Evidence map›Paper›PMID 29242248›Full record

ArticleJournal of the American Society of Nephrology : JASN2018

Causes of Death after a Hospitalization with AKI.

Samuel A Silver, Ziv Harel, Eric McArthur, Danielle M Nash, Rey Acedillo, Abhijat Kitchlu, Amit X Garg, Glenn M Chertow, Chaim M Bell, Ron Wald

Abstract read
In one paragraph

Article in Journal of the American Society of Nephrology : JASN, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing 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.

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

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

  1. Pooled it
  2. Pooled it
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  11. Observational
  12. Acute Kidney Injury (AKI) in Adults With Leukemia: A Nationwide Inpatient Retrospective Analysis.Journal of community hospital internal medicine perspectives · 2025
    Article
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  16. Article
  17. Nanoselenium attenuates renal ischemia-reperfusion injury in rats.Naunyn-Schmiedeberg's archives of pharmacology · 2024
    Article
  18. Article
  19. Article
  20. The AKI-to-CKD Transition: The Role of Uremic Toxins.International journal of molecular sciences · 2023
    Review
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.

Samuel A SilverDivision of Nephrology, Kingston Health Sciences Center, Queen's University, Kingston, Ontario, Canada; samuel.silver@queensu.ca.
Ziv HarelDivision of Nephrology, St. Michael's Hospital.
Eric McArthurInstitute for Clinical Evaluative Sciences, Toronto, Ontario, Canada.
Danielle M NashInstitute for Clinical Evaluative Sciences, Toronto, Ontario, Canada.
Rey AcedilloDivision of Nephrology, London Health Sciences Centre, Western University, London, Ontario, Canada; and.ORCID 0000-0002-5612-2328
Abhijat KitchluDivision of Nephrology, St. Michael's Hospital.
Amit X GargInstitute for Clinical Evaluative Sciences, Toronto, Ontario, Canada.
Glenn M ChertowDivision of Nephrology, Stanford University School of Medicine, Palo Alto, California.
Chaim M BellInstitute for Clinical Evaluative Sciences, Toronto, Ontario, Canada.
Ron WaldDivision of Nephrology, St. Michael's Hospital.

Funding

TRAINING PROGRAM IN ACADEMIC NEPHROLOGYT32DK007357 · NIDDK · STANFORD UNIVERSITY · PI CHERTOW, GLENN MATTHEW · 1986 to 2022
$4.8M
NIDDK NIH HHS T32 DK007357
6 · The paper itself

Abstract

Mortality after AKI is high, but the causes of death are not well described. To better understand causes of death in patients after a hospitalization with AKI and to determine patient and hospital factors associated with mortality, we conducted a population-based study of residents in Ontario, Canada, who survived a hospitalization with AKI from 2003 to 2013. Using linked administrative databases, we categorized cause of death in the year after hospital discharge as cardiovascular, cancer, infection-related, or other. We calculated standardized mortality ratios to compare the causes of death in survivors of AKI with those in the general adult population and used Cox proportional hazards modeling to estimate determinants of death. Of the 156,690 patients included, 43,422 (28%) died in the subsequent year. The most common causes of death were cardiovascular disease (28%) and cancer (28%), with respective standardized mortality ratios nearly six-fold (5.81; 95% confidence interval [95% CI], 5.70 to 5.92) and eight-fold (7.87; 95% CI, 7.72 to 8.02) higher than those in the general population. The highest standardized mortality ratios were for bladder cancer (18.24; 95% CI, 17.10 to 19.41), gynecologic cancer (16.83; 95% CI, 15.63 to 18.07), and leukemia (14.99; 95% CI, 14.16 to 15.85). Along with older age and nursing home residence, cancer and chemotherapy strongly associated with 1-year mortality. In conclusion, cancer-related death was as common as cardiovascular death in these patients; moreover, cancer-related deaths occurred at substantially higher rates than in the general population. Strategies are needed to care for and counsel patients with cancer who experience AKI.

Indexed as

Cause of DeathAcute Kidney InjuryAgedAged, 80 and overAge FactorsCardiovascular DiseasesComorbidityDatabases, FactualDiabetes MellitusFemaleHospitalizationHumansHypertensionInfectionsMaleMiddle Agedacute renal failurecancercardiovascular

Identifiers

PMID29242248
PMCPMC5827605

What OpenQuestion holds

Textmetadata
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.