Evidence map›Paper›PMID 33163719›Full record

ArticleKidney international reports2020

Rule Out Acute Kidney Injury in the Emergency Department With a Urinary Dipstick.

Jacob S Stevens, Katherine Xu, Alexa Corker, Tejashree S Gopal, Osman R Sayan, Erin P Geraghty, Andrew M Yaeh, Yaagnik D Kosuri, John R Burton, Saul V Lincoln and 21 more

Abstract read
In one paragraph

Article in Kidney international reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

  1. Article
  2. Electronic Phenotype for Detection, Staging, and Subtyping of Acute Kidney Injury.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2026
    Article
  3. Inherited Susceptibility to Urinary Tract Infections from Kidney Papilla to Bladder.medRxiv : the preprint server for health sciences · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
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

31 authors.

Jacob S StevensDivision of Nephrology, Columbia University Irving Medical Center, New York, New York, USA.
Katherine XuDivision of Nephrology, Columbia University Irving Medical Center, New York, New York, USA.
Alexa CorkerDivision of Nephrology, Columbia University Irving Medical Center, New York, New York, USA.
Tejashree S GopalDivision of Nephrology, Columbia University Irving Medical Center, New York, New York, USA.
Osman R SayanEmergency Department, Columbia University Irving Medical Center, New York, New York, USA.
Erin P GeraghtyInternal Medicine Residency, Columbia University Irving Medical Center, New York, New York, USA.
Andrew M YaehInternal Medicine Residency, Columbia University Irving Medical Center, New York, New York, USA.
Yaagnik D KosuriVagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.
John R BurtonVagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Saul V LincolnVagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Miriam P CallahanVagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Rebecca K BreheneyVagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Andrew S BeenkenDivision of Nephrology, Columbia University Irving Medical Center, New York, New York, USA.
Juliana N GaminoEmergency Department, Columbia University Irving Medical Center, New York, New York, USA.
Ariel E FelmanDivision of Nephrology, Columbia University Irving Medical Center, New York, New York, USA.
Anjali GehaniDivision of Nephrology, Columbia University Irving Medical Center, New York, New York, USA.
Hayley A GiordanoEmergency Department, Columbia University Irving Medical Center, New York, New York, USA.
Aileen GozaliEmergency Department, Columbia University Irving Medical Center, New York, New York, USA.
Eddie F Guerrero HerreraDivision of Nephrology, Columbia University Irving Medical Center, New York, New York, USA.
Britney A HatcherEmergency Department, Columbia University Irving Medical Center, New York, New York, USA.
Lena A KheirEmergency Department, Columbia University Irving Medical Center, New York, New York, USA.
Yuanji LiDivision of Nephrology, Columbia University Irving Medical Center, New York, New York, USA.
Erika K MitsuiEmergency Department, Columbia University Irving Medical Center, New York, New York, USA.
Jae I NhaDivision of Nephrology, Columbia University Irving Medical Center, New York, New York, USA.
Alexander T SayanDivision of Nephrology, Columbia University Irving Medical Center, New York, New York, USA.
Samuel J SpaiserEmergency Department, Columbia University Irving Medical Center, New York, New York, USA.
Siddarth ArumugamBiomedical Engineering, Columbia University, New York, New York, USA.
Samuel K SiaBiomedical Engineering, Columbia University, New York, New York, USA.
Kristen L KingDivision of Nephrology, Columbia University Irving Medical Center, New York, New York, USA.
Sumit MohanDivision of Nephrology, Columbia University Irving Medical Center, New York, New York, USA.
Jonathan BaraschDivision of Nephrology, Columbia University Irving Medical Center, New York, New York, USA.

Funding

Transcriptional Regulation of Urothelial Differentiation During Homeostasis and Repair in Response to Urinary Tract InfectionU54DK104309 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI JONATHAN M. BARASCH, ALI G GHARAVI · 2014 to 2026
$17.7M
NRSA Training CoreTL1TR001875 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SPANN, MARISA N, TAYLOR, JACQUELYN Y · 2016 to 2025
$8.9M
IRON LIPOCALIN NGAL IN KIDNEY DISEASER01DK073462 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BARASCH, JONATHAN M. · 2007 to 2015
$3.0M
5/14 APOL1 Long-term Kidney Transplantation Outcomes Network (APOLLO) Clinical CenterU01DK116066 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Sumit Mohan, Deirdre Sawinski · 2017 to 2026
$2.5M
Training Medical Students in NIDDK ResearchT35DK093430 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI QAIS AL-AWQATI, Utpal Pajvani · 2012 to 2026
$1.3M
Identifying and exploring solutions to the ethical challenges of ApoL1 testing of donors with recent African ancestry through mixed methods research with stakeholdersR01MD014161 · NIMHD · WASHINGTON UNIVERSITY · PI DUBOIS, JAMES M, MOHAN, SUMIT · 2019 to 2021
$1.2M
Increasing Minority Population Awareness through Community Teaching for Improved Organ Donation (IMPACT for Improved Organ Donation)R01DK114893 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MOHAN, SUMIT · 2017 to 2021
$1.2M
Precision Medicine Research in NephrologyT32DK108741 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BARASCH, JONATHAN M., GHARAVI, ALI G · 2016 to 2020
$783k
Kidney Precision Medicine Program (KPMP): Columbia AKI Recruitment SiteUG3DK114926 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BARASCH, JONATHAN M., BOMBACK, ANDREW STEPHEN · 2017 to 2018
$747k
NCATS NIH HHS TL1 TR001875NIDDK NIH HHS R01 DK073462NIDDK NIH HHS R01 DK114893NIDDK NIH HHS T32 DK108741NIDDK NIH HHS U01 DK116066NIDDK NIH HHS U54 DK104309NIDDK NIH HHS UG3 DK114926NIMHD NIH HHS R01 MD014161
6 · The paper itself

Abstract

introductionThe identification of acute injury of the kidney relies on serum creatinine (SCr), a functional marker with poor temporal resolution as well as limited sensitivity and specificity for cellular injury. In contrast, urinary biomarkers of kidney injury have the potential to detect cellular stress and damage in real time.

methodsTo detect the response of the kidney to injury, we have tested a lateral flow dipstick that measures a urinary protein called neutrophil gelatinase-associated lipocalin (NGAL). Analysis of urine was performed in a prospective cohort of 479 patients (final cohort

resultsColorimetric development had high interrater reliability (88% concordance rate) and correlated with traditional enzyme-linked immunosorbent assay (ELISA) measurements (ρ = 0.732,

conclusionWe show that the introduction of a bedside uNGAL dipstick permits accurate triage by identifying individuals who do not have tubular injury. In an era of shortening length of stay and rapid decisions based on isolated SCr measurements, real-time exclusion of kidney injury by a dipstick will be particularly useful to overcome the retrospective, insensitive, and nonspecific attributes of SCr.

Indexed as

AKIbiomarkerdipstickemergency departmentNGAL

Identifiers

PMID33163719
PMCPMC7609964

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.