2="1"><s1>MERKEL (Peter A.)</s1>
</fA11>
<fA11 i1="09" i2="1"><s1>CHEN AU PEH</s1>
</fA11>
<fA11 i1="10" i2="1"><s1>PUSEY (Charles)</s1>
</fA11>
<fA11 i1="11" i2="1"><s1>JAYNE (David)</s1>
</fA11>
<fA14 i1="01"><s1>Department of Clinical Epidemiology and Biostatistics, McMaster University</s1>
<s2>Hamilton</s2>
<s3>CAN</s3>
<sZ>1 aut.</sZ>
<sZ>4 aut.</sZ>
</fA14>
<fA14 i1="02"><s1>Vasculitis and Lupus Clinic, Addenbrooke's Hospital</s1>
<s2>Cambridge</s2>
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<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>11 aut.</sZ>
</fA14>
<fA14 i1="03"><s1>Department of Nephrology, Copenhagen University Hospital, Rigshospitalet</s1>
<s2>Copenhagen</s2>
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<sZ>3 aut.</sZ>
</fA14>
<fA14 i1="04"><s1>Department of Renal Medicine, Karolinska Institute, Karolinska University Hospital</s1>
<s2>Stockholm</s2>
<s3>SWE</s3>
<sZ>5 aut.</sZ>
</fA14>
<fA14 i1="05"><s1>Hopital Cochin, Assistance Publique, Hopitaux de Paris, Universite Paris Descartes</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>6 aut.</sZ>
</fA14>
<fA14 i1="06"><s1>Department ofNephrology and Hypertension, Hannover School of Medicine</s1>
<s2>Hannover</s2>
<s3>DEU</s3>
<sZ>7 aut.</sZ>
</fA14>
<fA14 i1="07"><s1>Vasculitis Center, Section of Rheumatology, and the Clinical Epidemiology Unit, Boston University School of Medicine</s1>
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<s3>USA</s3>
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<fA14 i1="08"><s1>Renal Unit, Royal Adelaide Hospital</s1>
<s2>Adelaide</s2>
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<sZ>9 aut.</sZ>
</fA14>
<fA14 i1="09"><s1>Renal Section, Division of Medicine, Imperial College London, Hammersmith Hospital</s1>
<s2>London</s2>
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<fA20><s1>566-574</s1>
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<fC01 i1="01" l="ENG"><s0>Background: Plasma exchange may be effective adjunctive treatment for renal vasculitis. We performed a systematic review and meta-analysis of randomized controlled trials of plasma exchange for renal vasculitis. Study Design: Systematic review and meta-analysis of articles identified from electronic databases, bibliographies, and studies identified by experts. Data were abstracted in parallel by 2 reviewers. Setting & Population: Adults with idiopathic renal vasculitis or rapidly progressive glomerulonephritis. Selection Criteria for Studies: Randomized controlled trials that compared standard care with standard care plus adjuvant plasma exchange in adult patients with either renal vasculitis or idiopathic rapidly progressive glomerulonephritis. Intervention: Adjuvant plasma exchange. Outcome: Composite of end-stage renal disease or death. Results: We identified 9 trials including 387 patients. In a fixed-effects model, the pooled RR for end-stage renal disease or death was 0.80 for patients treated with adjunctive plasma exchange compared with standard care alone (95% CI, 0.65-0.99; P = 0.04). No significant heterogeneity was detected (P = 0.5; I<sup>2</sup>
 = 0%). The effect of plasma exchange did not differ significantly across the range of baseline serum creatinine values (P = 0.7) or number of plasma exchange treatments (P = 0.8). The RR for end-stage renal disease was 0.64 (95% CI, 0.47-0.88; P= 0.006), whereas the RR for death alone was 1.01 (95% CI, 0.71-1.4; P= 0.9). Limitations: Although the primary result was statistically significant, there is insufficient statistical information to reliably determine whether plasma exchange decreases the composite of end-stage renal disease or death. Conclusions: Plasma exchange may decrease the composite end point of end-stage renal disease or death in patients with renal vasculitis. Additional trials are required given the limited data available.</s0>
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Plasma Exchange for Renal Vasculitis and Idiopathic Rapidly Progressive Glomerulonephritis: A Meta-analysis

Plasma Exchange for Renal Vasculitis and Idiopathic Rapidly Progressive Glomerulonephritis: A Meta-analysis

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