Evidence map›Paper›PMID 31705606›Full record

ArticleJournal of veterinary internal medicine2020

Urine neutrophil gelatinase-associated lipocalin to diagnose and characterize acute kidney injury in dogs.

Erika Monari, Roberta Troìa, Luca Magna, Marta Gruarin, Chiara Grisetti, Mercedes Fernandez, Andrea Balboni, Massimo Giunti, Francesco Dondi

Abstract readObservational Study, Veterinary
In one paragraph

Article in Journal of veterinary internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

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

  1. Pooled it
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  12. Biomarkers of Kidney Disease in Horses: A Review of the Current Literature.Animals : an open access journal from MDPI · 2022
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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

9 authors.

Erika MonariDepartment of Veterinary Medical Sciences, Alma Mater Studiorum - University of Bologna, Bologna, Italy.
Roberta TroìaDepartment of Veterinary Medical Sciences, Alma Mater Studiorum - University of Bologna, Bologna, Italy.
Luca MagnaDepartment of Veterinary Medical Sciences, Alma Mater Studiorum - University of Bologna, Bologna, Italy.
Marta GruarinDepartment of Veterinary Medical Sciences, Alma Mater Studiorum - University of Bologna, Bologna, Italy.
Chiara GrisettiDepartment of Veterinary Medical Sciences, Alma Mater Studiorum - University of Bologna, Bologna, Italy.
Mercedes FernandezDepartment of Veterinary Medical Sciences, Alma Mater Studiorum - University of Bologna, Bologna, Italy.
Andrea BalboniDepartment of Veterinary Medical Sciences, Alma Mater Studiorum - University of Bologna, Bologna, Italy.
Massimo GiuntiDepartment of Veterinary Medical Sciences, Alma Mater Studiorum - University of Bologna, Bologna, Italy.
Francesco DondiDepartment of Veterinary Medical Sciences, Alma Mater Studiorum - University of Bologna, Bologna, Italy.ORCID https://orcid.org/0000-0001-8259-6458

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUrine neutrophil gelatinase-associated lipocalin (NGAL) is a promising biomarker of acute kidney injury (AKI) in dogs.

objectivesTo evaluate the utility of urinary NGAL for characterizing AKI according to volume responsiveness, presence of inflammation and sepsis, and prognosis. ANIMALS: Dogs with AKI (n = 76) and healthy controls (n = 10).

methodsProspective study. Clinical and clinicopathologic data including absolute urine NGAL concentration (uNGAL) and NGAL normalized to urine creatinine concentration (uNGALC) were measured upon admission. Dogs were graded according to International Renal Interest Society (IRIS) AKI guidelines and compared based on AKI features: volume-responsive (VR-) AKI vs. intrinsic (I-) AKI based on IRIS criteria; VR-AKI and I-AKI based on urine chemistry; inflammatory versus noninflammatory; septic versus nonseptic; and survivors versus nonsurvivors. Nonparametric statistics were calculated, and significance set at P < .05.

resultsUrinary NGAL was significantly higher in dogs with AKI compared to controls, regardless of AKI grade. Urinary NGAL did not differ between dogs with VR-AKI and I-AKI based on IRIS criteria, whereas higher uNGALC was recorded in dogs with I-AKI based on urine chemistry. Urinary NGAL was significantly higher in dogs with inflammatory AKI, whereas no difference with respect to sepsis or outcome was identified. CONCLUSIONS AND CLINICAL IMPORTANCE: Urinary NGAL is a sensitive marker for AKI in dogs, but its specificity is affected by systemic inflammation. Increased urinary NGAL in both I-AKI and VR-AKI also suggests the presence of tubular damage in transient AKI. Combining urine chemistry data with IRIS criteria could facilitate AKI characterization in dogs.

Indexed as

AnimalsBiomarkersCase-Control StudiesDog DiseasesDogsFemaleKidney DiseasesLipocalin-2MaleProspective StudiesBiomarkersLipocalin-2intrinsic AKIsystemic inflammationtubular damageurine chemistryvolume-responsive AKI

Identifiers

PMID31705606
PMCPMC6979095

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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.