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Search review questions

Each row is one question a systematic review asked: who, what, compared with what, and which outcome, with the effect it found and how certain that is. Words match anywhere in the field.

Limit to evidence status or GRADE (optional)

2,434 questions in 139 reviews · Kidney and Transplant

current versions
No studies 504 · 20.7%Ungraded 40 · 1.6%Very low 611 · 25.1%Low 790 · 32.5%Moderate 414 · 17%High 75 · 3.1%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

QuestionEffectEvidenceStatus / GRADE
Antibiotic prophylaxis vs surveillance or no treatment
Febrile UTI by 1 to 2 years: antibiotics versus no prophylaxis · primary VUR
Interventions for primary vesicoureteric reflux (2019) · Cochrane
RR 0.83 [0.56, 1.21]9 studies · 1667 participantsLow
Endoscopic injection treatment vs antibiotics alone
Microbial resistance to the prophylactic drug · primary VUR
Interventions for primary vesicoureteric reflux (2019) · Cochrane
RR 0.63 [0.34, 1.15]1 study · 24 participantsVery low
Macroplastique vs dextranomer/hyaluronic acid polymer (Deflux) to correct vesicoureteric reflux
Number of children with febrile UTI · primary VUR
Interventions for primary vesicoureteric reflux (2019) · Cochrane
RR 1.09 [0.45, 2.66]1 study · 255 participantsLow
Macroplastique vs dextranomer/hyaluronic acid polymer (Deflux) to correct vesicoureteric reflux
Number of children with afebrile UTI · primary VUR
Interventions for primary vesicoureteric reflux (2019) · Cochrane
RR 1.68 [0.52, 5.44]1 study · 72 participantsLow
Macroplastique vs dextranomer/hyaluronic acid polymer (Deflux) to correct vesicoureteric reflux
Number of ureters with persistent VUR > grade 1 at 1 year · primary VUR
Interventions for primary vesicoureteric reflux (2019) · Cochrane
RR 0.54 [0.35, 0.83]2 studies · 472 participantsModerate
Macroplastique vs dextranomer/hyaluronic acid polymer (Deflux) to correct vesicoureteric reflux
Number of kidneys with temporary renal dilatation after injection · primary VUR
Interventions for primary vesicoureteric reflux (2019) · Cochrane
RR 1.85 [1.02, 3.35]1 study · 114 participantsLow
Macroplastique vs dextranomer/hyaluronic acid polymer (Deflux) to correct vesicoureteric reflux
Ureteral obstruction · primary VUR
Interventions for primary vesicoureteric reflux (2019) · Cochrane
RR 1.46 [0.25, 8.66]1 study · 399 participantsLow
Macroplastique vs dextranomer/hyaluronic acid polymer (Deflux) to correct vesicoureteric reflux
Post operative flank pain · primary VUR
Interventions for primary vesicoureteric reflux (2019) · Cochrane
RR 1.45 [0.33, 6.36]1 study · 255 participantsLow
Macroplastique vs dextranomer/hyaluronic acid polymer (Deflux) to correct vesicoureteric reflux
New renal parenchymal defects on DMSA scan (kidney injury) · primary VUR
Interventions for primary vesicoureteric reflux (2019) · Cochrane
no estimate extractedNRNo studies
Probiotics vs antibiotic prophylaxis
All symptomatic UTI by 1 year · primary VUR
Interventions for primary vesicoureteric reflux (2019) · Cochrane
RR 0.82 [0.56, 1.21]2 studies · 248 participantsLow
Probiotics vs antibiotic prophylaxis
Febrile UTI by 1 year · primary VUR
Interventions for primary vesicoureteric reflux (2019) · Cochrane
RR 0.82 [0.37, 1.83]1 study · 120 participantsLow
Antibiotic prophylaxis vs surveillance or no treatment
Symptomatic UTI; antibiotics versus placebo in trials with low risk of bias across all domains · primary VUR
Interventions for primary vesicoureteric reflux (2019) · Cochrane
RR 0.85 [0.4, 1.79]3 studies · 943 participantsModerate
Probiotics vs antibiotic prophylaxis
E. coli resistance to prophylactic drug · primary VUR
Interventions for primary vesicoureteric reflux (2019) · Cochrane
RR 0.38 [0.21, 0.69]2 studies · 38 participantsLow
Probiotics vs antibiotic prophylaxis
Renal parenchymal defects on DMSA scan ‐ Patient data at 1 year · primary VUR
Interventions for primary vesicoureteric reflux (2019) · Cochrane
RR 0.69 [0.43, 1.11]2 studies · 152 participantsLow
Probiotics vs antibiotic prophylaxis
Resolution of VUR · primary VUR
Interventions for primary vesicoureteric reflux (2019) · Cochrane
no estimate extractedNRNo studies
Probiotics vs antibiotic prophylaxis
Adverse events · primary VUR
Interventions for primary vesicoureteric reflux (2019) · Cochrane
no estimate extractedNRNo studies
Antibiotic prophylaxis vs surveillance or no treatment
Resolution of VUR after 1 to 2 years: unit of analysis (children) · primary VUR
Interventions for primary vesicoureteric reflux (2019) · Cochrane
RR 1.46 [0.71, 2.99]3 studies · 262 participantsLow
Antibiotic prophylaxis vs surveillance or no treatment
Adverse events · primary VUR
Interventions for primary vesicoureteric reflux (2019) · Cochrane
RR 0.94 [0.81, 1.08]4 studies · 1056 participantsModerate
Antibiotic prophylaxis vs surveillance or no treatment
Microbial resistance to prophylactic drug: unit of analysis (UTI) · primary VUR
Interventions for primary vesicoureteric reflux (2019) · Cochrane
RR 2.72 [1.85, 4]6 studies · 259 participantsModerate
Surgical reimplantation of ureters plus antibiotics vs antibiotics alone
All symptomatic UTI by 4 to 5 years: surgical correction + antibiotics versus antibiotics alone · primary VUR
Interventions for primary vesicoureteric reflux (2019) · Cochrane
RR 0.95 [0.67, 1.35]1 study · 297 participantsModerate
Surgical reimplantation of ureters plus antibiotics vs antibiotics alone
Febrile UTI by 5 years: surgical correction + antibiotics versus antibiotics alone · primary VUR
Interventions for primary vesicoureteric reflux (2019) · Cochrane
RR 0.43 [0.27, 0.7]2 studies · 429 participantsModerate
Surgical reimplantation of ureters plus antibiotics vs antibiotics alone
Repeat positive urine cultures by 4 to 5 years: surgical correction + antibiotics versus antibiotics alone · primary VUR
Interventions for primary vesicoureteric reflux (2019) · Cochrane
RR 0.99 [0.79, 1.26]3 studies · 479 participantsModerate
Antibiotic treatment vs placebo or no treatment
Recurrence of symptomatic UTI in children · children with previous UTI and most do not have a renal tract abnormality such as VUR
Long‐term antibiotics for preventing recurrent urinary tract infection in children (2019) · Cochrane
RR 0.75 [0.28, 1.98]5 studies · 1074 participantsLow
Antibiotic 1 vs antibiotic 2
Recurrence of symptomatic UTI: cotrimoxazole (1) versus cefprozil (2) · children with primarily normal renal tracts who have experienced at least one UTI
Long‐term antibiotics for preventing recurrent urinary tract infection in children (2019) · Cochrane
RR 0.69 [0.2, 2.39]1 study · 55 participantsModerate
Antibiotic 1 vs antibiotic 2
Microbial resistance to prophylactic drugs: nitrofurantoin (1) versus cotrimoxazole (2) · children with primarily normal renal tracts who have experienced at least one UTI
Long‐term antibiotics for preventing recurrent urinary tract infection in children (2019) · Cochrane
RR 0.54 [0.31, 0.92]2 studies · 96 participantsModerate
Antibiotic 1 vs antibiotic 2
Adverse events: cotrimoxazole (1) versus cefprozil (2) · children with primarily normal renal tracts who have experienced at least one UTI
Long‐term antibiotics for preventing recurrent urinary tract infection in children (2019) · Cochrane
RR 1.62 [0.36, 7.29]1 study · 55 participantsLow
Antibiotic 1 vs antibiotic 2
Adverse events: nitrofurantoin (1) versus trimethoprim (2) · children with primarily normal renal tracts who have experienced at least one UTI
Long‐term antibiotics for preventing recurrent urinary tract infection in children (2019) · Cochrane
RR 2.18 [1.39, 3.41]1 study · 120 participantsLow
Antibiotic treatment vs placebo or no treatment
Recurrence of symptomatic UTI in children without VUR · children with previous UTI and most do not have a renal tract abnormality such as VUR
Long‐term antibiotics for preventing recurrent urinary tract infection in children (2019) · Cochrane
RR 0.6 [0.13, 2.74]4 studies · 541 participantsLow
Antibiotic treatment vs placebo or no treatment
Recurrence of symptomatic UTI in children with VUR · children with previous UTI and most do not have a renal tract abnormality such as VUR
Long‐term antibiotics for preventing recurrent urinary tract infection in children (2019) · Cochrane
RR 0.65 [0.39, 1.07]2 studies · 371 participantsLow
Antibiotic treatment vs placebo or no treatment
Recurrence of symptomatic UTI in children, in studies with adequate allocation concealment · children with previous UTI and most do not have a renal tract abnormality such as VUR
Long‐term antibiotics for preventing recurrent urinary tract infection in children (2019) · Cochrane
RR 0.68 [0.48, 0.95]2 studies · 914 participantsModerate
Antibiotic treatment vs placebo or no treatment
Repeat positive urine culture · children with previous UTI and most do not have a renal tract abnormality such as VUR
Long‐term antibiotics for preventing recurrent urinary tract infection in children (2019) · Cochrane
RR 0.31 [0.08, 1.18]4 studies · 467 participantsVery low
Antibiotic treatment vs placebo or no treatment
All adverse events · children with previous UTI and most do not have a renal tract abnormality such as VUR
Long‐term antibiotics for preventing recurrent urinary tract infection in children (2019) · Cochrane
RR 2.31 [0.03, 170.67]2 studies · 914 participantsLow
Antibiotic treatment vs placebo or no treatment
Microbial resistance to prophylactic drug · children with previous UTI and most do not have a renal tract abnormality such as VUR
Long‐term antibiotics for preventing recurrent urinary tract infection in children (2019) · Cochrane
RR 2.4 [0.62, 9.26]2 studies · 118 participantsModerate
Antibiotic 1 vs antibiotic 2
Recurrence of symptomatic UTI: nitrofurantoin (1) versus cotrimoxazole (2) · children with primarily normal renal tracts who have experienced at least one UTI
Long‐term antibiotics for preventing recurrent urinary tract infection in children (2019) · Cochrane
RR 0.57 [0.35, 0.92]2 studies · 157 participantsModerate
Antibiotic 1 vs antibiotic 2
Recurrence of symptomatic UTI: cotrimoxazole (1) versus cefadroxil (2) · children with primarily normal renal tracts who have experienced at least one UTI
Long‐term antibiotics for preventing recurrent urinary tract infection in children (2019) · Cochrane
RR 1.79 [0.33, 9.7]1 study · 46 participantsLow
Cyclosporin vs placebo or no treatment
Complete remission: all renal pathologies · idiopathic steroid‐resistant nephrotic syndrome in children
Interventions for idiopathic steroid‐resistant nephrotic syndrome in children (2019) · Cochrane
RR 3.5 [1.09, 11.2]4 studies · 74 participantsLow
Calcineurin inhibitor vs IV cyclophosphamide
Treatment response at 3 to 6 months: partial remission · idiopathic steroid‐resistant nephrotic syndrome in children
Interventions for idiopathic steroid‐resistant nephrotic syndrome in children (2019) · Cochrane
RR 1.68 [0.43, 6.56]2 studies · 156 participantsVery low
Calcineurin inhibitor vs IV cyclophosphamide
Adverse events: treatment failure at 6 months (non response, serious infection, persistently elevated creatinine) · idiopathic steroid‐resistant nephrotic syndrome in children
Interventions for idiopathic steroid‐resistant nephrotic syndrome in children (2019) · Cochrane
RR 0.32 [0.18, 0.58]1 study · 124 participantsModerate
Calcineurin inhibitor vs IV cyclophosphamide
Adverse events: medications ceased due to adverse events · idiopathic steroid‐resistant nephrotic syndrome in children
Interventions for idiopathic steroid‐resistant nephrotic syndrome in children (2019) · Cochrane
RR 0.2 [0.04, 0.86]1 study · 131 participantsModerate
Calcineurin inhibitor vs IV cyclophosphamide
Adverse events: serious infections · idiopathic steroid‐resistant nephrotic syndrome in children
Interventions for idiopathic steroid‐resistant nephrotic syndrome in children (2019) · Cochrane
RR 0.49 [0.16, 1.56]1 study · 131 participantsModerate
Calcineurin inhibitor vs IV cyclophosphamide
Adverse events: death · idiopathic steroid‐resistant nephrotic syndrome in children
Interventions for idiopathic steroid‐resistant nephrotic syndrome in children (2019) · Cochrane
RR 0.33 [0.01, 7.92]1 study · 131 participantsLow
Tacrolimus vs cyclosporin
Treatment response at 6 months: complete remission · idiopathic steroid‐resistant nephrotic syndrome in children
Interventions for idiopathic steroid‐resistant nephrotic syndrome in children (2019) · Cochrane
RR 1.14 [0.64, 2.03]1 study · 41 participantsLow
Tacrolimus vs cyclosporin
Treatment response at 6 months: complete and partial remission · idiopathic steroid‐resistant nephrotic syndrome in children
Interventions for idiopathic steroid‐resistant nephrotic syndrome in children (2019) · Cochrane
RR 0.57 [0.16, 2.08]1 study · 41 participantsLow
Tacrolimus vs cyclosporin
Treatment response at 12 months: complete remission · idiopathic steroid‐resistant nephrotic syndrome in children
Interventions for idiopathic steroid‐resistant nephrotic syndrome in children (2019) · Cochrane
RR 0.8 [0.45, 1.42]2 studies · 58 participantsLow
Tacrolimus vs cyclosporin
Treatment response at 12 months: complete and partial remission · idiopathic steroid‐resistant nephrotic syndrome in children
Interventions for idiopathic steroid‐resistant nephrotic syndrome in children (2019) · Cochrane
RR 1.05 [0.87, 1.25]2 studies · 58 participantsLow
Tacrolimus vs cyclosporin
Adverse events: persistent nephrotoxicity · idiopathic steroid‐resistant nephrotic syndrome in children
Interventions for idiopathic steroid‐resistant nephrotic syndrome in children (2019) · Cochrane
RR 0.48 [0.05, 4.85]1 study · 41 participantsLow
Cyclosporin vs placebo or no treatment
Complete remission: FSGS · idiopathic steroid‐resistant nephrotic syndrome in children
Interventions for idiopathic steroid‐resistant nephrotic syndrome in children (2019) · Cochrane
RR 3.14 [0.97, 10.18]3 studies · 58 participantsLow
Tacrolimus vs cyclosporin
Adverse events: worsening of hypertension · idiopathic steroid‐resistant nephrotic syndrome in children
Interventions for idiopathic steroid‐resistant nephrotic syndrome in children (2019) · Cochrane
no estimate extracted2 studies · 58 participantsLow
Cyclosporin vs mycophenolate mofetil with pulse dexamethasone
Treatment response at 52 weeks: complete remission (primary outcome 1, 2) · idiopathic steroid‐resistant nephrotic syndrome in children
Interventions for idiopathic steroid‐resistant nephrotic syndrome in children (2019) · Cochrane
RR 2.14 [0.87, 5.24]1 study · 138 participantsModerate
Cyclosporin vs mycophenolate mofetil with pulse dexamethasone
Treatment response at 52 weeks: partial remission (primary outcome 3) · idiopathic steroid‐resistant nephrotic syndrome in children
Interventions for idiopathic steroid‐resistant nephrotic syndrome in children (2019) · Cochrane
RR 1.09 [0.61, 1.93]1 study · 138 participantsModerate