Evidence map›Paper›PMID 26995072›Full record

ArticleSurgery today2016

Risk factors for early renal dysfunction following endovascular aortic aneurysm repair and its effect on the postoperative outcome.

Naoki Toya, Takao Ohki, Yasutake Momokawa, Kota Shukuzawa, Soichiro Fukushima, Hiromasa Tachihara, Tadashi Akiba

Abstract read
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In one paragraph

Article in Surgery today, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Naoki ToyaDivision of Vascular Surgery, Department of Surgery, The Jikei University Kashiwa Hospital, 163-1, Kashiwashita, Kashiwa, Chiba, 277-8567, Japan. toyanaoki@gmail.com.
Takao OhkiDivision of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Yasutake MomokawaDivision of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Kota ShukuzawaDivision of Vascular Surgery, Department of Surgery, The Jikei University Kashiwa Hospital, 163-1, Kashiwashita, Kashiwa, Chiba, 277-8567, Japan.
Soichiro FukushimaDivision of Vascular Surgery, Department of Surgery, The Jikei University Kashiwa Hospital, 163-1, Kashiwashita, Kashiwa, Chiba, 277-8567, Japan.
Hiromasa TachiharaDivision of Vascular Surgery, Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan.
Tadashi AkibaDepartment of Surgery, The Jikei University Kashiwa Hospital, Kashiwa, Japan.
Jikei University Kashiwa hospital · JPJikei University School of Medicine · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRenal insufficiency is associated with increased morbidity and death after endovascular aortic aneurysm repair (EVAR). However, the effect of postoperative acute kidney dysfunction on patient outcome has not been fully determined. This study aimed to determine the risk factors of early postoperative renal function decline using chronic kidney disease (CKD) staging and its effect on the clinical outcome.

methodsA retrospective analysis was performed on a prospectively maintained EVAR database. Pre- and postoperative CKD stages were determined for all patients according to the estimated glomerular filtration rate values.

resultsWe identified 135 patients who were treated with elective EVAR. CKD stage decline was observed in 25 (19 %) of the patients. Freedom from aneurysm-related death was significantly lower in patients with postoperative CKD progression compared with those with unchanged CKD stage. A shaggy aorta without oral beta-blocker administration and higher preoperative serum creatinine levels (>1.4 mg/dL) were found to be independent predictors of an early postoperative CKD stage decline.

conclusionsPatients with postoperative CKD progression have an increased frequency of aneurysm-related death. The presence of a shaggy aorta, absence of oral beta-blocker administration and an increased preoperative creatinine level are independent predictors of early postoperative CKD progression.

Indexed as

Endovascular ProceduresAcute Kidney InjuryAdministration, OralAdrenergic beta-AntagonistsAgedAged, 80 and overAortaAortic AneurysmBiomarkersCreatinineFemaleHumansMaleMiddle AgedPostoperative ComplicationsPredictive Value of TestsAdrenergic beta-AntagonistsBiomarkersCreatinineAbdominal aortic aneurysmChronic kidney diseaseComplicationEndovascular aneurysm repairRenal dysfunction

Identifiers

PMID26995072
OpenAlexW2304534273

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.