New lessons from randomized trials in steroid-sensitive nephrotic syndrome: Clear evidence against long steroid therapy

Abstract

The best initial therapy for steroid-sensitive nephrotic syndrome (SSNS) in children is subject to ongoing debate. Systematic reviews and meta-analyses have concluded that at least 3 months and up to 7 months of treatment would reduce The number of relapses by 30%. But summarizing small underpowered studies cannot eliminate The basic flaws in design. Two well-powered randomized prospective trials now come to The opposite conclusion, and these results should impact The management of children with SSNS.