Evidence map›Paper›PMID 19556381›Full record

Trial reportClinical journal of the American Society of Nephrology : CJASN2009

Contrast-induced nephropathy and long-term adverse events: cause and effect?

Richard J Solomon, Roxana Mehran, Madhu K Natarajan, Serge Doucet, Richard E Katholi, Cezar S Staniloae, Samin K Sharma, Marino Labinaz, Joseph L Gelormini, Brendan J Barrett

2 registry-linked trialsOpen access · greenAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Clinical journal of the American Society of Nephrology : CJASN, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 79 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 4 pooled it
12.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05147831 narecruitingnot on this mapstarted 2021, after this paper: background citation

Effectiveness of Remote Ischemic Preconditioning for Prevention of Contrast Induced Acute Kidney Injury in Patients Undergoing Coronary Angiograms.

TypeinterventionalSponsorThe University of Texas Medical Branch, GalvestonRan2021 to 2027Enrolled300ConditionsContrast-induced Acute Kidney Injury (CI-AKI) Following Coronary Angiogram (CI-AKI), Contrast-induced Nephropathy Following Coronary Angiogram (CIN)ArmsRemote Ischemic Preconditioning
NCT07550790 narecruitingnot on this mapstarted 2026, after this paper: background citation

Contrast-Induced Acute Kidney Injury in Acute Heart Failure With Renal Dysfunction: The Kidney Protection Strategies Evaluation in Acute Heart Failure (K-PROSE)

TypeinterventionalSponsorJin Joo ParkRan2026 to 2027Enrolled190ConditionsHeart Failure Acute, Renal DysfunctionArmsFurosemide, 0.9 % Normal Saline
3 · Its place in the literature

Who cites it

79 citing papers in PubMed, 4 syntheses or guidelines pooled it, 270 citations in OpenAlex.

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19 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 2 countries.

Richard J SolomonDepartment of Renal Services, Fletcher Allen Health Care, Burlington, VT 05401, USA. richard.solomon@vtmednet.org
Roxana Mehran
Madhu K Natarajan
Serge Doucet
Richard E Katholi
Cezar S Staniloae
Samin K Sharma
Marino Labinaz
Joseph L Gelormini
Brendan J Barrett
St. John's Hospital · USMontreal Heart Institute · CAAllen Hospital · USMemorial University of Newfoundland · CAUniversity of Vermont Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesThe relationship of contrast-induced nephropathy (CIN) to long-term adverse events (AEs) is controversial. Although an association with AEs has been previously reported, it is unclear whether CIN is causally related to these AEs. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: We obtained long-term (> or =1 yr) follow-up on 294 patients who participated in a randomized, double-blind comparison of two prevention strategies for CIN (iopamidol versus iodixanol). A difference in the incidence of AEs between patients who had developed CIN and those who had not was performed using a chi(2) test and Poisson regression analysis. A similar statistical approach was used for the differences in AEs between those who received iopamidol or iodixanol. Multiple definitions of CIN were used to strengthen and validate the results and conclusions.

resultsThe rate of long-term AEs was higher in individuals with CIN (all definitions of CIN). After adjustment for baseline comorbidities and risk factors, the adjusted incidence rate ratio for AEs was twice as high in those with CIN. Randomization to iopamidol reduced both the incidence of CIN and AEs.

conclusionsThe parallel decrease in the incidence of CIN and AEs in one arm of this randomized trial supports a causal role for CIN.

Indexed as

Acute Kidney InjuryAdolescentAdultAgedComorbidityContrast MediaCreatinineCystatin CFemaleFollow-Up StudiesHeart DiseasesHumansIncidenceIopamidolMaleMiddle AgedContrast MediaCreatinineCST3 protein, humanCystatin CiodixanolIopamidolTriiodobenzoic Acids

Identifiers

PMID19556381
PMCPMC2709519
OpenAlexW2109522962

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.