Evidence map›Paper›PMID 28392996›Full record

ArticleKidney research and clinical practice2017

Body mass index is inversely associated with mortality in patients with acute kidney injury undergoing continuous renal replacement therapy.

Hyoungnae Kim, Joohwan Kim, Changhwan Seo, Misol Lee, Min-Uk Cha, Su-Young Jung, Jong Hyun Jhee, Seohyun Park, Hae-Ryong Yun, Youn Kyung Kee and 7 more

Abstract read
In one paragraph

Article in Kidney research and clinical practice, 2017. 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
–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

19 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Epidemiology and outcomes of obese critically ill patients in Australia and New Zealand.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2020
    Observational
  15. Review
  16. Article
  17. Article
  18. Article
  19. Kidney disease and obesity paradox.Kidney research and clinical practice · 2017
    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

17 authors.

Hyoungnae KimDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea; Institute of Kidney Disease Research, Yonsei University, Seoul, Korea.
Joohwan KimDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea; Institute of Kidney Disease Research, Yonsei University, Seoul, Korea.
Changhwan SeoDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea; Institute of Kidney Disease Research, Yonsei University, Seoul, Korea.
Misol LeeDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea; Institute of Kidney Disease Research, Yonsei University, Seoul, Korea.
Min-Uk ChaDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea; Institute of Kidney Disease Research, Yonsei University, Seoul, Korea.
Su-Young JungDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea; Institute of Kidney Disease Research, Yonsei University, Seoul, Korea.
Jong Hyun JheeDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea; Institute of Kidney Disease Research, Yonsei University, Seoul, Korea.
Seohyun ParkDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea; Institute of Kidney Disease Research, Yonsei University, Seoul, Korea.
Hae-Ryong YunDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea; Institute of Kidney Disease Research, Yonsei University, Seoul, Korea.
Youn Kyung KeeDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea; Institute of Kidney Disease Research, Yonsei University, Seoul, Korea.
Chang-Yun YoonDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea; Institute of Kidney Disease Research, Yonsei University, Seoul, Korea.
Hyung Jung OhEwha Institute of Convergence Medicine, Ewha Womans University Mokdong Hospital, Seoul, Korea.
Jung Tak ParkDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea; Institute of Kidney Disease Research, Yonsei University, Seoul, Korea.
Tae Ik ChangDivision of Nephrology, Department of Internal Medicine, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
Tae-Hyun YooDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea; Institute of Kidney Disease Research, Yonsei University, Seoul, Korea.
Shin-Wook KangDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea; Institute of Kidney Disease Research, Yonsei University, Seoul, Korea.
Seung Hyeok HanDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea; Institute of Kidney Disease Research, Yonsei University, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany epidemiologic studies have reported on the controversial concept of the obesity paradox. The presence of acute kidney injury (AKI) can accelerate energy-consuming processes, particularly in patients requiring continuous renal replacement therapy (CRRT). Thus, we aimed to investigate whether obesity can provide a survival benefit in this highly catabolic condition.

methodsWe conducted an observational study in 212 patients who had undergone CRRT owing to various causes of AKI between 2010 and 2014. The study end point was defined as death that occurred within 30 days after the initiation of CRRT.

resultsPatients were categorized into three groups according to tertiles of body mass index (BMI). During ≥30 days after the initiation of CRRT, 39 patients (57.4%) in the highest tertile died, as compared with 58 patients (78.4%) in the lowest tertile (

conclusionThis study showed that a higher BMI confer a survival benefit over a lower BMI in AKI patients undergoing CRRT.

Indexed as

Acute kidney injuryBody mass indexContinuous renal replacement therapyMortalityObesity

Identifiers

PMID28392996
PMCPMC5331974

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.