Evidence map›Paper›PMID 33471239›Full record

Observational studyClinical and experimental nephrology2021

Incidence and risk factors of acute kidney injury, and its effect on mortality among Japanese patients receiving immune check point inhibitors: a single-center observational study.

Yoshinosuke Shimamura, Shota Watanabe, Takuto Maeda, Koki Abe, Yayoi Ogawa, Hideki Takizawa

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Clinical and experimental nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 5 pooled it
3.1field-weighted citation impact, top 6% 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

20 citing papers in PubMed, 5 syntheses or guidelines pooled it, 40 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

6 authors at 1 institution in 1 country.

Yoshinosuke ShimamuraDepartment of Nephrology, Teine Keijinkai Medical Center, Sapporo, Hokkaido, 0068555, Japan. yshimamura.tkh@gmail.com.ORCID http://orcid.org/0000-0003-0278-6900
Shota WatanabeDepartment of Nephrology, Teine Keijinkai Medical Center, Sapporo, Hokkaido, 0068555, Japan.
Takuto MaedaDepartment of Nephrology, Teine Keijinkai Medical Center, Sapporo, Hokkaido, 0068555, Japan.
Koki AbeDepartment of Nephrology, Teine Keijinkai Medical Center, Sapporo, Hokkaido, 0068555, Japan.
Yayoi OgawaHokkaido Renal Pathology Center, Sapporo, Hokkaido, Japan.
Hideki TakizawaDepartment of Nephrology, Teine Keijinkai Medical Center, Sapporo, Hokkaido, 0068555, Japan.
Teine Keijinkai Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmune checkpoint inhibitors (ICPis) are associated with multi-organ immune-related adverse effects. Here, we examined the incidence rate, recovery rate, and risk factors of acute kidney injury complicated with ICPis (ICPi-AKI) and evaluted the association between ICPi-AKI and mortality in Japanese patients.

methodsWe analyzed 152 consecutive patients receiving ICPis between 2015 and 2019. A logistic regression analysis was performed to identify risk factors for ICPi-AKI incidence and Cox regression analysis was performed to evaluate the association between ICPi-AKI and mortality.

resultsThe mean patient age was 67 ± 10 years, with the median baseline serum creatinine level of 0.78 mg/dL. Twenty-seven patients (18%) developed ICPi-AKI, and 19 (73%) of them recovered. Pembrolizumab use and liver diseases were significant risk factors for the ICPi-AKI incidence. During the follow-up, 85 patients (59%) died, 17 patients (63%) with ICPi-AKI and 68 (54%) patients without ICPi-AKI, respectively. The ICPi-AKI incidence was not independently associated with mortality (adjusted hazard ratio, 0.85; 95% confidence intervals, 0.46-1.61).

conclusionsOur finding suggest that pembrolizumab use and liver diseases are associated with a higher risk of ICPi-AKI development, but ICPi-AKI did not affect mortality. Future multi-center studies are needed to develop optimal management and prevention strategies for this complication in patients receiving ICPis.

Indexed as

Acute Kidney InjuryAgedAntibodies, Monoclonal, HumanizedFemaleHumansImmune Checkpoint InhibitorsIncidenceJapanLiver DiseasesMaleMiddle AgedNeoplasmsNivolumabPeritoneal NeoplasmsPrognosisProportional Hazards ModelsAntibodies, Monoclonal, HumanizedImmune Checkpoint InhibitorsNivolumabpembrolizumabAcute kidney injuryImmune checkpoint inhibitorLiver diseaseMortalityPembrolizumab

Identifiers

PMID33471239
OpenAlexW3121899453

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.