Evidence map›Paper›PMID 34413975›Full record

ArticleClinical kidney journal2021

A history of uraemic toxicity and of the European Uraemic Toxin Work Group (EUTox).

Raymond Vanholder, Angel Argilés, Joachim Jankowski, European Uraemic Toxin Work Group (EUTox)

Abstract read
In one paragraph

Article in Clinical kidney journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Gut-kidney axis: Dysbiosis and renal disease.World journal of nephrology · 2026
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  16. Investigation of the inhibition of bacteria and endotoxin influx by back filtration through dialyzer membranes.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2024
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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

4 authors.

Raymond VanholderDepartment of Internal Medicine and Pediatrics, Nephrology Section, Ghent University Hospital, Ghent, Belgium.ORCID https://orcid.org/0000-0003-2633-1636
Angel ArgilésRD-Néphrologie, Montpellier, France.ORCID https://orcid.org/0000-0001-7029-4532
Joachim JankowskiInstitute for Molecular Cardiovascular Research, University Hospital, RWTH Aachen, Aachen, Germany.ORCID https://orcid.org/0000-0002-4528-2967
European Uraemic Toxin Work Group (EUTox)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The uraemic syndrome is a complex clinical picture developing in the advanced stages of chronic kidney disease, resulting in a myriad of complications and a high early mortality. This picture is to a significant extent defined by retention of metabolites and peptides that with a preserved kidney function are excreted or degraded by the kidneys. In as far as those solutes have a negative biological/biochemical impact, they are called uraemic toxins. Here, we describe the historical evolution of the scientific knowledge about uraemic toxins and the role played in this process by the European Uraemic Toxin Work Group (EUTox) during the last two decades. The earliest knowledge about a uraemic toxin goes back to the early 17th century when the existence of what would later be named as urea was recognized. It took about two further centuries to better define the role of urea and its link to kidney failure, and one more century to identify the relevance of post-translational modifications caused by urea such as carbamoylation. The knowledge progressively extended, especially from 1980 on, by the identification of more and more toxins and their adverse biological/biochemical impact. Progress of knowledge was paralleled and impacted by evolution of dialysis strategies. The last two decades, when insights grew exponentially, coincide with the foundation and activity of EUTox. In the final section, we summarize the role and accomplishments of EUTox and the part it is likely to play in future action, which should be organized around focus points like biomarker and potential target identification, intestinal generation, toxicity mechanisms and their correction, kidney and extracorporeal removal, patient-oriented outcomes and toxin characteristics in acute kidney injury and transplantation.

Indexed as

cardiovasculardialysishaemodialysishistoryuraemic toxins

Identifiers

PMID34413975
PMCPMC8371716

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.