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. 2024 Aug 22;2024(8):CD001533. doi: 10.1002/14651858.CD001533.pub7

Jamshaid 2022.

Study characteristics
Methods Study design
  • Parallel RCT

  • Time frame: 1 November 2019 to 31 October 2020

  • Duration of study: follow‐up 12 months

  • Country: Pakistan

  • Setting: single tertiary centre

Participants Study characteristics
  • Inclusion criteria: children with initial episode of SSNS

  • Exclusion criteria: Relapse of SSNS; steroid‐resistant patients; poor compliance; congenital and secondary nephrotic syndrome


Baseline characteristics
  • Number: intervention group 1 (75); intervention group 2 (75)

  • Mean age, mean ± SD (years): intervention group 1 (4.45 ± 1.68); intervention group 2 (4.2 ± 1.68)

  • Sex (M/F): intervention group 1 (35/40); intervention group 2 (23/52)

Interventions Intervention group 1
  • Prednisone: 2 mg/kg/day for 4 weeks (maximum dose: 60mg) followed by 1.5 mg/kg/day on alternate days for 8 weeks (maximum dose 40 mg)

  • Total duration: 12 weeks


Intervention group 2
  • Prednisone: 2 mg/kg/day for 4 weeks (maximum dose: 60 mg), 1.5 mg/kg/day every other day for 4 weeks, followed by 5 mg decrements every 2 weeks and then discontinued gradually

  • Total duration: 16 to 24 weeks


Co‐interventions
  • None reported

Outcomes Outcomes relevant to this review
  • Number with one or more relapses

  • Relapse rate/year

Notes Additional information
  • Remission: absence of oedema with urine protein ≤ 1+ on dipstick, UPCR ≤ 20 mg/mmol or ≤ 4 mg/m2/hour for 3 consecutive days

  • Relapse: presence of oedema with urine protein ≥ 3+ on dipstick for 3 consecutive days

Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk QUOTE: “These children were allocated into short‐ and long‐term therapy groups, randomly”
Allocation concealment (selection bias) Unclear risk QUOTE: “These children were allocated into short‐ and long‐term therapy groups, randomly”
Blinding of participants and personnel (performance bias)
All outcomes High risk No blinding
Blinding of outcome assessment (detection bias)
All outcomes High risk No blinding of outcome assessment
Incomplete outcome data (attrition bias)
All outcomes Unclear risk All reported participants accounted for but unclear whether the study reported on all participants included
Selective reporting (reporting bias) High risk Incomplete reporting on relapse rates and no report of adverse effects
Other bias Unclear risk Unclear what this statement in report means "This Quasi‐experimental study was conducted in the Department of Paediatric Nephrology at the Children’s Hospital Lahore"