Evidence map›Paper›PMID 30276600›Full record

ArticleInternational urology and nephrology2019

Does neutrophyl to lymphocyte ratio really predict chronic kidney disease progression?

Orcun Altunoren, Gulsum Akkus, Didem Tutuncu Sezal, Muhammed Ciftcioglu, Fatma Betul Guzel, Songul Isiktas, Gul Inci Torun, Merve Uyan, Murat Fatih Sokmen, Hatıce Ayyildiz Sevim and 4 more

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in International urology and nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06670599 (Neutrophil-to-Lymphocyte and Platelet-to-lymphocyte Ratios as a Predictor Factors for Chronic Kidney Disease Progression), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 21% 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.

NCT06670599 not yet recruitingnot on this mapstarted 2024, after this paper: background citation

Neutrophil-to-Lymphocyte and Platelet-to-lymphocyte Ratios as a Predictor Factors for Chronic Kidney Disease Progression

TypeobservationalSponsorAssiut UniversityRan2024 to 2025Enrolled200ConditionsCKD
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Review
  4. Review
  5. Article
  6. Role of Blood Cell Indexes in Progresses to ESRD.Indian journal of clinical biochemistry : IJCB · 2025
    Article
  7. Hemogram-Derived Inflammatory Markers in Cats with Chronic Kidney Disease.Animals : an open access journal from MDPI · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Observational
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Is Neutrophil-Lymphocyte Count Ratio a Better Indicator of Sepsis with Gram-positive Bacterial Infection?Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2021
    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

14 authors at 1 institution in 1 country.

Orcun AltunorenNephrology Department, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahmaranmaraş, Turkey. orcunaltunoren@hotmail.com.
Gulsum AkkusInternal Medicine Department, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahmaranmaraş, Turkey.
Didem Tutuncu SezalInternal Medicine Department, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahmaranmaraş, Turkey.
Muhammed CiftciogluInternal Medicine Department, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahmaranmaraş, Turkey.
Fatma Betul GuzelInternal Medicine Department, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahmaranmaraş, Turkey.
Songul IsiktasInternal Medicine Department, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahmaranmaraş, Turkey.
Gul Inci TorunInternal Medicine Department, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahmaranmaraş, Turkey.
Merve UyanInternal Medicine Department, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahmaranmaraş, Turkey.
Murat Fatih SokmenInternal Medicine Department, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahmaranmaraş, Turkey.
Hatıce Ayyildiz SevimInternal Medicine Department, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahmaranmaraş, Turkey.
Feyza Nur SarısıkInternal Medicine Department, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahmaranmaraş, Turkey.
Mahmut Egemen SenelInternal Medicine Department, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahmaranmaraş, Turkey.
Ertugrul ErkenNephrology Department, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahmaranmaraş, Turkey.
Ozkan GungorNephrology Department, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahmaranmaraş, Turkey.
Kahramanmaraş Sütçü İmam University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChronic kidney disease (CKD) is an inflammatory process. In addition to increased morbidity and mortality, inflammation also contributes to the progression of CKD. Neutrophil/lymphocyte ratio (NLR) is a marker of inflammation. Some recent data suggest that NLR may predict the progression of CKD.

methodsIn this study, 5-year data of 740 patients with stage 2-4 CKD were reviewed retrospectively. Demographic data, NLR, CRP, albumin, the amount of proteinuria were recorded. At the beginning and the end of follow-up the glomerular filtration rate (GFR) and the annual GFR decline rate were calculated. Patients were divided to high and low NLR group according to median value of their baseline NLR. Reaching stage 5 CKD or initiation of renal replacement therapy was determined as end-point for follow-up.

resultsThe mean age was 62.8 ± 0.57 years, eGFR 40 ml/min/1.73 m

conclusionsNLR is an indicator of inflammation in chronic kidney disease. It may not be an independent predictor of CKD progression except that the CKD is in a more advanced stage and reflects the associated inflammation. Classical risk factors such as DM and lower GFR are more powerful predictors of progression.

Indexed as

LymphocytesNeutrophilsRenal Insufficiency, ChronicAgedDisease ProgressionFemaleFollow-Up StudiesGlomerular Filtration RateHumansInflammationLeukocyte CountMaleMiddle AgedPredictive Value of TestsProteinuriaRenal Replacement TherapyChronic kidney diseaseInflammationNeutrophyl lymphocyte ratio

Identifiers

PMID30276600
OpenAlexW2893273235

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.