Evidence map›Paper›PMID 34053960›Full record

ArticleAnnals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia2021

The Efficacy and Renal Protective Effect of Tolvaptan in Chronic Kidney Disease Patients after Open-Heart Surgery.

Yasuhiro Futamura, Hirotaka Watanuki, Masaho Okada, Kayo Sugiyama, Katsuhiko Matsuyama

Open access · goldAbstract read
In one paragraph

Article in Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.4field-weighted citation impact, top 36% 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

6 citing papers in PubMed, 5 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

5 authors at 1 institution in 1 country.

Yasuhiro FutamuraDepartment of Cardiac Surgery, Aichi Medical University Hospital, Nagakute, Aichi, Japan.
Hirotaka WatanukiDepartment of Cardiac Surgery, Aichi Medical University Hospital, Nagakute, Aichi, Japan.
Masaho OkadaDepartment of Cardiac Surgery, Aichi Medical University Hospital, Nagakute, Aichi, Japan.
Kayo SugiyamaDepartment of Cardiac Surgery, Aichi Medical University Hospital, Nagakute, Aichi, Japan.
Katsuhiko MatsuyamaDepartment of Cardiac Surgery, Aichi Medical University Hospital, Nagakute, Aichi, Japan.
Aichi Medical University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeUnlike loop diuretics, tolvaptan is reported to have a renal protective effect. The purpose of this study was to retrospectively assess the efficacy of tolvaptan administration in chronic kidney disease (CKD) patients following open-heart surgery.

methodsFrom February 2017 to August 2020, 75 patients with preoperative CKD stages IIIb-V were enrolled in this study and were divided into two groups: the control group (n = 30) and the tolvaptan group (n = 45). All patients routinely received conventional diuretics starting from postoperative day (POD) 1. Tolvaptan at 7.5-15 mg/day was administered if the patients had persistent fluid retention or poor response to conventional diuretics.

resultsTolvaptan administration was initiated at a mean of POD 2.9 ± 2.2, and the mean dosing period was 4.1 ± 3.0 days. The mean time to return to the preoperative body weight in the control and tolvaptan groups was similar. However, estimated glomerular filtration rate (eGFR) was significantly increased at the time when body weight reached the preoperative level and at discharge in the tolvaptan group than in the control group.

conclusionThis study demonstrated the renal protective effect of tolvaptan even in advanced CKD patients after open-heart surgery.

Indexed as

Cardiac Surgical ProceduresRenal Insufficiency, ChronicTolvaptanHumansProtective AgentsRetrospective StudiesTreatment OutcomeProtective AgentsTolvaptanchronic kidney diseaseopen-heart surgerytolvaptan

Identifiers

PMID34053960
PMCPMC8560536
OpenAlexW3165652665

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.