Evidence map›Paper›PMID 33392886›Full record

ArticleInternational urology and nephrology2021

Impact of low serum hemoglobin on development of contrast-induced nephropathy (CIN) in patients with hepatocellular carcinoma (HCC) following transarterial chemoembolisation (TACE).

Youjiao Si, Wenge Sun, Kaikai Zhao, Xianchuang Liu, Ke Ren

Abstract read
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In one paragraph

Article in International urology and nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 29% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
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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

5 authors at 2 institutions in 1 country.

Youjiao SiDepartment of Radiology, First Affiliated Hospital of China Medical University, Shenyang, 110001, Liaoning, China.ORCID http://orcid.org/0000-0001-8425-4216
Wenge SunDepartment of Radiology, First Affiliated Hospital of China Medical University, Shenyang, 110001, Liaoning, China.
Kaikai ZhaoDepartment of Radiation Oncology, Yantai Affiliated Hospital of Binzhou Medical University, Yantai, 264100, Shandong, China.
Xianchuang LiuDepartment of Radiology, First Affiliated Hospital of China Medical University, Shenyang, 110001, Liaoning, China.
Ke RenDepartment of Radiology, First Affiliated Hospital of China Medical University, Shenyang, 110001, Liaoning, China. renke815@sina.com.ORCID http://orcid.org/0000-0002-8786-4527
First Hospital of China Medical University · CNBinzhou Medical University · CN

Funding

Binzhou Medical University Research Program and Research Foundation Project BY2018KJ30National Key R&D Development of China Project 2017YFC0113403National Natural Science Foundation of China 81571635
6 · The paper itself

Abstract

objectivesTo assess the association between low hemoglobin (Hb) level and development of contrast-induced nephropathy (CIN) for hepatocellular carcinoma (HCC) patients after transarterial chemoembolization (TACE).

methodsA retrospective analysis was performed on 284 patients undergoing 503 consecutive sessions of TACE. Propensity score matching (PSM) analysis was used to reduce the influence of the difference in variables in normal and low hemoglobin groups. Risk factors of CIN were assessed by univariate and multivariate logistic regression analysis. The relation between Hb level and CIN development was analyzed by receiver operating characteristic (ROC) curve.

resultsCIN developed in 5.6% patients after TACE. Multivariate logistic regression analysis showed that hypertension, Hb and serum creatinine (Scr) were independent risk factors for the development of post-TACE CIN. Grouped by normal or low Hb, the incidence of CIN was 14.6% (16/110) in the low Hb group and 3.4% (4/116) in the normal Hb group after PSM. Multivariate logistic regression analysis revealed that Hb, lymphocyte count, and neutrophil to lymphocyte ratio (NLR) were independent risk factors for the development of post-TACE CIN. The optimal cut-off point at which the Hb concentration resulted in a high probability of developing CIN was 105.5 g/L in males.

conclusionsLow Hb is an independent risk factor for post-TACE CIN. Therefore, HCC patients with low Hb levels should be closely monitored before and during TACE.

Indexed as

Chemoembolization, TherapeuticAgedCarcinoma, HepatocellularContrast MediaFemaleHemoglobinsHumansKidney DiseasesLiver NeoplasmsMaleMiddle AgedRetrospective StudiesContrast MediaHemoglobinsChemoembolizationContrast-induced nephropathyHemoglobinHepatocellular carcinomaPropensity scoretherapeutic

Identifiers

PMID33392886
OpenAlexW3120097351

What OpenQuestion holds

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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.