Evidence map›Paper›PMID 28616656›Full record

SynthesisPediatric nephrology (Berlin, Germany)2017

Accuracy of neutrophil gelatinase-associated lipocalin for acute kidney injury diagnosis in children: systematic review and meta-analysis.

Luís Taddeo Filho, Antonio Jose Grande, Tamy Colonetti, Éverton Simon Possamai Della, Maria Inês da Rosa

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Pediatric nephrology (Berlin, Germany), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 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.

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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Biomarkers of acute kidney injury in pediatric cardiac surgery.Pediatric nephrology (Berlin, Germany) · 2022
    Pooled it
  3. Pooled it
  4. Trial
  5. Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. The Use of Renal Biomarkers in Pediatric Cardiac Patients With Acute Kidney Injury.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Acute Kidney Injury: Diagnosis and Management.Indian journal of pediatrics · 2020
    Review
  15. Observational
  16. Article
  17. Evaluation of Novel Biomarkers for Early Diagnosis of Acute Kidney Injury in Asphyxiated Full-Term Newborns: A Case-Control Study.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2020
    Article
  18. Article
  19. Article
  20. 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

5 authors.

Luís Taddeo FilhoUniversidade do Extremo Sul Catarinense, Av. Universitária, 1105, Bairro Universitário, Criciúma, SC, CEP: 88806-000, Brazil.
Antonio Jose GrandeUniversidade do Extremo Sul Catarinense, Av. Universitária, 1105, Bairro Universitário, Criciúma, SC, CEP: 88806-000, Brazil. grandeto@gmail.com.ORCID 0000-0001-7182-075X
Tamy ColonettiUniversidade do Extremo Sul Catarinense, Av. Universitária, 1105, Bairro Universitário, Criciúma, SC, CEP: 88806-000, Brazil.
Éverton Simon Possamai DellaUniversidade do Extremo Sul Catarinense, Av. Universitária, 1105, Bairro Universitário, Criciúma, SC, CEP: 88806-000, Brazil.
Maria Inês da RosaUniversidade do Extremo Sul Catarinense, Av. Universitária, 1105, Bairro Universitário, Criciúma, SC, CEP: 88806-000, Brazil.

Funding

FAPESC TO2016TR2262
6 · The paper itself

Abstract

objectiveTo estimate the accuracy of Neutrophil Gelatinase-Associated Lipocalin (NGAL) as a biomarker for acute kidney injury (AKI) in children.

methodsA systematic review of the literature was performed. The review protocol was registered at PROSPERO (CRD 42015024153). We conducted searches in the following databases: Medline (PubMed), LILACS (BVS), SCOPUS (Elsevier), Embase (OVID), Cochrane Central Register of Controlled Trials (CENTRAL), Biomed Central, and ISI Web of Science, from January 1990 to October 2016. For inclusion, studies measured NGAL levels in plasma and urine for AKI in children. For each study, 2 × 2 contingency tables were developed. For statistical analysis we calculated the sensitivity, specificity and diagnostic odds ratio. For methodological assessment, we used Quality Assessment of Diagnostic Accuracy Studies-2. Software used for analysis was Stata 14, and RevMan 5.3.

resultsIn total 13 studies were analyzed, which included 1629 children. For urinary NGAL, the pooled sensitivity was 0.76 (95% CI 0.62-0.85) and a pooled specificity 0.93 (95% CI 0.88-0.96). The diagnostic odds ratio (DOR) for the detection of AKI was 43 (95% CI 16-115) and the Area under the curve (AUC) was 0.94 (95% CI 0.92-0.96). For plasma NGAL the combined sensitivity was 0.80 (95% CI 0.64-0.90) and a combined specificity was 0.87 (95% CI 0.74-0.94). The DOR was 26 (95% CI 8.0-82) and AUC was 0.90 (95% CI 0.87-0.94) for the detection of AKI in children.

conclusionThe data suggest that NGAL levels can be an important biomarker for the early detection of AKI in children.

Indexed as

Acute Kidney InjuryArea Under CurveBiomarkersChildHumansLipocalin-2Odds RatioSensitivity and SpecificityBiomarkersLCN2 protein, humanLipocalin-2Acute kidney injuryEmergency medicineNeutrophil gelatinase-associated Lipocalin proteinNGAL

Identifiers

What OpenQuestion holds

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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.