Evidence map›Paper›PMID 23689656›Full record

ArticleContributions to nephrology2013

Physiological biomarkers of acute kidney injury: a conceptual approach to improving outcomes.

Mark D Okusa, Bertrand L Jaber, Peter Doran, Jacques Duranteau, Li Yang, Patrick T Murray, Ravindra L Mehta, Can Ince

Abstract readConsensus Statement
In one paragraph

Article in Contributions to nephrology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

  1. Article
  2. Review
  3. Physiology and technology for the ICU in vivo.Critical care (London, England) · 2019
    Review
  4. Article
  5. Article
  6. Article
  7. Personalized physiological medicine.Critical care (London, England) · 2017
    Review
  8. Article
  9. Transfusion Decision Making in Pediatric Critical Illness.Pediatric clinics of North America · 2017
    Review
  10. Review
  11. Article
  12. Article
  13. Targeting Endogenous Repair Pathways after AKI.Journal of the American Society of Nephrology : JASN · 2016
    Review
  14. Review
  15. Wnt/β-catenin signaling in kidney injury and repair: a double-edged sword.Laboratory investigation; a journal of technical methods and pathology · 2016
    Review
  16. Review
  17. Renal Hemodynamics in AKI: In Search of New Treatment Targets.Journal of the American Society of Nephrology : JASN · 2016
    Article
  18. Article
  19. Review
  20. Review
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

8 authors.

Mark D OkusaDivision of Nephrology and Center for Immunity, Inflammation and Regenerative Medicine, University of Virginia, Charlottesville, Va., USA. mdo7y@virginia.edu
Bertrand L Jaber
Peter Doran
Jacques Duranteau
Li Yang
Patrick T Murray
Ravindra L Mehta
Can Ince

Funding

Leukocyte Trafficking in Acute Renal FailureR01DK062324 · NIDDK · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI OKUSA, MARK DOUGLAS · 2003 to 2016
$4.4M
NIDDK NIH HHS R01 DK062324
6 · The paper itself

Abstract

The past 5-10 years have brought significant advances in the identification and validation of novel biochemical biomarkers in the prevention and treatment of acute kidney injury (AKI). These biochemical biomarkers remain research tools but we anticipate that soon they will be employed in clinical practice. A Consensus Conference held by the Acute Dialysis Quality Initiative (ADQI) recently reviewed the evidence, and identified gaps and a research agenda. Furthermore, at this meeting was the birth of an initiative to comprehensively identify new opportunities to characterize the physiological changes during the course of AKI based upon a conceptual framework for the detection and monitoring of renal ischemia-reperfusion injury. This framework includes a transition from monitoring physiological biomarkers of adequate renal perfusion, to pathophysiologic biomarkers of renal hypoperfusion, and finally biomarkers of kidney cell structural injury/damage. Techniques to measure physiological changes in AKI include several physiological variables that might be used in an interactive way to supplement clinical information and biochemical damage biomarkers in the diagnosis and management of AKI. This review summarizes the spectrum of physiological parameters and potential new physiological methods that enable identification of high-risk patients for AKI, facilitate early diagnosis, and differential diagnosis to guide therapeutic management and prognostication. Finally, we propose a research agenda for the next 5 years to facilitate the development and validation of physiological biomarkers in AKI.

Indexed as

Acute Kidney InjuryBiomarkersCreatinineElectric ImpedanceGlomerular Filtration RateHumansMicrocirculationRenal CirculationRenal DialysisUltrasonography, DopplerUreaBiomarkersCreatinineUrea

Identifiers

PMID23689656
PMCPMC3856226

What OpenQuestion holds

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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.