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12/23/2025 8:03:23 AM | Browse: 43 | Download: 127
Publication Name World Journal of Nephrology
Manuscript ID 112082
Country Pakistan
Received
2025-07-17 02:47
Peer-Review Started
2025-07-17 02:49
First Decision by Editorial Office Director
2025-08-06 11:25
Return for Revision
2025-08-06 11:25
Revised
2025-08-08 13:23
Publication Fee Transferred
Second Decision by Editor
2025-11-03 02:39
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2025-11-04 01:24
Articles in Press
2025-11-04 01:24
Edit the Manuscript by Language Editor
Typeset the Manuscript
2025-12-16 00:21
Publish the Manuscript Online
2025-12-23 08:03
ISSN 2220-6124 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright © The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Urology & Nephrology
Manuscript Type Retrospective Study
Article Title Prognostic value of the MEST-C score in long-term outcomes of immunoglobulin A nephropathy patients: Insights from a developing country
Manuscript Source Invited Manuscript
All Author List Tabassum Elahi, Saima Ahmed and Muhammed Mubarak
ORCID
Author(s) ORCID Number
Tabassum Elahi http://orcid.org/0009-0006-9394-022X
Saima Ahmed http://orcid.org/0009-0003-6609-7853
Muhammed Mubarak http://orcid.org/0000-0001-6120-5884
Funding Agency and Grant Number
Corresponding Author Muhammed Mubarak, Department of Histopathology, Sindh Institute of Urology and Transplantation, Chand Bibi Road, Karachi 74200, Sindh, Pakistan. drmubaraksiut@yahoo.com
Key Words Estimated glomerular filtration rate; End-stage kidney disease; Immunoglobulin A nephropathy; Kidney replacement therapy; MEST-C
Core Tip This study highlights the prognostic significance of the Oxford MEST-C score classification in immunoglobulin A nephropathy patients in Pakistan. Among 118 biopsy-confirmed cases, higher MEST-C scores - particularly E1, T1/2, and C1/C2 lesions - correlated with worse clinical parameters like proteinuria and estimated glomerular filtration rate, and predicted poor kidney survival. Remission rates declined, and end-stage kidney disease rates increased over time, with only 33.3% kidney survival at 10 years. These findings emphasize the value of integrating histopathological scoring with clinical data for early risk stratification. Delayed diagnosis contributed to adverse outcomes, underscoring the need for timely recognition and intervention in immunoglobulin A nephropathy management.
Publish Date 2025-12-23 08:03
Citation

Elahi T, Ahmed S, Mubarak M. Prognostic value of the MEST-C score in long-term outcomes of immunoglobulin A nephropathy patients: Insights from a developing country. World J Nephrol 2025; 14(4): 112082

URL https://www.wjgnet.com/2220-6124/full/v14/i4/112082.htm
DOI https://dx.doi.org/10.5527/wjn.v14.i4.112082
Full Article (PDF) WJN-14-112082-with-cover.pdf
Manuscript File 112082_Auto_Edited_015048.docx
Answering Reviewers 112082-answering-reviewers.pdf
Audio Core Tip 112082-audio.opus
Biostatistics Review Certificate 112082-biostatistics-statement.pdf
Conflict-of-Interest Disclosure Form 112082-conflict-of-interest-statement.pdf
Copyright License Agreement 112082-copyright-assignment.pdf
Signed Informed Consent Form(s) or Document(s) 112082-informed-consent-statement.pdf
Institutional Review Board Approval Form or Document 112082-institutional-review-board-statement.pdf
Non-Native Speakers of English Editing Certificate 112082-non-native-speakers.pdf
Peer-review Report 112082-peer-reviews.pdf
Scientific Misconduct Check 112082-scientific-misconduct-check.png
Scientific Editor Work List 112082-scientific-editor-work-list.pdf
CrossCheck Report 112082-crosscheck-report.pdf