Evidence map›Paper›PMID 30993232›Full record

ArticleKidney international reports2019

Predicting Renal Recovery After Dialysis-Requiring Acute Kidney Injury.

Benjamin J Lee, Chi-Yuan Hsu, Rishi Parikh, Charles E McCulloch, Thida C Tan, Kathleen D Liu, Raymond K Hsu, Leonid Pravoverov, Sijie Zheng, Alan S Go

Abstract read
In one paragraph

Article in Kidney international reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  12. Cystatin C and Kidney Function Recovery in Patients Requiring Continuous KRT for Acute Kidney Injury.Clinical journal of the American Society of Nephrology : CJASN · 2024
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  17. Prediction of Mortality and Major Adverse Kidney Events in Critically Ill Patients With Acute Kidney Injury.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2023
    Article
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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

10 authors.

Benjamin J LeeDivision of Nephrology, Department of Medicine, University of California, San Francisco, San Francisco, California, USA.
Chi-Yuan HsuDivision of Nephrology, Department of Medicine, University of California, San Francisco, San Francisco, California, USA.
Rishi ParikhDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.
Charles E McCullochDepartment of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California, USA.
Thida C TanDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.
Kathleen D LiuDivision of Nephrology, Department of Medicine, University of California, San Francisco, San Francisco, California, USA.
Raymond K HsuDivision of Nephrology, Department of Medicine, University of California, San Francisco, San Francisco, California, USA.
Leonid PravoverovDepartment of Nephrology, Kaiser Permanente Oakland Medical Center, Oakland, California, USA.
Sijie ZhengDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA.
Alan S GoDivision of Nephrology, Department of Medicine, University of California, San Francisco, San Francisco, California, USA.

Funding

Academic Training Program in NephrologyT32DK007219 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HSU, CHI-YUAN · 1986 to 2022
$7.3M
Identifying opportunities to lower rates of AKI and improve outcomesR01DK101507 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GO, ALAN S, HSU, CHI-YUAN · 2014 to 2017
$2.1M
Patient Oriented Research in Kidney DiseaseK24DK092291 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HSU, CHI-YUAN · 2011 to 2020
$1.2M
Advancing acute kidney injury phenotyping using biological and clinical criteriaK24DK113381 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LIU, KATHLEEN D · 2017 to 2021
$915k
Enhancing appreciation of the clinical significance of acute kidney injuryK23DK100468 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HSU, RAYMOND · 2013 to 2017
$892k
Clinical Outcomes after Dialysis-Requiring Acute Kidney InjuryR03DK111881 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HSU, RAYMOND · 2017 to 2018
$159k
Recovery after dialysis-requiring acute kidney injuryF32DK115030 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LEE, BENJAMIN JIAWEI · 2017 to 2017
$79k
NIDDK NIH HHS F32 DK115030NIDDK NIH HHS K23 DK100468NIDDK NIH HHS K24 DK092291NIDDK NIH HHS K24 DK113381NIDDK NIH HHS R01 DK101507NIDDK NIH HHS R03 DK111881NIDDK NIH HHS T32 DK007219
6 · The paper itself

Abstract

introductionAfter dialysis-requiring acute kidney injury (AKI-D), recovery of sufficient kidney function to discontinue dialysis is an important clinical and patient-oriented outcome. Predicting the probability of recovery in individual patients is a common dilemma.

methodsThis cohort study examined all adult members of Kaiser Permanente Northern California who experienced AKI-D between January 2009 and September 2015 and had predicted inpatient mortality of <20%. Candidate predictors included demographic characteristics, comorbidities, laboratory values, and medication use. We used logistic regression and classification and regression tree (CART) approaches to develop and cross-validate prediction models for recovery.

resultsAmong 2214 patients with AKI-D, mean age was 67.1 years, 40.8% were women, and 54.0% were white; 40.9% of patients recovered. Patients who recovered were younger, had higher baseline estimated glomerular filtration rates (eGFR) and preadmission hemoglobin levels, and were less likely to have prior heart failure or chronic liver disease. Stepwise logistic regression applied to bootstrapped samples identified baseline eGFR, preadmission hemoglobin level, chronic liver disease, and age as the predictors most commonly associated with coming off dialysis within 90 days. Our final logistic regression model including these predictors had a correlation coefficient between observed and predicted probabilities of 0.97, with a c-index of 0.64. An alternate CART approach did not outperform the logistic regression model (c-index 0.61).

conclusionWe developed and cross-validated a parsimonious prediction model for recovery after AKI-D with excellent calibration using routinely available clinical data. However, the model's modest discrimination limits its clinical utility. Further research is needed to develop better prediction tools.

Indexed as

dialysis-requiring acute kidney injuryprediction modelrenal recovery

Identifiers

PMID30993232
PMCPMC6451155

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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.