Evidence map›Paper›PMID 30872545›Full record

Observational studyBMJ open2019

Acute kidney injury and 1-year mortality after colorectal cancer surgery: a population-based cohort study.

Charlotte Slagelse, Henrik Gammelager, Lene Hjerrild Iversen, Henrik Toft Sørensen, Christian F Christiansen

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
3.6field-weighted citation impact, top 7% 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.

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

32 citing papers in PubMed, 52 citations in OpenAlex.

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  12. Recovery of kidney function after acute kidney disease-a multi-cohort analysis.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024
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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 at 1 institution in 1 country.

Charlotte SlagelseDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus N, Denmark.ORCID 0000-0002-0879-9836
Henrik GammelagerDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus N, Denmark.
Lene Hjerrild IversenDepartment of Surgery, Aarhus University Hospital, Aarhus N, Denmark.
Henrik Toft SørensenDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus N, Denmark.
Christian F ChristiansenDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus N, Denmark.
Aarhus University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAcute kidney injury (AKI) is a frequent postoperative complication, but the mortality impact within different postoperative time frames and severities of AKI are poorly understood. We examined the occurrence of postoperative AKI among colorectal cancer (CRC) surgery patients and the impact of AKI on mortality during 1 year after surgery.

designObservational cohort study. We defined the exposure, AKI, as a 50% increase in plasma creatinine or initiation of renal replacement therapy within 7 days after surgery or an absolute increase in creatinine of 26 µmol/L within 48 hours.

settingPopulation-based Danish medical databases.

participantsA total of 6580 patients undergoing CRC surgery in Northern Denmark during 2005-2011 were included from the Danish Colorectal Cancer Group database. OUTCOMES MEASURE: Occurrence of AKI and 8-30, 31-90 and 91-365 days mortality in patient with or without AKI.

resultsAKI occurred in 1337 patients (20.3%) of the 6580 patients who underwent CRC surgery. Among patients with AKI, 8-30, 31-90 and 91-365 days mortality rates were 10.1% (95% CI 8.6% to 11.9%), 7.8% (95% CI 6.4% to 9.5%) and 12.0% (95% CI 10.3% to 14.2%), respectively. Compared with patients without AKI, AKI was associated with increased 8-30 days mortality (adjusted HR (aHR)=4.01,95% CI 3.11 to 5.17) and 31-90 days mortality (aHR 2.08,95% CI 1.60 to 2.69), while 91-365 days aHR was 1.12 (95% CI 0.89 to 1.41). We observed no major differences in stratified analyses.

conclusionsAKI after surgery for CRC is a frequent postoperative complication associated with a substantially increased 90-day mortality. AKI should be considered a potential target for reducing 90-day mortality.

Indexed as

Acute Kidney InjuryLong Term Adverse EffectsColorectal NeoplasmsCreatinineDenmarkDigestive System Surgical ProceduresFemaleHumansMaleMiddle AgedPostoperative ComplicationsRenal Replacement TherapyCreatinineacute kidney injurycolorectal neoplasmscolorectal surgerymortalitypostoperative complications

Identifiers

PMID30872545
PMCPMC6429863
OpenAlexW2921704605

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.