Evidence map›Paper›PMID 32660970›Full record

ArticleJournal of the American Society of Nephrology : JASN2020

COVID-19-Associated Kidney Injury: A Case Series of Kidney Biopsy Findings.

Purva Sharma, Nupur N Uppal, Rimda Wanchoo, Hitesh H Shah, Yihe Yang, Rushang Parikh, Yuriy Khanin, Varun Madireddy, Christopher P Larsen, Kenar D Jhaveri and 2 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of the American Society of Nephrology : JASN, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05043168 (Kidney Histopathological Features in Patients After COVID-19 and SARS-CoV-2 Vaccination), which is not on this map. Cited by 221 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
221citing papers in PubMed, 5 pooled it
8.6field-weighted citation impact, top 2% 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.

NCT05043168 completednot on this mapstarted 2021, after this paper: background citation

Kidney Histopathological Features in Patients After COVID-19 and SARS-CoV-2 Vaccination

TypeobservationalSponsorUniversity of GiessenRan2021 to 2022Enrolled42ConditionsCovid19, Vaccination Reaction
3 · Its place in the literature

Who cites it

221 citing papers in PubMed, 5 syntheses or guidelines pooled it, 371 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Histopathological findings and clinicopathologic correlation in COVID-19: a systematic review.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2021
    Pooled it
  6. Review
  7. Article
  8. Long COVID and the kidney.Nature reviews. Nephrology · 2025
    Review
  9. COVID-19 associated acute kidney injury.Infectious diseases & immunity · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
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161 more citing papers are in PubMed but not listed here.

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

12 authors at 2 institutions in 1 country.

Purva SharmaDivision of Kidney Diseases and Hypertension, Department of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Great Neck, New York psharma7@northwell.edu.
Nupur N UppalDivision of Kidney Diseases and Hypertension, Department of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Great Neck, New York.
Rimda WanchooDivision of Kidney Diseases and Hypertension, Department of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Great Neck, New York.
Hitesh H ShahDivision of Kidney Diseases and Hypertension, Department of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Great Neck, New York.
Yihe YangDepartment of Pathology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, New York.
Rushang ParikhDivision of Kidney Diseases and Hypertension, Department of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Great Neck, New York.
Yuriy KhaninDivision of Kidney Diseases and Hypertension, Department of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Great Neck, New York.
Varun MadireddyDivision of Kidney Diseases and Hypertension, Department of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Great Neck, New York.
Christopher P LarsenArkana Laboratories, Little Rock, Arkansas.
Kenar D JhaveriDivision of Kidney Diseases and Hypertension, Department of Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Great Neck, New York.
Vanesa BijolDepartment of Pathology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, New York.
Northwell Nephrology COVID-19 Research Consortium
Donald & Barbara Zucker School of Medicine at Hofstra/Northwell · USArkana Laboratories · US

Funding

APOL1 in Diabetic PodocytopathyR01DK118017 · NIDDK · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI SINGHAL, PRAVIN C · 2018 to 2021
$2.0M
NIDDK NIH HHS R01 DK118017
6 · The paper itself

Abstract

backgroundReports show that AKI is a common complication of severe coronavirus disease 2019 (COVID-19) in hospitalized patients. Studies have also observed proteinuria and microscopic hematuria in such patients. Although a recent autopsy series of patients who died with severe COVID-19 in China found acute tubular necrosis in the kidney, a few patient reports have also described collapsing glomerulopathy in COVID-19.

methodsWe evaluated biopsied kidney samples from ten patients at our institution who had COVID-19 and clinical features of AKI, including proteinuria with or without hematuria. We documented clinical features, pathologic findings, and outcomes.

resultsOur analysis included ten patients who underwent kidney biopsy (mean age: 65 years); five patients were black, three were Hispanic, and two were white. All patients had proteinuria. Eight patients had severe AKI, necessitating RRT. All biopsy samples showed varying degrees of acute tubular necrosis, and one patient had associated widespread myoglobin casts. In addition, two patients had findings of thrombotic microangiopathy, one had pauci-immune crescentic GN, and another had global as well as segmental glomerulosclerosis with features of healed collapsing glomerulopathy. Interestingly, although the patients had confirmed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection by RT-PCR, immunohistochemical staining of kidney biopsy samples for SARS-CoV-2 was negative in all ten patients. Also, ultrastructural examination by electron microscopy showed no evidence of viral particles in the biopsy samples.

conclusionsThe most common finding in our kidney biopsy samples from ten hospitalized patients with AKI and COVID-19 was acute tubular necrosis. There was no evidence of SARS-CoV-2 in the biopsied kidney tissue.

Indexed as

BetacoronavirusAcute Kidney InjuryAgedBiopsyCoronavirus InfectionsCOVID-19FemaleHumansKidneyKidney Tubular Necrosis, AcuteMaleMiddle AgedPandemicsPneumonia, ViralSARS-CoV-2acute kidney injuryAKIATNCOVID-19kidney biopsykidney pathologySARS-CoV-2

Identifiers

PMID32660970
PMCPMC7461689
OpenAlexW3042529955

What OpenQuestion holds

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Registered trials

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.