Evidence map›Paper›PMID 22045243›Full record

ReviewNature reviews. Nephrology2011

The pathogenesis and diagnosis of acute kidney injury in multiple myeloma.

Colin A Hutchison, Vecihi Batuman, Judith Behrens, Frank Bridoux, Christophe Sirac, Angela Dispenzieri, Guillermo A Herrera, Helen Lachmann, Paul W Sanders, International Kidney and Monoclonal Gammopathy Research Group

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Nature reviews. Nephrology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05429515 (Effect of HFR-SUPRA in the Treatment of Multiple Myeloma-related Acute Kidney Injury), which is not on this map. Cited by 105 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
105citing papers in PubMed, 2 pooled it
7.1field-weighted citation impact, top 3% 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.

NCT05429515 phase4not yet recruitingnot on this mapstarted 2022, after this paper: background citation

Effect of HFR-SUPRA in the Treatment of Multiple Myeloma-related Acute Kidney Injury: a Prospective Cohort Study

TypeinterventionalSponsorPeking Union Medical College HospitalRan2022 to 2032Enrolled50ConditionsMultiple Myeloma, Acute Kidney Injury, Hemodiafiltration With Ultrafiltrate Regeneration (HFR)ArmsHFR-SUPRA, hemodialysis, Chemotherapy
3 · Its place in the literature

Who cites it

105 citing papers in PubMed, 2 syntheses or guidelines pooled it, 282 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Kidney function decline in working-age adults with cancer diagnosis: A study utilizing claims and health checkup data.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  14. Article
  15. Article
  16. Observational
  17. Article
  18. Article
  19. Article
  20. Article

45 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

10 authors at 9 institutions in 3 countries.

Colin A HutchisonRenal Institute of Birmingham, University Hospital Birmingham and University of Birmingham, Birmingham, UK. c.a.hutchison@bham.ac.uk
Vecihi Batuman
Judith Behrens
Frank Bridoux
Christophe Sirac
Angela Dispenzieri
Guillermo A Herrera
Helen Lachmann
Paul W Sanders
International Kidney and Monoclonal Gammopathy Research Group
Bostwick Laboratories · USCentre National de la Recherche Scientifique · FRMayo Clinic in Arizona · USSt Helier Hospital · GBTulane University · USUniversité de Poitiers · FRUniversity College London · GBUniversity of Alabama · USUniversity of Birmingham · GB

Funding

UAB-UCSD O'Brien Core Center for Acute Kidney Injury ResearchP30DK079337 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CURTIS, LISA M · 2008 to 2022
$18.3M
Salt-Sensitive Hypertension/Hypertensive NephrosclerosisR01DK046199 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SANDERS, PAUL W. · 1992 to 2011
$2.9M
Low Molecular Weight Protein NephrotoxicityI01CX001326 · VA · BIRMINGHAM VA MEDICAL CENTER · PI SANDERS, PAUL W. · 2015 to 2024
–
CSRD VA I01 CX001326NIDDK NIH HHS P30 DK079337NIDDK NIH HHS R01 DK046199NIDDK NIH HHS R01 DK46199
6 · The paper itself

Abstract

Renal failure remains a principal cause of morbidity for patients with multiple myeloma. Once reversible factors such as hypercalcemia have been corrected, the most common cause of severe renal failure in these patients is a tubulointerstitial pathology that results from the very high circulating concentrations of monoclonal immunoglobulin free light chains. These endogenous proteins can result in isolated proximal tubule cell cytotoxicity, tubulointerstitial nephritis and cast nephropathy (myeloma kidney). Less frequently, high levels of free light chains can lead to immunoglobulin light chain amyloidosis and light chain deposition disease, although these conditions are usually associated with insidious progression of renal failure rather than acute kidney injury. Unless there is rapid intervention, progressive and irreversible damage occurs, particularly interstitial fibrosis and tubular atrophy. Despite advances in our understanding of the pathogenesis of these processes there has been a gap in translating these achievements into improved patient outcomes. The International Kidney and Monoclonal Gammopathy Research Group was formed to address this need. In this Review, we discuss the mechanisms of disease and diagnostic approaches to patients with acute kidney injury complicating multiple myeloma.

Indexed as

Acute Kidney InjuryHumansMultiple Myeloma

Identifiers

PMID22045243
PMCPMC3375610
OpenAlexW1966809384

What OpenQuestion holds

Textmetadata
LicenceTDM
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.