Evidence map›Paper›PMID 33674203›Full record

ArticleJournal of cardiothoracic and vascular anesthesia2021

Potential Renoprotective Strategies in Adult Cardiac Surgery: A Survey of Society of Cardiovascular Anesthesiologists Members to Explore the Rationale and Beliefs Driving Current Clinical Decision-Making.

David R McIlroy, Bennett Roman, Frederic T Billings, Bruce A Bollen, Amanda Fox, Mariya Geube, Hong Liu, Linda Shore-Lesserson, Alexander Zarbock, Andrew D Shaw

Open access · greenAbstract read
In one paragraph

Article in Journal of cardiothoracic and vascular anesthesia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 55% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

10 authors at 10 institutions in 4 countries.

David R McIlroyVanderbilt University Medical Center, Nashville, TN; Monash University, Commercial Road, Melbourne, Victoria, Australia. Electronic address: david.r.mcilroy@vumc.org.
Bennett RomanOchsner Medical Center, New Orleans, LA.
Frederic T BillingsVanderbilt University Medical Center, Nashville, TN.
Bruce A BollenMissoula Anesthesiology and The International Heart Institute of Montana, Missoula, MT.
Amanda FoxUT Southwestern Medical Center, Dallas, TX.
Mariya GeubeCleveland Clinic, Cleveland, OH.
Hong LiuUniversity of California Davis Health, Sacramento, CA.
Linda Shore-LessersonZucker School of Medicine at Hofstra Northwell, Manhasset, NY.
Alexander ZarbockUniversity Hospital Münster, Münster, Germany.
Andrew D ShawUniversity of Alberta, Edmonton, AB, Canada.
Cleveland Clinic · USHofstra University · USMonash University · AUOchsner Medical Center · USSouthwestern Medical Center · USThe International Heart Institute of Montana · USUniversity Hospital Münster · DEUniversity of Alberta · CAUniversity of California, Davis · USVanderbilt University Medical Center · US

Funding

Blood and Urine Biomarkers for Predicting Long-Term Adverse Kidney and Cardiovascular Outcomes after Cardiac SurgeryR01HL148448 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI FOX, AMANDA A · 2019 to 2023
$3.7M
NHLBI NIH HHS R01 HL148448
6 · The paper itself

Abstract

objectivesThe authors sought to (1) characterize the rationale underpinning anesthesiologists' use of various perioperative strategies hypothesized to affect renal function in adult patients undergoing cardiac surgery, (2) characterize existing belief about the quality of evidence addressing the renal impact of these strategies, and (3) identify potentially renoprotective strategies for which anesthesiologists would most value a detailed, evidence-based review.

designSurvey of perioperative practice in adult patients undergoing cardiac surgery.

settingOnline survey.

participantsMembers of the Society of Cardiovascular Anesthesiologists (SCA).

interventionsNone. MEASUREMENTS & MAIN

resultsThe survey was distributed to more than 2,000 SCA members and completed in whole or in part by 202 respondents. Selection of target intraoperative blood pressure (and relative hypotension avoidance) was the strategy most frequently reported to reflect belief about its potential renal effect (79%; 95% CI: 72-85). Most respondents believed the evidence supporting an effect on renal injury of intraoperative target blood pressure during cardiac surgery was of high or moderate quality. Other factors, including a specific nonrenal rationale, surgeon preference, department- or institution-level decisions, tradition, or habit, also frequently were reported to affect decision making across queried strategies. Potential renoprotective strategies most frequently requested for inclusion in a subsequent detailed, evidence-based review were intraoperative target blood pressure and choice of vasopressor agent to achieve target pressure.

conclusionsA large number of perioperative strategies are believed to variably affect renal injury in adult patients undergoing cardiac surgery, with wide variation in perceived quality of evidence for a renal effect of these strategies.

Indexed as

Cardiac Surgical ProceduresThoracic SurgeryAdultAnesthesiologistsClinical Decision-MakingHumansSurveys and Questionnairesacute kidney injuryperioperativethoracic surgery

Identifiers

PMID33674203
PMCPMC9933995
OpenAlexW3126758948

What OpenQuestion holds

Textmetadata
LicenceTDM
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.