Evidence map›Paper›PMID 32205339›Full record

ReviewESMO open2020

Acute kidney injury from contrast-enhanced CT procedures in patients with cancer: white paper to highlight its clinical relevance and discuss applicable preventive strategies.

Laura Cosmai, Camillo Porta, Carmelo Privitera, Loreto Gesualdo, Giuseppe Procopio, Stefania Gori, Andrea Laghi

Open access · goldAbstract readReviewConsensus Statement
In one paragraph

Review in ESMO open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 22 citations in OpenAlex.

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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

7 authors at 7 institutions in 1 country.

Laura CosmaiOnconephrology Outpatients Clinic, Nephrology and Dialysis, ASST Santi Carlo e Paolo, San Paolo Hospital, Milan, Italy.
Camillo PortaDivision of Translational Oncology, IRCCS Istituti Clinici Scientifici Maugeri, Pavia, Italy.
Carmelo PriviteraDivision of Radiology, Azienda Ospedaliero-Universitaria Policlinico Vittorio Emanuele, Catania, Italy.
Loreto GesualdoDepartment of Emergency and Organ Transplantation, Nephrology, Dialysis and Transplantation Unit, University of Bari 'Aldo Moro', Bari, Italy.
Giuseppe ProcopioDepartment of Medical Oncology, Fondazione IRCCS, Istituto Nazionale dei Tumori, Milano, Italy.
Stefania GoriOncologia Medica, Ospedale Don Calabria-Sacro Cuore di Negrar, Verona, Italy.
Andrea LaghiDepartment of Surgical and Medical Sciences and Translational Medicine, "Sapienza" University of Rome, Sant'Andrea University Hospital, Rome, Italy andrea.laghi@uniroma1.it.ORCID 0000-0002-3091-7819
Azienda Ospedaliera Sant'Andrea · ITAzienda Ospedaliero-Universitaria Policlinico - Vittorio Emanuele · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITOspedale Sacro Cuore Don Calabria · ITOspedale San Paolo · ITUniversity of Bari Aldo Moro · ITUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with cancer are subjected to several imaging examinations which frequently require the administration of contrast medium (CM). However, it has been estimated that acute kidney injury (AKI) due to the injection of iodinated CM accounts for 11% of all cases of AKI, and it is reported in up to 2% of all CT examinations. Remarkably, the risks of developing AKI are increased in the elderly, in patients with chronic kidney disease or diabetes, and with dehydration or administration of nephrotoxic chemotherapeutics. Given the common occurrence of postcontrast acute kidney injury (PC-AKI) in clinical practice, primary care physicians and all specialists involved in managing patients with cancer should be aware of the strategies to reduce the risk of this event. In 2018, a panel of four experts from the specialties of radiology, oncology and nephrology were speakers at the annual meeting of the Italian Society of Medical Radiology (Società Italiana di Radiologia Medica e Interventistica), with the aim of commenting on existing evidence and providing their experience on the incidence and management of PC-AKI in patients with cancer. The discussion represented the basis for this white paper, which is intended to be a practical guide organised by statements describing methods to reduce renal injury risks related to CM-enhanced CT examinations in patients with cancer.

Indexed as

Acute Kidney InjuryContrast MediaHumansMiddle AgedNeoplasmsRisk FactorsContrast Mediaacute renal injurycancercontrast medium

Identifiers

PMID32205339
PMCPMC7204797
OpenAlexW3012725389

What OpenQuestion holds

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LicenceCC BY-NC
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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.