Evidence map›Paper›PMID 34362105›Full record

ArticleJournal of clinical medicine2021

Unexpected Outcomes of Renal Function after Radical Nephrectomy: Histology Relevance along with Clinical Aspects.

Federico Di Marco, Antonello Pani, Matteo Floris, Alberto Martini, Giacomo Dell'Antonio, Umberto Capitanio, Arianna Bettiga, Alessandro Larcher, Alessandra Cinque, Roberto Bertini and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

10 citing papers in PubMed, 16 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

14 authors at 1 institution in 1 country.

Federico Di MarcoUrological Research Institute (URI), Division of Experimental Oncology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0000-0003-0376-1342
Antonello PaniNephrology, Dialysis and Transplantation, Università Degli Studi di Cagliari, G. Brotzu Hospital, 09134 Cagliari, Italy.
Matteo FlorisNephrology, Dialysis and Transplantation, Università Degli Studi di Cagliari, G. Brotzu Hospital, 09134 Cagliari, Italy.
Alberto MartiniUnit of Urology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Giacomo Dell'AntonioUnit of Pathology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Umberto CapitanioUrological Research Institute (URI), Division of Experimental Oncology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Arianna BettigaUrological Research Institute (URI), Division of Experimental Oncology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Alessandro LarcherUrological Research Institute (URI), Division of Experimental Oncology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Alessandra CinqueUrological Research Institute (URI), Division of Experimental Oncology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0000-0002-5739-742X
Roberto BertiniUrological Research Institute (URI), Division of Experimental Oncology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Alberto BrigantiUrological Research Institute (URI), Division of Experimental Oncology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Andrea SaloniaUrological Research Institute (URI), Division of Experimental Oncology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Francesco MontorsiUrological Research Institute (URI), Division of Experimental Oncology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Francesco TrevisaniUrological Research Institute (URI), Division of Experimental Oncology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Vita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute kidney injury (AKI) and chronic kidney disease (CKD) are common events after radical nephrectomy (RN). In this study we aimed to predict AKI and CKD after RN relying on specific histological aspects. We collected data from a cohort of 144 patients who underwent radical nephrectomy. A histopathological review of the healthy part of the removed kidney was performed using an established chronicity score (CS). Logistic regression analyses were performed to predict AKI after RN, while linear regression analysis was adopted for estimated glomerular filtration rate (eGFR) variation at 1 year. The outcomes of the study were to determine variables correlated with AKI onset, and with eGFR decay at 1 year. The proportion of AKI was 64%. Logistic analyses showed that baseline eGFR independently predicted AKI (odds ratio 1.04, 95%CI 1.02:1.06). Moreover, AKI (Beta -16, 95%CI -21:-11), baseline eGFR (Beta -0.42, 95%CI -0.52:-0.33), and the presence of arterial narrowing (Beta 10, 95%CI 4:15) were independently associated with eGFR decline. Our findings showed that AKI onset and eGFR decline were more likely to occur with higher baseline eGFR and lower CS, highlighting that RN in normal renal function patients represents a more traumatic event than its CKD counterpart.

Indexed as

AKICKDeGFRradical nephrectomyrenal pathology

Identifiers

PMID34362105
PMCPMC8347310
OpenAlexW3185785992

What OpenQuestion holds

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Registered trials

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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.