ArticleClinical journal of the American Society of Nephrology : CJASN2010
Temporary perioperative decline of renal function is an independent predictor for chronic kidney disease.
Article in Clinical journal of the American Society of Nephrology : CJASN, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Long-term prognosis after acute kidney injury (AKI): what is the role of baseline kidney function and recovery? A systematic review.BMJ open · 2015Pooled it
- Safety and efficacy of 6% hydroxyethyl starch in patients undergoing major surgery: The randomised controlled PHOENICS trial.European journal of anaesthesiology · 2026Trial
- Association between anamorelin therapy and renal function in patients with cancer cachexia: a propensity score-matched retrospective study.European journal of clinical pharmacology · 2026Observational
- Chronic Diseases Related to Diet and/or Nutrition in Patients With an Ileostomy - A Scoping Review.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025Article
- Acute Kidney Injury Duration and 20-Year Risks of CKD and Cardiovascular Disease.Kidney international reports · 2024Article
- The use of anti-adrenergic agents as a predictor of acute kidney injury and delayed recovery of kidney function: the NARA-AKI cohort study.Hypertension research : official journal of the Japanese Society of Hypertension · 2023Article
- Burn-Induced Acute Kidney Injury-Two-Lane Road: From Molecular to Clinical Aspects.International journal of molecular sciences · 2022Review
- Impact of perioperative blood transfusions on postoperative renal function and survival after resection of colorectal liver metastases.World journal of surgical oncology · 2022Article
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- The association of age with decline in renal function after low anterior resection and loop ileostomy for rectal cancer: a retrospective cohort prognostic factor study.BMC geriatrics · 2021Article
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- The aftermath of acute kidney injury: a narrative review of long-term mortality and renal function.Critical care (London, England) · 2019Review
- Long-term outcomes in acute kidney injury patients who underwent continuous renal replacement therapy: a single-center experience.Clinical and experimental nephrology · 2018Article
- Paradigms of acute kidney injury in the intensive care setting.Nature reviews. Nephrology · 2018Review
- Urinary Hepcidin-25 Is Elevated in Patients That Avoid Acute Kidney Injury Following Cardiac Surgery.Canadian journal of kidney health and disease · 2018Article
- Acute Kidney Injury in Burn Patients: Clinically Significant Over the Initial Hospitalization and 1 Year After Injury: An Original Retrospective Cohort Study.Annals of surgery · 2017Article
- Perioperative Acute Kidney Injury: Risk Factors and Predictive Strategies.Critical care clinics · 2017Review
- The efficacy of tolvaptan in the perioperative management of chronic kidney disease patients undergoing open-heart surgery.Surgery today · 2017Article
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8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesAcute kidney injury is an independent predictor of short- and long-term survival; however, data on the relationship between reversible transitory decline of kidney function and chronic kidney disease (CKD) are lacking. We assessed the prognostic value of temporary renal function decline on the development of long-term CKD. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: The study included 1308 patients who were undergoing major vascular surgery (aortic aneurysm repair, lower extremity revascularization, or carotid surgery), divided into three groups on the basis of changes in Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) estimated GFR (eGFR) on days 1, 2, and 3 after surgery, compared with baseline: Group 1, improved or unchanged (change in CKD-EPI eGFR+/-10%); group 2, temporary decline (decline>10% at day 1 or 2, followed by complete recovery within 10% to baseline at day 3); and group 3, persistent decline (>10% decrease). Primary end point was the development of incident CKD during a median follow-up of 5 years.
resultsPerioperative renal function was classified as unchanged, temporary decline, and persistent decline in 739 (57%), 294 (22%), and 275 (21%) patients, respectively. During follow-up, 272 (21%) patients developed CKD. In multivariate logistic regression analyses, temporary and persistent declines in renal function both were independent predictors of long-term CKD, compared with unchanged renal function.
conclusionVascular surgery patients have a high incidence of temporary and persistent perioperative renal function declines, both of which were independent predictors for development of long-term incident CKD.
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