Evidence map›Paper›PMID 27897324›Full record

ArticleJournal of clinical laboratory analysis2017

Serum cystatin c is not superior to serum creatinine for early diagnosis of contrast-induced nephropathy in patients who underwent angiography.

Qian Xu, Na-Na Wang, Shao-Bin Duan, Na Liu, Rong Lei, Wei Cheng, Shun-Ke Zhou

Abstract read
In one paragraph

Article in Journal of clinical laboratory analysis, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 26% 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, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
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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.

Qian XuDepartment of Nephrology, Second Xiangya Hospital, Nephrology Institute, Central South University, Changsha, China.
Na-Na WangDepartment of Nephrology, Second Xiangya Hospital, Nephrology Institute, Central South University, Changsha, China.
Shao-Bin DuanDepartment of Nephrology, Second Xiangya Hospital, Nephrology Institute, Central South University, Changsha, China.
Na LiuDepartment of Nephrology, Second Xiangya Hospital, Nephrology Institute, Central South University, Changsha, China.
Rong LeiDepartment of Nephrology, Second Xiangya Hospital, Nephrology Institute, Central South University, Changsha, China.
Wei ChengDepartment of Nephrology, Second Xiangya Hospital, Nephrology Institute, Central South University, Changsha, China.
Shun-Ke ZhouDepartment of Radiology, Second Xiangya Hospital, Central South University, Changsha, China.
Second Xiangya Hospital of Central South University · CNCentral South University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIodiated contrast-induced nephropathy (CIN) is a serious complication of contrast-enhanced imaging. The aim of this study was to evaluate the diagnostic sensitivities and specificities of serum cystatin C (sCys C) and serum creatinine (sCr) for CIN and to further investigate difference of the incidence, risk factors, and in-hospital and 3-month prognosis of CIN according to sCys C criteria and sCr criteria.

methodsWe prospectively evaluated 213 patients who underwent angiography. The sCr and sCys C concentrations were detected before and at 48 hours, 72 hours after the procedure. The incidence, risk factors, and in-hospital and 3-month prognosis of CIN were analyzed. Receiver operating characteristic curve (ROC) analysis was performed for sCr and sCys C 48 hours after procedure.

resultsThe incidence of CIN was 24.4% (sCys C criteria) and 8% (sCr criteria). Diabetes mellitus, dehydration, and hypoalbuminemia were independent risk factors for CIN. Area under the ROC of sCys C 48 hours after procedure was not superior to sCr (0.715 vs 0.790, P=.178). The mortality of patients with CIN in sCr criteria increased significantly (P<.05).

conclusionIn this study, the incidence and risk factors of CIN were related to diagnostic criteria. The sCys C was not superior to sCr for predicting CIN in the patients who underwent angiography.

Indexed as

Acute Kidney InjuryAdultAgedAngiographyContrast MediaCystatin CEarly DiagnosisFemaleHumansIncidenceMaleMiddle AgedPrognosisProspective StudiesRisk FactorsROC CurveContrast MediaCystatin Cacute kidney injurycontrast-induced nephropathycontrast mediacystatin Crisk factors

Identifiers

PMID27897324
PMCPMC6816834
OpenAlexW2559226288

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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.