Evidence map›Paper›PMID 23829828›Full record

Trial reportBMC nephrology2013

Prophylaxis with erythropoietin versus placebo reduces acute kidney injury and neutrophil gelatinase-associated lipocalin in patients undergoing cardiac surgery: a randomized, double-blind controlled trial.

Adis Tasanarong, Soodkate Duangchana, Sangduen Sumransurp, Boonlawat Homvises, Opas Satdhabudha

3 registry-linked trialsOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC nephrology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 20 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 4 pooled it
2.3field-weighted citation impact, top 12% 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.

NCT01066351 phase3unknown statusnot on this map

Efficacy of Erythropoietin to Prevent Acute Kidney Injury in Chronic Kidney Disease Patients Undergoing Cardiac Surgery

TypeinterventionalSponsorThammasat UniversityRan2010 to 2011Enrolled200ConditionsAcute Renal FailureArmsbeta erythropoietin, placebo
NCT03007537 naterminatednot on this mapstarted 2015, after this paper: background citation

The Prevention of Erythropoietin on Cardiac Surgery-associated Acute Kidney Injury

TypeinterventionalSponsorNanjing First Hospital, Nanjing Medical UniversityRan2015 to 2018Enrolled101ConditionsAcute Kidney Injury, Cardiac Disease, SurgeryArmsErythropoietin, 0.9% sodium chloride, cardiac surgery
NCT06542393 phase2recruitingnot on this mapstarted 2024, after this paper: background citation

Patient Blood Manegement (PBM) as Perioperative Strategy to Anemic Patients Who Will be Submitted to Coronary Artery Bypass Graft (CABG).

TypeinterventionalSponsorFederal University of São PauloRan2024 to 2026Enrolled120ConditionsAnemia, Coronary Disease, Coronary Artery Disease, Coronary StenosisArmsErythropoietin, blood transfusion
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 4 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Erythropoiesis-stimulating agents for preventing acute kidney injury.The Cochrane database of systematic reviews · 2024
    Pooled it
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  6. Kidney Injury Following Cardiac Surgery: A Review of Our Current Understanding.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2025
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  20. Bridging Translation by Improving Preclinical Study Design in AKI.Journal of the American Society of Nephrology : JASN · 2015
    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

5 authors at 1 institution in 1 country.

Adis Tasanarong
Soodkate Duangchana
Sangduen Sumransurp
Boonlawat Homvises
Opas Satdhabudha
Thammasat University · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiac surgery-associated acute kidney injury (CSA-AKI) is a common complication following coronary bypass graft (CABG) surgery. Multi-factorial causes of CSA-AKI involve oxidative stress and inflammation. Erythropoietin (EPO) has been shown from many studies to have a reno-protective effect. The present study was conducted to examine the role of EPO in preventing CSA-AKI.

methodsThis prospective, randomized, double-blind, placebo-controlled trial was conducted in the Cardiovascular and Thoracic Unit. One hundred patients randomly received either 200 U/kg of rHuEPO (n = 50) or saline (n = 50) intravenously three days before operation, and rHuEPO 100 U/kg or saline at operation time. The serum creatinine (SCr), estimated glomerular filtration rate (eGFR) and urine neutrophil gelatinase-associated lipocaline (NGAL) were measured in order to evaluate renal injury following CABG.

resultsThe incidence of CSA-AKI was significantly lower in rHuEPO group (14%) when compared with the placebo group (38%; p < 0.01). The mean intensive care unit (ICU) and hospital stays of the rHuEPO group were significantly shorter than the placebo group (p < 0.01). Postoperative increases in SCr and decreases in eGFR were significantly lower in the rHuEPO group than the placebo group (p < 0.05). The mean urine NGAL in rHuEPO group was significantly lower than the placebo group at 3 hr, 6 hr, 12 hr and 18 hr after CABG (p < 0.05), respectively.

conclusionsProphylaxis administration with intravenous rHuEPO before cardiac surgery decreased the incidence of CSA-AKI and urine NGAL with reduced days in ICU and hospital in elective CABG patients.

trial registrationClinicalTrials.gov: NCT01066351.

Indexed as

Cardiac Surgical ProceduresAcute Kidney InjuryAcute-Phase ProteinsAdultAgedBiomarkersDouble-Blind MethodErythropoietinFemaleHumansLipocalin-2LipocalinsMaleMiddle AgedPlacebo EffectPreoperative CareAcute-Phase ProteinsBiomarkersErythropoietinLCN2 protein, humanLipocalin-2LipocalinsProto-Oncogene Proteins

Identifiers

PMID23829828
PMCPMC3704968
OpenAlexW2058982742

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.