Evidence map›Paper›PMID 34668615›Full record

ArticlePediatric transplantation2022

Acute kidney disease predicts chronic kidney disease in pediatric non-kidney solid organ transplant patients.

Mital Patel, Anna Heipertz, Emily Joyce, John A Kellum, Christopher Horvat, James E Squires, Shawn C West, Priyanka Priyanka, Dana Y Fuhrman

Open access · greenAbstract read
In one paragraph

Article in Pediatric transplantation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 11% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
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  3. Time Course of Kidney Injury Biomarkers in Children With Septic Shock: Nested Cohort Study Within the Pragmatic Pediatric Trial of Balanced Versus Normal Saline Fluid in Sepsis Trial.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 2 countries.

Mital PatelDepartment of Pediatrics, Division of Pediatric Nephrology, Duke Children's Hospital, Durham, NC, USA.
Anna HeipertzDepartment of Pediatrics, Hopp Children's Cancer Center Heidelberg (KiTZ), Heidelberg, Germany.
Emily JoyceDepartment of Pediatrics, Division of Pediatric Nephrology, Rainbow Babies and Children's Hospital Cleveland, OH, USA.
John A KellumThe Center for Critical Care Nephrology, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Christopher HorvatDepartment of Critical Care Medicine, Division of Pediatric Critical Care Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.
James E SquiresDepartment of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0001-6979-8987
Shawn C WestDepartment of Pediatrics, Division of Cardiology, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0002-4369-4394
Priyanka PriyankaThe Center for Critical Care Nephrology, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Dana Y FuhrmanThe Center for Critical Care Nephrology, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA, USA.ORCID 0000-0002-3672-7960
Children's Hospital of Pittsburgh · USUniversity of Pittsburgh · USDuke Children's Hospital & Health Center · USHopp Children's Cancer Center Heidelberg · DERainbow Babies & Children's Hospital · US

Funding

Renal Fitness in Young Adults with Congenital Heart DiseaseK23DK116973 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI FUHRMAN, DANA YOUNG · 2019 to 2023
$1.2M
A Learning Health System Approach to Precision Sedation and Analgesia in Critically-Ill ChildrenK23HD099331 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HORVAT, CHRISTOPHER MICHAEL · 2020 to 2024
$810k
NICHD NIH HHS K23 HD099331NICHD NIH HHS L40 HD099798NIDDK NIH HHS K23 DK116973NIDDK NIH HHS L30 DK122411
6 · The paper itself

Abstract

backgroundAcute kidney disease (AKD) is defined as impaired kidney function present for <90 days with or without an acute kidney injury (AKI) event. Adults with AKD have an increased risk for progression to chronic kidney disease (CKD) and mortality. There are no data on the epidemiology of AKD in children after transplant. The aim of this study was to evaluate the incidence and risk factors for AKI, AKD, and CKD in children after transplantation.

methodsThis is a retrospective cohort study of all children undergoing non-kidney solid organ transplant between 2011 and 2019 at UPMC Children's Hospital of Pittsburgh. AKI and AKD were defined using the Kidney Disease Improving Global Outcomes criteria. Patients with a new estimated glomerular filtration rate <60 ml/min/1.73m

resultsAmong 338 patients, 37.9% met criteria for severe AKI, 13% for AKD, and 8% for a new diagnosis of CKD. Stage 3 AKI was independently associated with AKD (OR: 5.35; 95% CI: 2.23-12.86). Severe AKI was not associated with new-onset CKD, whereas AKD was associated with new-onset CKD (OR: 29.74; CI: 11.22-78.82).

conclusionAKD may be superior to AKI in predicting risk of CKD in children after non-kidney solid organ transplantation.

Indexed as

Acute Kidney InjuryOrgan TransplantationRenal Insufficiency, ChronicAcute DiseaseAdultChildCohort StudiesGlomerular Filtration RateHumansRetrospective StudiesRisk Factorsacute kidney diseaseacute kidney injurychildrentransplantation

Identifiers

PMID34668615
PMCPMC9018890
OpenAlexW3206304557

What OpenQuestion holds

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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.