Evidence map›Paper›PMID 26401862›Full record

ArticleInternational braz j urol : official journal of the Brazilian Society of Urology

Body mass index and comorbidity are associated with postoperative renal function after nephrectomy.

Lael Reinstatler, Zachary Klaassen, Brittani Barrett, Martha K Terris, Kelvin A Moses

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International braz j urol : official journal of the Brazilian Society of Urology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 16% 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.

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

3 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. Article
  3. Long-term Follow-up of Patients Undergoing Nephrectomy for Urolithiasis.International braz j urol : official journal of the Brazilian Society of Urology
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Lael ReinstatlerDepartment of Surgery, Section of Urology, Medical College of Georgia-Georgia Regents University, Augusta, GA.
Zachary KlaassenDepartment of Surgery, Section of Urology, Medical College of Georgia-Georgia Regents University, Augusta, GA.
Brittani BarrettDepartment of Surgery, Section of Urology, Medical College of Georgia-Georgia Regents University, Augusta, GA.
Martha K TerrisDepartment of Surgery, Section of Urology, Medical College of Georgia-Georgia Regents University, Augusta, GA.
Kelvin A MosesDepartment of Surgery, Section of Urology, Medical College of Georgia-Georgia Regents University, Augusta, GA.
Georgia Regents Medical Center · USAugusta University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo explore the association of body mass index (BMI) and comorbidity with renal function after nephrectomy. MATERIALS AND

methodsWe retrospectively analyzed 263 patients submitted to partial or radical nephrectomy from 2000-2013. Variables assessed included BMI, Charlson Comorbidity Index (CCI), race, tobacco use, tumor histology, surgical approach, Fuhrman nuclear grade, and tumor (T) classification. Glomerular filtration rate (GFR) was estimated using the Cockroft-Gault equation, adjusted for gender. Logistic regression was performed and included all interaction terms.

resultsMedian follow-up was 19.6 months (IQR 5.2, 53.7). Median preoperative GFR was 86.2 mL/min/1.73 m2 and median postoperative GFR was 68.4 mL/min/1.73 m2. BMI (OR 1.07, 95%CI 1.02-1.11), CCI (OR 1.19, 95%CI 1.04-1.37), and radical nephrectomy (OR 3.09, 95%CI 1.51-6.33) were significantly associated with a decline in renal function of ≥ 25%.

conclusionBMI and CCI are associated with postoperative decline in renal function after nephrectomy. Additionally, radical nephrectomy is significantly associated with decreasing renal function compared to partial nephrectomy. These findings highlight the importance of assessing patient comorbidity in the decision making process for patients presenting with a renal mass.

Indexed as

Body Mass IndexAgedCarcinoma, Renal CellComorbidityFemaleGlomerular Filtration RateHumansKidney NeoplasmsLogistic ModelsMaleMiddle AgedMultivariate AnalysisNephrectomyPostoperative PeriodRecovery of FunctionRetrospective Studies

Identifiers

PMID26401862
PMCPMC4756998
OpenAlexW2438629885

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.