Evidence map›Paper›PMID 25855775›Full record

ArticleJournal of the American Society of Nephrology : JASN2015

Plasma IL-6 and IL-10 Concentrations Predict AKI and Long-Term Mortality in Adults after Cardiac Surgery.

William R Zhang, Amit X Garg, Steven G Coca, Philip J Devereaux, John Eikelboom, Peter Kavsak, Eric McArthur, Heather Thiessen-Philbrook, Colleen Shortt, Michael Shlipak and 3 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of the American Society of Nephrology : JASN, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 102 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed, 2 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.

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

102 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  10. Acute kidney injury and postoperative delirium.Journal of biomedical research · 2025
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42 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

13 authors.

William R ZhangProgram of Applied Translational Research, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut;
Amit X GargDivision of Nephrology, Department of Medicine, Western University, London, Ontario, Canada; Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada;
Steven G CocaProgram of Applied Translational Research, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut; Section of Nephrology, Veterans Affairs CT Healthcare System, West Haven, Connecticut;
Philip J DevereauxDepartment of Clinical Epidemiology and Biostatistics.
John EikelboomDivision of Cardiac Surgery, Population Health Research Institute, McMaster University, Hamilton, Ontario, Canada;
Peter KavsakDepartment of Pathology and Molecular Medicine, McMaster University, Hamilton, Ontario, Canada; and.
Eric McArthurInstitute for Clinical Evaluative Sciences, Toronto, Ontario, Canada;
Heather Thiessen-PhilbrookDivision of Nephrology, Department of Medicine, Western University, London, Ontario, Canada;
Colleen ShorttDepartment of Pathology and Molecular Medicine, McMaster University, Hamilton, Ontario, Canada; and.
Michael ShlipakDivision of General Internal Medicine, San Francisco Veterans Affairs Medical Center, University of California, San Francisco.
Richard WhitlockDivision of Cardiac Surgery, Population Health Research Institute, McMaster University, Hamilton, Ontario, Canada;
Chirag R ParikhProgram of Applied Translational Research, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut; Section of Nephrology, Veterans Affairs CT Healthcare System, West Haven, Connecticut; chirag.parikh@yale.edu.
TRIBE-AKI Consortium

Funding

Renal Physiology and Phenotyping CoreP30DK079310 · NIDDK · YALE UNIVERSITY · PI ARONSON, PETER S. · 2008 to 2022
$16.8M
Novel Biomarkers in Cardiac Surgery to Detect Acute Kidney InjuryR01HL085757 · NHLBI · YALE UNIVERSITY · PI PARIKH, CHIRAG R · 2007 to 2019
$10.3M
Progression of Acute Kidney Injury to Chronic Kidney DiseaseU01DK082185 · NIDDK · YALE UNIVERSITY · PI PARIKH, CHIRAG R · 2008 to 2017
$5.1M
Long-term Prognosis of Acute Kidney Injury in Cardiac SurgeryK23DK080132 · NIDDK · YALE UNIVERSITY · PI COCA, STEVEN G · 2008 to 2012
$957k
Mentoring Program for Translational and Patient Oriented Research in AKIK24DK090203 · NIDDK · YALE UNIVERSITY · PI PARIKH, CHIRAG R · 2012 to 2016
$896k
NHLBI NIH HHS R01 HL085757NHLBI NIH HHS R01-HL085757NIDDK NIH HHS K23 DK080132NIDDK NIH HHS K23-DK080132NIDDK NIH HHS K24 DK090203NIDDK NIH HHS K24-DK090203NIDDK NIH HHS P30 DK079310NIDDK NIH HHS P30-DK079310-07NIDDK NIH HHS U01 DK082185NIDDK NIH HHS U01-DK082185
6 · The paper itself

Abstract

Inflammation has an integral role in the pathophysiology of AKI. We investigated the associations of two biomarkers of inflammation, plasma IL-6 and IL-10, with AKI and mortality in adults undergoing cardiac surgery. Patients were enrolled at six academic centers (n = 960). AKI was defined as a ≥ 50% or ≥ 0.3-mg/dl increase in serum creatinine from baseline. Pre- and postoperative IL-6 and IL-10 concentrations were categorized into tertiles and evaluated for associations with outcomes of in-hospital AKI or postdischarge all-cause mortality at a median of 3 years after surgery. Preoperative concentrations of IL-6 and IL-10 were not significantly associated with AKI or mortality. Elevated first postoperative IL-6 concentration was significantly associated with higher risk of AKI, and the risk increased in a dose-dependent manner (second tertile adjusted odds ratio [OR], 1.61 [95% confidence interval (95% CI), 1.10 to 2.36]; third tertile adjusted OR, 2.13 [95% CI, 1.45 to 3.13]). First postoperative IL-6 concentration was not associated with risk of mortality; however, the second tertile of peak IL-6 concentration was significantly associated with lower risk of mortality (adjusted hazard ratio, 0.75 [95% CI, 0.57 to 0.99]). Elevated first postoperative IL-10 concentration was significantly associated with higher risk of AKI (adjusted OR, 1.57 [95% CI, 1.04 to 2.38]) and lower risk of mortality (adjusted HR, 0.72 [95% CI, 0.56 to 0.93]). There was a significant interaction between the concentration of neutrophil gelatinase-associated lipocalin, an established AKI biomarker, and the association of IL-10 concentration with mortality (P = 0.01). These findings suggest plasma IL-6 and IL-10 may serve as biomarkers for perioperative outcomes.

Indexed as

Acute Kidney InjuryAcute-Phase ProteinsAgedAged, 80 and overBiomarkersCanadaCardiac Surgical ProceduresCreatinineFemaleFollow-Up StudiesHumansInterleukin-10Interleukin-6Lipocalin-2LipocalinsMaleAcute-Phase ProteinsBiomarkersCreatinineInterleukin-10Interleukin-6LCN2 protein, humanLipocalin-2LipocalinsProto-Oncogene Proteinsclinical epidemiologycytokinesEpidemiology and outcomesmortality

Identifiers

PMID25855775
PMCPMC4657830

What OpenQuestion holds

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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.