Evidence map›Paper›PMID 22639068›Full record

Trial reportInternational urology and nephrology2012

Renal biomarkers for assessment of kidney function in renal transplant recipients: how do they compare?

Samra Abouchacra, Ahmed Chaaban, Raafat Hakim, Nicole Gebran, Hanan El-Jack, Faiz Rashid, Yousef Boobes, Amna Muhairi, Qutaiba Hussain, Imran Khan and 2 more

Abstract readClinical TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in International urology and nephrology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

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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

12 authors.

Samra AbouchacraDepartment of Nephrology, Tawam Hospital, P.O. Box 152 58, Al Ain, UAE. sabouchacra@tawamhospital.ae
Ahmed Chaaban
Raafat Hakim
Nicole Gebran
Hanan El-Jack
Faiz Rashid
Yousef Boobes
Amna Muhairi
Qutaiba Hussain
Imran Khan
Fares Chedid
Nico Negelkerke

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Accurate assessment of renal function is of key importance, given its prognostic value. However, gold standard measures are cumbersome, and serum creatinine itself is an insensitive predictor, especially in renal transplant recipients. Though GFR-estimating formulae have been relied upon, they do have their own limitations. Nevertheless, renal biomarkers such as neutrophil gelatinase-associated lipocalin (NGAL) and cystatin C, among others, are now emerging as potentially useful indicators of GFR. We aimed to evaluate the diagnostic performance of NGAL versus cystatin C and eGFR using CKD-EPI, MDRD and cystatin C in renal transplant recipients and non-transplant CKD patients. We found a significant correlation between NGAL, serum creatinine, cystatin C and eGFR. The latter parameters were also strong predictors of serum NGAL levels. However, performance of NGAL, based on receiver operating characteristic curves, was inferior to that of the reference tests. It appears that in renal transplant recipients NGAL correlates well with cystatin C and eGFR, most strongly with cystatin-based formula. Though this suggests potential use of NGAL as a screening test, its weaker diagnostic performance raises some concern about its clinical usefulness. Larger studies are needed to explore this further.

Indexed as

Acute-Phase ProteinsAdultBiomarkersCystatin CFemaleGlomerular Filtration RateHumansKidney TransplantationLipocalin-2LipocalinsMaleMiddle AgedProspective StudiesProto-Oncogene ProteinsAcute-Phase ProteinsBiomarkersCystatin CLCN2 protein, humanLipocalin-2LipocalinsProto-Oncogene Proteins

Identifiers

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Registered trials

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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.