Evidence map›Paper›PMID 33492471›Full record

ArticleEuropean radiology2021

Effect of iodinated contrast material on post-operative eGFR when administered during renal mass ablation.

Nicole E Curci, Benjamin L Triche, E Jason Abel, Gauri Bhutani, Kimberly A Maciolek, Leo D Dreyfuss, Glenn O Allen, Elaine M Caoili, Matthew S Davenport, Shane A Wells

Abstract read
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In one paragraph

Article in European radiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. 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

10 authors at 3 institutions in 1 country.

Nicole E CurciDepartment of Radiology, University of Michigan, Ann Arbor, MI, USA.
Benjamin L TricheDepartment of Radiology, University of Wisconsin, Madison, WI, USA.
E Jason AbelDepartment of Urology, University of Wisconsin, Madison, WI, USA.
Gauri BhutaniDepartment of Medicine, Division of Nephrology, University of Wisconsin, Madison, WI, USA.
Kimberly A MaciolekDepartment of Urology, University of Virginia, Charlottesville, VA, USA.
Leo D DreyfussUniversity of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
Glenn O AllenDepartment of Urology, University of Wisconsin, Madison, WI, USA.
Elaine M CaoiliDepartment of Radiology, University of Michigan, Ann Arbor, MI, USA.
Matthew S DavenportDepartment of Radiology, University of Michigan, Ann Arbor, MI, USA.
Shane A WellsDepartment of Radiology, University of Wisconsin, Madison, WI, USA. swells@uwhealth.org.ORCID http://orcid.org/0000-0002-1067-6624
University of Wisconsin–Madison · USUniversity of Michigan · USUniversity of Virginia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effect of intravenous iodinated contrast on estimated glomerular filtration rate (eGFR) when administered immediately after thermal ablation of clinically localized T1a (cT1a) renal cell carcinoma (RCC).

methodsThis HIPAA-compliant, dual-center retrospective study was performed under a waiver of informed consent. Three hundred forty-two consecutive patients with cT1a biopsy-proven RCC were treated with percutaneous ablation between January 2010 and December 2017. Immediate post-ablation contrast-enhanced CT was the routine standard of care at one institution (contrast group), but not the other (control group). One-month pre- and 6-month post-ablation eGFR were compared using the Wilcoxon signed-rank test or the Kruskal-Wallis test. Multivariate linear regression was used to determine the effect of contrast on eGFR. A 1:1 propensity score matching was performed for all patients with a logistic model using patient, tumor, and procedural covariates.

resultsIn total, 246 patients (158 M; median age 69 years, IQR 62-74) were included. Median tumor diameter (2.4 vs 2.5, p = 0.23) and RENAL nephrometry scores (6 vs 6, p = 0.92), surrogates for ablation zone size, were similar. Baseline kidney function was similar for the control and contrast groups, respectively (median eGFR: 70 vs 74 mL/min/1.73 m

conclusionIntravenous iodinated contrast administered during ablation of cT1a RCC has no effect on eGFR. KEY POINTS: • Intravenous iodinated contrast administered during thermal ablation of clinically localized T1a renal cell carcinoma has no effect on kidney function. • Thermal ablation of clinically localized T1a renal cell carcinoma results in a mild decline in kidney function. • A decline in kidney function is similar for radiofrequency and microwave ablation of clinically localized T1a renal cell carcinoma.

Indexed as

Carcinoma, Renal CellCatheter AblationKidney NeoplasmsAgedContrast MediaGlomerular Filtration RateHumansMicrowavesRetrospective StudiesTreatment OutcomeContrast MediaContrast mediaGlomerular filtration rateMicrowaveRenal cell carcinomaThermal ablation

Identifiers

PMID33492471
OpenAlexW3121780680

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.