July 24, 2026 · Pediatric nephrology (Berlin, Germany) · DOI: 10.1007/s00467-026-07480-7

Impact of childhood and parental smoking and substance use on nephrotic syndrome outcomes: a prospective cohort study

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The authors aimed to investigate the impact of childhood and parental smoking, alcohol, and recreational drug use on the outcomes of nephrotic syndrome in children. Analyzing data from a prospective cohort of 732 children, they found that while a small percentage reported substance use or exposure to household smoking, there were no significant associations between these exposures and nephrotic syndrome outcomes such as relapse rates, initiation of steroid-sparing medications, or hospitalizations. The study suggests that substance exposure does not clearly affect the longitudinal outcomes of nephrotic syndrome in this population.

Tanay Joshi, Cal H Robinson, Nowrin Aman, Tonny H M Banh, Josefina Brooke, Valentina Bruno, Rahul Chanchlani, Vaneet Dhillon, Mackenzie Garner, Sophia Gorgiev, Leo Levin, Christoph Licht, Ashlene M McKay, Rachel Pearl, Seetha Radhakrishnan, Nithiakishna Selvathesan, Chia Wei Teoh, Jovanka Vasilevska-Ristovska, Hubert Wong, Rulan S Parekh

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