Evidence map›Paper›PMID 33199317›Full record

ArticleClinical medicine (London, England)2020

Point-of-care ultrasound rapidly and reliably diagnoses renal tract obstruction in patients admitted with acute kidney injury.

Samiksha Nepal, Martin Dachsel, Nicholas Smallwood

Open access · diamondAbstract read
In one paragraph

Article in Clinical medicine (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.8field-weighted citation impact, top 12% 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

16 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
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  7. Point-of-care ultrasound Usage and accuracy within a Canadian urology division.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024
    Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Doing what's necessary becomes doing what is possible.Clinical medicine (London, England) · 2022
    Article
  14. Acute Kidney Injury in the Patient with Cancer.Diagnostics (Basel, Switzerland) · 2021
    Review
  15. Article
  16. Review
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

3 authors at 1 institution in 1 country.

Samiksha NepalEast Surrey Hospital, Redhill, UK.
Martin DachselEast Surrey Hospital, Redhill, UK.
Nicholas SmallwoodEast Surrey Hospital, Redhill, UK nicholas.smallwood@nhs.net.
East Surrey Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Point-of-care ultrasound (POCUS) is increasingly being used in the management of the acutely unwell patient. Its role in the breathless and shocked patient is well established, but less so for those patients with acute kidney injury (AKI). This local quality improvement project looked at the diagnostic accuracy of a protocolised POCUS versus departmental ultrasound. It provides the first data within the internal medicine setting to suggest that POCUS can rapidly and reliably diagnose renal tract obstruction, showing a sensitivity of 90% and a specificity of 100%. Additionally, negative predictive value was 99% suggesting it is a tool which can reduce the need for departmental ultrasound. More work is needed to see if this data is generalisable to other internal medicine settings, and to assess potential outcomes on patient management and length of stay.

Indexed as

Acute Kidney InjuryPoint-of-Care SystemsEmergency Service, HospitalHumansPoint-of-Care TestingUltrasonographyacute kidney injuryFAMUShydronephrosisPOCUSPoint-of-care ultrasound

Identifiers

PMID33199317
PMCPMC7687308
OpenAlexW3102039624

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.