Evidence map›Paper›PMID 34956442›Full record

ReviewAmerican journal of translational research2021

Serum fibroblast growth factor 23 for early detection of acute kidney injury in critical illness.

Shu Sun, Zhijia Liu, Changqing Chen, Zhisong Wang, Hailong Jin, Xiaoyun Meng, Bing Dai, Liming Zhang, Chenchen Zhou, Cheng Xue and 1 more

Open access · greenAbstract readReview
In one paragraph

Review in American journal of translational research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 29% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Observational
  4. Article
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

11 authors at 4 institutions in 1 country.

Shu SunDepartment of Urology, The 8th Medical Center of Chinese PLA General Hospital Beijing 100091, China.
Zhijia LiuDepartment of Urology, The 8th Medical Center of Chinese PLA General Hospital Beijing 100091, China.
Changqing ChenDepartment of Urology, The 8th Medical Center of Chinese PLA General Hospital Beijing 100091, China.
Zhisong WangDepartment of Urology, The 8th Medical Center of Chinese PLA General Hospital Beijing 100091, China.
Hailong JinOrgan Transplantation Center, The 3rd Medical Center of Chinese PLA General Hospital Beijing 100039, China.
Xiaoyun MengDepartment of Urology, The 8th Medical Center of Chinese PLA General Hospital Beijing 100091, China.
Bing DaiDivision of Nephrology, Changzheng Hospital, Second Military Medical University Shanghai 200003, China.
Liming ZhangDepartment of Nephrology, Zhabei Central Hospital of Jingan District of Shanghai Shanghai 200000, China.
Chenchen ZhouOutpatient Department, Yangpu Third Military Retreat Shanghai 200000, China.
Cheng XueDepartment of Urology, The 8th Medical Center of Chinese PLA General Hospital Beijing 100091, China.
Xiang LiDepartment of Urology, The 8th Medical Center of Chinese PLA General Hospital Beijing 100091, China.
Chinese PLA General Hospital · CNSecond Military Medical University · CNArmy Medical University · CNShanghai Zhabei District Shibei Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSerum fibroblast growth factor 23 (FGF23) is associated with acute kidney injury (AKI) and mortality in patients with critical illnesses. However, the accurate predictive performance of FGF23 on AKI remains inconclusive.

methodsMeta-analysis was performed using data sources including PubMed, Web of Science, EMBASE, and Cochrane (until June 1, 2021). Cohort or observational studies including patients with AKI and serum FGF23 level as the index test were included. The primary outcome was the AKI detective accuracy. This study has been registered in PROSPERO (CRD42021249930).

resultsEleven studies with 1946 patients in seven countries were included. Across all settings, the sensitivity and specificity for serum FGF23 levels to predict AKI were 82% (95% CI, 66-91%) and 77% (95% CI, 67-85%), respectively. The diagnostic odds ratio of FGF23 was 15.51 (95% CI, 4.89-49.19), with the pooled positive likelihood ratio of 3.62 (95% CI, 2.25-5.83) and a negative likelihood ratio of 0.23 (95% CI, 0.11-0.50). The area under the receiver operating characteristic curve to detect AKI was 0.86 (95% CI, 0.82-0.88). C-terminal FGF23 had a better performance than intact FGF23.

conclusionsPlasma FGF23 is a valuable biomarker for incident AKI in critically ill patients. Comparisons of FGF23 with other biomarkers in AKI still need more studies to prove.

Indexed as

Acute kidney injurydiagnosisfibroblast growth factor 23meta-analysis

Identifiers

PMID34956442
PMCPMC8661170
OpenAlexW4206857466

What OpenQuestion holds

Textmetadata
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.