Evidence map›Paper›PMID 34662539›Full record

SynthesisJornal de pediatria

Serum Cystatin C as a predictor of acute kidney injury in neonates: a meta-analysis.

Hui Yang, Chunlan Lin, Chunyu Zhuang, Jiacheng Chen, Yanping Jia, Huiling Shi, Cong Zhuang

Open access · goldAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Jornal de pediatria. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

12 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
  2. Neonatal acute kidney injury: where are we now?Pediatric nephrology (Berlin, Germany) · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Gut microbiota and neonatal acute kidney injury biomarkers.Pediatric nephrology (Berlin, Germany) · 2023
    Review
  12. 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

7 authors at 3 institutions in 1 country.

Hui YangHainan Provincial Hospital of Traditional Chinese Medicine, Department of Gynecology and Obstetrics, Haikou, China.
Chunlan LinHaikou Maternal and Child Health Hospital, Department of Neonatal Pediatrics, Haikou, China.
Chunyu ZhuangHaikou Maternal and Child Health Hospital, Nursing Department, Haikou, China.
Jiacheng ChenHainan Provincial People's Hospital, Department of Hepatological Surgery, Haikou, China.
Yanping JiaHaikou Maternal and Child Health Hospital, Department of Neonatal Pediatrics, Haikou, China.
Huiling ShiHaikou Maternal and Child Health Hospital, Department of Child Healthcare, Haikou, China.
Cong ZhuangHaikou Hospital Affiliated to Xiangya Medical College of Central South University, Nursing Department, Haikou, China. Electronic address: hk987652021@163.com.
Central South University · CNHainan Maternal and Child Health Hospital · CNHainan Provincial Hospital of Traditional Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe objective of this meta-analysis is to evaluate the diagnostic value of serum Cystatin C in acute kidney injury (AKI) in neonates. SOURCES: PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), and WanFang Database were searched to retrieve the literature related to the diagnostic value of Cystatin C for neonatal AKI from inception to May 10, 2021. Subsequently, the quality of included studies was determined using the QUADAS-2 tool. Stata 15.0 statistical software was used to calculate the combined sensitivity (SEN), specificity (SPE), positive likelihood ratio (PLR), negative likelihood ratio (NLR), and diagnostic odds ratio (DOR). Additionally, meta-regression analysis and subgroup analysis contributed to explore the sources of heterogeneity. SUMMARY OF THE

findingsTwelve articles were included. The pooled sensitivity was 0.84 (95%CI: 0.74-0.91), the pooled specificity was 0.81 (95%CI: 0.75-0.86), the pooled PLR was 4.39 (95%CI: 3.23-5.97), the pooled NLR was 0.19 (95%CI: 0.11-0.34), and the DOR was 22.58 (95%CI: 10.44-48.83). The area under the receiver operating characteristic curve (AUC) was 0.88 (95%CI: 0.85-0.90). No significant publication bias was identified (p > 0.05).

conclusionsSerum Cystatin C has a good performance in predicting neonatal AKI; therefore, it can be used as a candidate biomarker after the optimal level is determined by large prospective studies.

Indexed as

Acute Kidney InjuryCystatin CBiomarkersFemaleHumansInfant, NewbornMaleProspective StudiesROC CurveSensitivity and SpecificityBiomarkersCystatin CAcute kidney injury (AKI)Cystatin C (Cys-C)DiagnosisMeta-analysisNeonates

Identifiers

PMID34662539
PMCPMC9432009
OpenAlexW3205139644

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.