Evidence map›Paper›PMID 26221750›Full record

ArticleKidney international2015

National trends in acute kidney injury requiring dialysis in England between 1998 and 2013.

Nitin V Kolhe, Andrew W Muirhead, Sally R Wilkes, Richard J Fluck, Maarten W Taal

Registry-linked trialAbstract read
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In one paragraph

Article in Kidney international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02675296 (Regional and Long Term Outcomes of Acute Kidney Injury in England From 2000 to 2015 - A National Database Study), which is not on this map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 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.

NCT02675296 completednot on this map

Regional and Long Term Outcomes of Acute Kidney Injury in England From 2000 to 2015 - A National Database Study

TypeobservationalSponsorUniversity Hospitals of Derby and Burton NHS Foundation TrustRan2015 to 2015Enrolled54,680ConditionsAcute Kidney Injury
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  5. Article
  6. Observational
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  19. US Trends in Hospitalizations for Dialysis-Requiring Acute Kidney Injury in People With Versus Without Diabetes.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2020
    Article
  20. Observational
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.

Nitin V KolheDepartment of Renal Medicine, Royal Derby Hospital, Derby, UK.
Andrew W MuirheadDepartment of Public Health, Derby City Council, Derby, UK.
Sally R WilkesDivision of Rheumatology, Orthopaedics and Dermatology, School of Medicine, University of Nottingham, Nottingham, UK.
Richard J FluckDepartment of Renal Medicine, Royal Derby Hospital, Derby, UK.
Maarten W TaalDepartment of Renal Medicine, Royal Derby Hospital, Derby, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute kidney injury (AKI) severe enough to require dialysis is increasing and associated with high mortality, yet robust information about temporal epidemiology of AKI requiring dialysis in England is lacking. In this retrospective observational study of the Hospital Episode Statistics (HES) data set covering the entire English National Health Service, we identified all patients with a diagnosis of AKI requiring dialysis between 1998 and 2013. This incidence increased from 774 cases (15.9 per million people) in 1998-1999 to 11,164 cases (208.7 per million people) in 2012-2013. The unadjusted in-hospital case-fatality was 30.3% in 1998-2003 and 30.2% in 2003-2008, but significantly increased to 41.1% in 2008-2013. Compared with 2003-2008, the multivariable adjusted odds ratio for death was higher in 1998-2003 at 1.20 (95% CI: 1.10-1.30) and in 2008-2013 at 1.13 (1.07-1.18). Charlson comorbidity scores of more than five (odds ratio 2.35; 95% CI: 2.20-2.51) and emergency admissions (2.46 (2.32-2.61) had higher odds for death. The odds for death decreased in patients over 85 years from 4.83 (3.04-7.67) in 1998-2003 to 2.19 (1.99-2.41) in 2008-2013. AKI in secondary diagnosis and in other diagnoses codes had higher odds for death compared with AKI in primary diagnosis code in all three periods. Thus, the incidence of AKI requiring dialysis has increased progressively over 15 years in England. Improvement in case-fatality in 2003-2008 has not been sustained in the last 5 years.

Indexed as

Acute Kidney InjuryAgedAged, 80 and overAge FactorsEnglandFemaleHospital MortalityHumansIncidenceLength of StayMaleMiddle AgedRenal DialysisRetrospective StudiesSex Factors

Identifiers

PMID26221750

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Registered trials

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