Evidence map›Paper›PMID 26863015›Full record

ArticlePloS one2016

Dialysis-Requiring Acute Kidney Injury in Denmark 2000-2012: Time Trends of Incidence and Prevalence of Risk Factors-A Nationwide Study.

Nicholas Carlson, Kristine Hommel, Jonas Bjerring Olesen, Anne-Merete Soja, Tina Vilsbøll, Anne-Lise Kamper, Christian Torp-Pedersen, Gunnar Gislason

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 9% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  10. The need for disruptive innovation in acute kidney injury.Clinical and experimental nephrology · 2020
    Review
  11. 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
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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

8 authors at 6 institutions in 1 country.

Nicholas CarlsonDepartment of Cardiology, Gentofte Hospital, University of Copenhagen, Gentofte, Denmark.
Kristine HommelDepartment of Nephrology, Herlev Hospital, University of Copenhagen, Herlev, Denmark.
Jonas Bjerring OlesenDepartment of Cardiology, Gentofte Hospital, University of Copenhagen, Gentofte, Denmark.
Anne-Merete SojaDepartment of Cardiology, Hvidovre Hospital, University of Copenhagen, Hvidovre, Denmark.
Tina VilsbøllCenter for Diabetes Research, Gentofte Hospital, University of Copenhagen, Gentofte, Denmark.
Anne-Lise KamperDepartment of Nephrology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Christian Torp-PedersenInstitute of Health, Science and Technology, Aalborg University, Aalborg, Denmark.
Gunnar GislasonDepartment of Cardiology, Gentofte Hospital, University of Copenhagen, Gentofte, Denmark.
Herlev Hospital · DKUniversity of Copenhagen · DKAalborg University · DKGentofte Hospital · DKHvidovre Hospital · DKRigshospitalet · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDialysis-requiring acute kidney injury is a severe illness associated with poor prognosis. However, information pertaining to incidence rates and prevalence of risk factors remains limited in spite of increasing focus. We evaluate time trends of incidence rates and changing patterns in prevalence of comorbidities, concurrent medication, and other risk factors in nationwide retrospective cohort study. MATERIALS AND

methodsAll patients with dialysis-requiring acute kidney injury were identified between January 1st 2000 and December 31st 2012. By cross-referencing data from national administrative registries, the association of changing patterns in dialysis treatment, comorbidity, concurrent medication and demographics with incidence of dialysis-requiring acute kidney injury was evaluated.

resultsA total of 18,561 adult patients with dialysis-requiring AKI were identified between 2000 and 2012. Crude incidence rate of dialysis-requiring AKI increased from 143 per million (95% confidence interval, 137-144) in 2000 to 366 per million (357-375) in 2006, and remained stable hereafter. Notably, incidence of continuous veno-venous hemodialysis (CRRT) and use of acute renal replacement therapy in elderly >75 years increased substantially from 23 per million (20-26) and 328 per million (300-355) in 2000, to 213 per million (206-220) and 1124 per million (1076-1172) in 2012, respectively. Simultaneously, patient characteristics and demographics shifted towards increased age and comorbidity.

conclusionsAlthough growth in crude incidence rate of dialysis-requiring AKI stabilized in 2006, continuous growth in use of CRRT, and acute renal replacement therapy of elderly patients >75 years, was observed. Our results indicate an underlying shift in clinical paradigm, as opposed to unadulterated growth in incidence of dialysis-requiring AKI.

Indexed as

Renal DialysisAcute Kidney InjuryAgedAged, 80 and overCardiovascular DiseasesCohort StudiesComorbidityDenmarkDiabetes MellitusDrug UtilizationFemaleHumansIncidenceLiver DiseasesMaleMiddle Aged

Identifiers

PMID26863015
PMCPMC4749171
OpenAlexW2260429174

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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.