Evidence map›Paper›PMID 27317959›Full record

ArticleHPB : the official journal of the International Hepato Pancreato Biliary Association2016

Acute kidney injury following hepatectomy for hepatocellular carcinoma: incidence, risk factors and prognostic value.

Chetana Lim, Etienne Audureau, Chady Salloum, Eric Levesque, Eylon Lahat, Jean Claude Merle, Philippe Compagnon, Gilles Dhonneur, Cyrille Feray, Daniel Azoulay

Registry-linked trialAbstract read
In one paragraph

Article in HPB : the official journal of the International Hepato Pancreato Biliary Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05361252 (Restrictive Versus Liberal Stroke Volume Variation-guided Fluid Infusion in Major Liver Tumour Resection), which is not on this map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 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.

NCT05361252 nacompletednot on this mapstarted 2017, after this paper: background citation

Restrictive Versus Liberal Stroke Volume Variation-guided Fluid Infusion in Major Liver Tumour Resection: a Prospective Randomised Trial of Perioperative Quality of Care

TypeinterventionalSponsorKaohsiung Veterans General Hospital.Ran2017 to 2018Enrolled118ConditionsFluid ManagementArmsSVV-guided fluid management
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  11. Machine learning in liver surgery: Benefits and pitfalls.World journal of clinical cases · 2024
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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

10 authors.

Chetana LimDepartment of Hepatobiliary and Pancreatic Surgery and Liver Transplantation, Henri Mondor Hospital, Créteil, France; INSERM, U965, Paris, France.
Etienne AudureauDepartment of Public Health, Henri Mondor Hospital, Créteil, France.
Chady SalloumDepartment of Hepatobiliary and Pancreatic Surgery and Liver Transplantation, Henri Mondor Hospital, Créteil, France.
Eric LevesqueDepartment of Anesthesia and Liver Intensive Care Unit, Henri Mondor Hospital, Créteil, France; INSERM, U955, Créteil, France.
Eylon LahatDepartment of Hepatobiliary and Pancreatic Surgery and Liver Transplantation, Henri Mondor Hospital, Créteil, France.
Jean Claude MerleDepartment of Anesthesia and Liver Intensive Care Unit, Henri Mondor Hospital, Créteil, France.
Philippe CompagnonDepartment of Hepatobiliary and Pancreatic Surgery and Liver Transplantation, Henri Mondor Hospital, Créteil, France; INSERM, U955, Créteil, France.
Gilles DhonneurDepartment of Anesthesia and Liver Intensive Care Unit, Henri Mondor Hospital, Créteil, France.
Cyrille FerayINSERM, U955, Créteil, France; Department of Hepatology, Henri Mondor Hospital, Créteil, France.
Daniel AzoulayDepartment of Hepatobiliary and Pancreatic Surgery and Liver Transplantation, Henri Mondor Hospital, Créteil, France; INSERM, U955, Créteil, France. Electronic address: daniel.azoulay@hmn.aphp.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute kidney injury (AKI) following hepatectomy remains understudied in terms of diagnosis, severity, recovery and prognostic value. The aim of this study was to assess the risk factors and prognostic value of AKI on short- and long-term outcomes following hepatectomy for hepatocellular carcinoma (HCC).

methodThis is a retrospective analysis of a single-center cohort of 457 consecutive patients who underwent hepatectomy for HCC. The KDIGO criteria were used for AKI diagnosis. The incidence, risk factors, and prognostic value of AKI were investigated.

resultsAKI occurred in 67 patients (15%). The mortality and major morbidity rates were significantly higher in patients with AKI (37% and 69%) than in those without (6% and 22%; p < 0.001). Renal recovery was complete in 35 (52%), partial in 25 (37%), and absent in 7 (11%) patients. Advanced age, an increased MELD score, major hepatectomy and prolonged duration of operation were identified as independent predictors of AKI. AKI was identified as the strongest independent predictor of postoperative mortality but did not impact survival.

conclusionAKI is a common complication after hepatectomy for HCC. Although its development is associated with poor short-term outcomes, it does not appear to be predictive of impaired long-term survival.

Indexed as

Acute Kidney InjuryAgedCarcinoma, HepatocellularFemaleFranceHepatectomyHumansIncidenceLiver NeoplasmsMaleMiddle AgedRetrospective StudiesRisk FactorsTime FactorsTreatment Outcome

Identifiers

PMID27317959
PMCPMC4913133

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Registered trials

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.