Evidence map›Paper›PMID 21757640›Full record

Trial reportClinical journal of the American Society of Nephrology : CJASN2011

Urinary biomarkers and renal recovery in critically ill patients with renal support.

Nattachai Srisawat, Xiaoyan Wen, Minjae Lee, Lan Kong, Michele Elder, Melinda Carter, Mark Unruh, Kevin Finkel, Anitha Vijayan, Mohan Ramkumar and 4 more

Open access · greenAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Clinical journal of the American Society of Nephrology : CJASN, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
70citing papers in PubMed, 2 pooled it
6.8field-weighted citation impact, top 2% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

70 citing papers in PubMed, 2 syntheses or guidelines pooled it, 167 citations in OpenAlex.

  1. Pooled it
  2. Timing of kidney replacement therapy initiation for acute kidney injury.The Cochrane database of systematic reviews · 2022
    Pooled it
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10 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 1 country.

Nattachai Srisawat604 Scaife Hall, Department of Critical Care Medicine, University of Pittsburgh, 3550 Terrace Street, Pittsburgh, PA 15261, USA.
Xiaoyan Wen
Minjae Lee
Lan Kong
Michele Elder
Melinda Carter
Mark Unruh
Kevin Finkel
Anitha Vijayan
Mohan Ramkumar
Emil Paganini
Kai Singbartl
Paul M Palevsky
John A Kellum
University of Pittsburgh · USMental Illness Research, Education and Clinical Centers · USTexas Medical Center · USWashington University in St. Louis · US

Funding

Biological Markers of Recovery for the KidneyR01DK070910 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KELLUM, JOHN A · 2006 to 2010
$1.8M
NIDDK NIH HHS R01 DK070910NIDDK NIH HHS R01DK070910NIDDK NIH HHS Y01 DK003508NIDDK NIH HHS Y1-DK-3508-01
6 · The paper itself

Abstract

BACKGROUND AND

objectivesDespite significant advances in the epidemiology of acute kidney injury (AKI), prognostication remains a major clinical challenge. Unfortunately, no reliable method to predict renal recovery exists. The discovery of biomarkers to aid in clinical risk prediction for recovery after AKI would represent a significant advance over current practice. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: We conducted the Biological Markers of Recovery for the Kidney study as an ancillary to the Acute Renal Failure Trial Network study. Urine samples were collected on days 1, 7, and 14 from 76 patients who developed AKI and received renal replacement therapy (RRT) in the intensive care unit. We explored whether levels of urinary neutrophil gelatinase-associated lipocalin (uNGAL), urinary hepatocyte growth factor (uHGF), urinary cystatin C (uCystatin C), IL-18, neutrophil gelatinase-associated lipocalin/matrix metalloproteinase-9, and urine creatinine could predict subsequent renal recovery.

resultsWe defined renal recovery as alive and free of dialysis at 60 days from the start of RRT. Patients who recovered had higher uCystatin C on day 1 (7.27 versus 6.60 ng/mg·creatinine) and lower uHGF on days 7 and 14 (2.97 versus 3.48 ng/mg·creatinine; 2.24 versus 3.40 ng/mg·creatinine). For predicting recovery, decreasing uNGAL and uHGF in the first 14 days was associated with greater odds of renal recovery. The most predictive model combined relative changes in biomarkers with clinical variables and resulted in an area under the receiver-operator characteristic curve of 0.94.

conclusionsWe showed that a panel of urine biomarkers can augment clinical risk prediction for recovery after AKI.

Indexed as

Renal Replacement TherapyAcute Kidney InjuryAcute-Phase ProteinsAdultAgedBiomarkersChi-Square DistributionCreatinineCritical IllnessCystatin CFemaleHepatocyte Growth FactorHumansInterleukin-18KidneyLipocalin-2Acute-Phase ProteinsBiomarkersCreatinineCST3 protein, humanCystatin CHepatocyte Growth FactorHGF protein, humanInterleukin-18LCN2 protein, humanLipocalin-2LipocalinsMatrix Metalloproteinase 9Proto-Oncogene Proteins

Identifiers

PMID21757640
PMCPMC3156420
OpenAlexW2139316042

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.