Evidence map›Paper›PMID 31650334›Full record

SynthesisClinical and experimental nephrology2020

Neutrophil-lymphocyte count ratio as a diagnostic marker for acute kidney injury: a systematic review and meta-analysis.

Dong Chen, Dong Xiao, Junchuan Guo, Bayin Chahan, Zhigao Wang

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Clinical and experimental nephrology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

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

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  15. Systematic review of the diagnostic role of neutrophil to lymphocyte ratio in sarcoidosis.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2023
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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.

Dong ChenDepartment of Critical Care Medicine, Xinjiang Uygur Autonomous Region People's Hospital, No. 91 Tianchi Road, Urumqi, 830000, People's Republic of China.
Dong XiaoDepartment of Critical Care Medicine, Xinjiang Uygur Autonomous Region People's Hospital, No. 91 Tianchi Road, Urumqi, 830000, People's Republic of China.
Junchuan GuoDepartment of Critical Care Medicine, Xinjiang Uygur Autonomous Region People's Hospital, No. 91 Tianchi Road, Urumqi, 830000, People's Republic of China. gjc8765432@sina.com.
Bayin ChahanDepartment of Critical Care Medicine, Xinjiang Uygur Autonomous Region People's Hospital, No. 91 Tianchi Road, Urumqi, 830000, People's Republic of China.
Zhigao WangDepartment of Critical Care Medicine, Xinjiang Uygur Autonomous Region People's Hospital, No. 91 Tianchi Road, Urumqi, 830000, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe neutrophil-to-lymphocyte ratio (NLR) is calculated from the white cell differential blood count. Recently, NLR was identified as a potential biomarker for the prediction of acute kidney injury (AKI). We conducted this systematic review and meta-analysis to evaluate the diagnostic value of NLCR for AKI in adult patients.

methodsStudies in the PubMed, EMBASE, Web of Science and Cochrane Library databases were systematically searched from the date of database inception to February 28, 2019. The predictive value of NLR for AKI was evaluated by the pooled sensitivity, specificity, and summary receiver operating characteristic curve (SROC) analyses. Review Manager and Stata were used for all statistical analyses. The sources of potential heterogeneity were explored by a sensitivity analysis and subgroup analysis.

resultsThis meta-analysis returned 89 reports, of which 9 fulfilled the inclusion criteria, accounting for 9766 patients. Bivariate analysis yielded a mean sensitivity of 0.736 (95% CI 0.675-0.790) and specificity of 0.686 (95% CI 0.601-0.759). The SROC was 0.77 (95% CI 0.74-0.81). The studies had no significant heterogeneity (Q = 0.675, p = 0.357, I

conclusionsOur findings indicate that the NLR may be a reliable biomarker for the early detection of AKI. Our findings also provide important information and assistance for clinicians in the prediction of AKI.

Indexed as

LymphocytesNeutrophilsAcute Kidney InjuryAgedAged, 80 and overFemaleHumansLymphocyte CountMaleMiddle AgedPredictive Value of TestsPrognosisReproducibility of ResultsAcute kidney InjuryBiomarkerDiagnosisMeta-analysisNeutrophil-to-lymphocyte ratio

Identifiers

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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.