Evidence map›Paper›PMID 23798302›Full record

ReviewComprehensive Physiology2012

Pathophysiology of acute kidney injury.

David P Basile, Melissa D Anderson, Timothy A Sutton

2 registry-linked trialsAbstract readReview
In one paragraph

Review in Comprehensive Physiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 638 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
638citing papers in PubMed, 4 pooled it
–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.

NCT02558166 completednot on this mapstarted 2015, after this paper: background citation

Relation Between the Renal Resistive Index and Markers of the Systemic Circulation, the Microcirculation, Fluid Status and of Renal Function.

TypeobservationalSponsorAmsterdam UMC, location VUmcRan2015 to 2016Enrolled92ConditionsHypovolemic Shock, Cardiogenic Shock, Septic Shock, Kidney Failure, Acute
NCT03902483 unknown statusnot on this mapstarted 2019, after this paper: background citation

Role of Renal Doppler Ultrasound in Early Detection of Acute Kidney Injury in Critically Ill Patients

TypeobservationalSponsorAssiut UniversityRan2019 to 2021Enrolled80ConditionsAcute Kidney InjuryArmsrenal doppler ultrasound
3 · Its place in the literature

Who cites it

638 citing papers in PubMed, 4 syntheses or guidelines pooled it, 1,096 citations in OpenAlex.

  1. Pooled it
  2. Long-term risks of adverse kidney outcomes after acute kidney injury: a systematic review and meta-analysis.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Pooled it
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  7. Urinary UDP-sugars provide actionable prediction of acute kidney injury in cardiac surgery patients.American journal of physiology. Heart and circulatory physiology · 2026
    Article
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578 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

3 authors at 2 institutions in 1 country.

David P BasileDepartment of Cellular & Integrative Physiology, Indiana University School of Medicine, Indianapolis, Indiana, USA. dpbasile@iupui.edu
Melissa D Anderson
Timothy A Sutton
Indiana University – Purdue University Indianapolis · USIndiana University School of Medicine

Funding

PROBE DELIVERY COREP30DK079312 · NIDDK · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI MOLITORIS, BRUCE A · 2007 to 2021
$17.1M
Long-term effects of acute renal failureR01DK063114 · NIDDK · MEDICAL COLLEGE OF WISCONSIN · PI David P. Basile · 2003 to 2026
$8.1M
Mechanisms of microvascular damage in acute kidney injuryR01DK077124 · NIDDK · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI SUTTON, TIMOTHY ALAN · 2007 to 2011
$1.3M
NIDDK NIH HHS DK063114NIDDK NIH HHS DK-077124NIDDK NIH HHS P30 DK079312NIDDK NIH HHS P30 DK79312NIDDK NIH HHS R01 DK063114NIDDK NIH HHS R01 DK077124
6 · The paper itself

Abstract

Acute kidney injury (AKI) is the leading cause of nephrology consultation and is associated with high mortality rates. The primary causes of AKI include ischemia, hypoxia, or nephrotoxicity. An underlying feature is a rapid decline in glomerular filtration rate (GFR) usually associated with decreases in renal blood flow. Inflammation represents an important additional component of AKI leading to the extension phase of injury, which may be associated with insensitivity to vasodilator therapy. It is suggested that targeting the extension phase represents an area potential of treatment with the greatest possible impact. The underlying basis of renal injury appears to be impaired energetics of the highly metabolically active nephron segments (i.e., proximal tubules and thick ascending limb) in the renal outer medulla, which can trigger conversion from transient hypoxia to intrinsic renal failure. Injury to kidney cells can be lethal or sublethal. Sublethal injury represents an important component in AKI, as it may profoundly influence GFR and renal blood flow. The nature of the recovery response is mediated by the degree to which sublethal cells can restore normal function and promote regeneration. The successful recovery from AKI depends on the degree to which these repair processes ensue and these may be compromised in elderly or chronic kidney disease (CKD) patients. Recent data suggest that AKI represents a potential link to CKD in surviving patients. Finally, earlier diagnosis of AKI represents an important area in treating patients with AKI that has spawned increased awareness of the potential that biomarkers of AKI may play in the future.

Indexed as

Acute Kidney InjuryAnimalsCell DeathGlomerular Filtration RateHemodynamicsHumansInflammation MediatorsKidneyPrognosisRegenerationRenal CirculationInflammation Mediators

Identifiers

PMID23798302
PMCPMC3919808
OpenAlexW1516311606

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.