Evidence map›Paper›PMID 27286687›Full record

ArticlePediatric nephrology (Berlin, Germany)2016

Urinary biomarkers for the differentiation of prerenal and intrinsic pediatric acute kidney injury.

Jens H Westhoff, Alexander Fichtner, Sina Waldherr, Nikolaos Pagonas, Felix S Seibert, Nina Babel, Burkhard Tönshoff, Frederic Bauer, Timm H Westhoff

Abstract read
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In one paragraph

Article in Pediatric nephrology (Berlin, Germany), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.5field-weighted citation impact, top 12% 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

19 citing papers in PubMed, 23 citations in OpenAlex.

  1. Trial
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  8. Plasma NGAL levels in stable kidney transplant recipients and the risk of allograft loss.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024
    Article
  9. Article
  10. Article
  11. Urinary NMR Profiling in Pediatric Acute Kidney Injury-A Pilot Study.International journal of molecular sciences · 2020
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  14. Review
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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

9 authors at 2 institutions in 1 country.

Jens H WesthoffDepartment of Pediatrics I, University Children's Hospital, Heidelberg, Germany. jens.westhoff@med.uni-heidelberg.de.
Alexander FichtnerDepartment of Pediatrics I, University Children's Hospital, Heidelberg, Germany.
Sina WaldherrDepartment of Neonatology, University Children's Hospital, Heidelberg, Germany.
Nikolaos PagonasMedical Department I, Marien Hospital Herne, University Hospital of the Ruhr-University of Bochum, Bochum, Germany.
Felix S SeibertMedical Department I, Marien Hospital Herne, University Hospital of the Ruhr-University of Bochum, Bochum, Germany.
Nina BabelMedical Department I, Marien Hospital Herne, University Hospital of the Ruhr-University of Bochum, Bochum, Germany.
Burkhard TönshoffDepartment of Pediatrics I, University Children's Hospital, Heidelberg, Germany.
Frederic BauerMedical Department I, Marien Hospital Herne, University Hospital of the Ruhr-University of Bochum, Bochum, Germany.
Timm H WesthoffMedical Department I, Marien Hospital Herne, University Hospital of the Ruhr-University of Bochum, Bochum, Germany. timm.westhoff@marienhospital-herne.de.
Universitätsklinik Marien Hospital Herne · DEHeidelberg University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUrinary calprotectin and neutrophil gelatinase-associated lipocalin (NGAL) have recently been identified as promising biomarkers for the differentiation of prerenal and intrinsic acute kidney injury (AKI) in adults. In the study reported here we examined the diagnostic accuracy of calprotectin, NGAL, and kidney injury molecule 1 (KIM-1) in pediatric patients.

methodsUrinary calprotectin, NGAL, and KIM-1 concentrations were assessed in a study population of 139 pediatric subjects including 39 patients with intrinsic AKI, 14 with prerenal AKI, and 86 non-AKI subjects.

resultsMedian urinary calprotectin and NGAL concentrations were higher in patients with intrinsic AKI than in those with prerenal AKI (calprotectin by 22-fold, NGAL by 9-fold). Receiver operating characteristic (ROC) curve analyses for the differentiation of intrinsic and prerenal AKI resulted in an area under the curve (AUC) of 0.90 [95 % confidence interval (CI) 0.81-0.98] for calprotectin and 0.73 (95 % CI 0.58-0.87) for NGAL. Median urinary KIM-1 concentrations were not significantly different between patients with prerenal AKI and those with intrinsic disease (P = 0.98; AUC 0.50, 95 % CI, 0.35-0.65). The AUC for the fractional excretion of sodium (FE

conclusionsUrinary calprotectin outperforms NGAL, KIM-1, FE

Indexed as

Acute Kidney InjuryBiomarkersCohort StudiesCross-Sectional StudiesDiagnosis, DifferentialFemaleHepatitis A Virus Cellular Receptor 1HumansInfantInfant, NewbornLeukocyte L1 Antigen ComplexLipocalin-2MaleProteinuriaReproducibility of ResultsSodiumBiomarkersHAVCR1 protein, humanHepatitis A Virus Cellular Receptor 1LCN2 protein, humanLeukocyte L1 Antigen ComplexLipocalin-2SodiumAcute kidney injuryCalprotectinKIM-1NGALPediatricS100A8/S100A9

Identifiers

PMID27286687
OpenAlexW2408986774

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.