Evidence map›Paper›PMID 28389813›Full record

ArticleClinical and experimental nephrology2018

Plasma neutrophil gelatinase-associated lipocalin is associated with iron status in anemic patients with pre-dialysis chronic kidney disease.

Il Young Kim, Joo Hui Kim, Dong Won Lee, Soo Bong Lee, Harin Rhee, Sang Heon Song, Eun Young Seong, Ihm Soo Kwak

Abstract read
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In one paragraph

Article in Clinical and experimental nephrology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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.

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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Biomarkers of iron metabolism in chronic kidney disease.International urology and nephrology · 2021
    Review
  8. Review
  9. International journal of dentistry · 2019
    Article
  10. Article
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.

Il Young KimDivision of Nephrology, Department of Internal Medicine, Pusan National University School of Medicine, 20, Geumo-ro, Mulgeum-eup, Yangsan, Gyeongsangnam-do, 50612, South Korea.
Joo Hui KimDivision of Nephrology, Department of Internal Medicine, Pusan National University School of Medicine, 20, Geumo-ro, Mulgeum-eup, Yangsan, Gyeongsangnam-do, 50612, South Korea.
Dong Won LeeDivision of Nephrology, Department of Internal Medicine, Pusan National University School of Medicine, 20, Geumo-ro, Mulgeum-eup, Yangsan, Gyeongsangnam-do, 50612, South Korea.
Soo Bong LeeDivision of Nephrology, Department of Internal Medicine, Pusan National University School of Medicine, 20, Geumo-ro, Mulgeum-eup, Yangsan, Gyeongsangnam-do, 50612, South Korea. sbleemd@pusan.ac.kr.
Harin RheeDivision of Nephrology, Department of Internal Medicine, Pusan National University School of Medicine, 20, Geumo-ro, Mulgeum-eup, Yangsan, Gyeongsangnam-do, 50612, South Korea.
Sang Heon SongDivision of Nephrology, Department of Internal Medicine, Pusan National University School of Medicine, 20, Geumo-ro, Mulgeum-eup, Yangsan, Gyeongsangnam-do, 50612, South Korea.
Eun Young SeongDivision of Nephrology, Department of Internal Medicine, Pusan National University School of Medicine, 20, Geumo-ro, Mulgeum-eup, Yangsan, Gyeongsangnam-do, 50612, South Korea.
Ihm Soo KwakDivision of Nephrology, Department of Internal Medicine, Pusan National University School of Medicine, 20, Geumo-ro, Mulgeum-eup, Yangsan, Gyeongsangnam-do, 50612, South Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIron deficiency anemia is common in patients with chronic kidney disease (CKD). Neutrophil gelatinase-associated lipocalin (NGAL), a biomarker of acute kidney injury, is known to be associated with iron metabolism. We investigated whether plasma NGAL level is associated with iron status in pre-dialysis CKD patients with anemia.

methodsThis study included 419 patients who had anemia. The subjects were into categorized into a pre-dialysis group (estimated glomerular filtration rate [eGFR] <60 ml/min/1.73 m

resultsIn non-CKD group, plasma NGAL was not associated with any baseline variables including iron indices (TSAT and serum ferritin). In pre-dialysis group, univariate analysis showed plasma NGAL correlated with eGFR, CRP, TSAT, and serum ferritin. In multivariate analysis, plasma NGAL was independently associated with TSAT. However, serum ferritin lost its association with plasma NGAL. In ROC analysis for identifying iron deficiency, the plasma NGAL (best cut-off value ≤394 ng/ml) was superior to the serum ferritin (suggested cut-off value ≤500 ng/ml) in both sensitivity and specificity.

conclusionsPlasma NGAL is associated with iron status in anemic patients with pre-dialysis CKD. Further studies are needed to demonstrate the role of plasma NGAL in assessing the iron deficiency and in guiding the iron therapy for pre-dialysis CKD patients.

Indexed as

AdultAgedAnemia, Iron-DeficiencyBiomarkersCross-Sectional StudiesFemaleFerritinsGlomerular Filtration RateHumansIronLipocalin-2LipocalinsMaleMiddle AgedNutritional StatusPredictive Value of TestsBiomarkersFerritinsIronLCN2 protein, humanLipocalin-2LipocalinsTransferrinAnemiaChronic kidney diseaseIron deficiencyNeutrophil gelatinase-associated lipocalin

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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.