Evidence map›Paper›PMID 35084650›Full record

ArticleInternational urology and nephrology2022

Kidney failure, CKD progression and mortality after nephrectomy.

Robert J Ellis, Anne Cameron, Glenda C Gobe, Vishal Diwan, Helen G Healy, Jeremy Lee, Ken-Soon Tan, Sree Venuthurupalli, Jianzhen Zhang, Wendy E Hoy and 1 more

Open access · hybridAbstract read
In one paragraph

Article in International urology and nephrology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 7 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

11 authors at 3 institutions in 2 countries.

Robert J EllisPrincess Alexandra Hospital, Brisbane, QLD, Australia. robert.ellis2@health.qld.gov.au.ORCID http://orcid.org/0000-0002-9755-9913
Anne CameronFaculty of Medicine, University of Queensland, Brisbane, QLD, Australia.
Glenda C GobeFaculty of Medicine, University of Queensland, Brisbane, QLD, Australia.
Vishal DiwanFaculty of Medicine, University of Queensland, Brisbane, QLD, Australia.
Helen G HealyNHMRC CKD.CRE and the CKD.QLD Collaborative, University of Queensland, Brisbane, QLD, Australia.
Jeremy LeePrincess Alexandra Hospital, Brisbane, QLD, Australia.
Ken-Soon TanFaculty of Medicine, University of Queensland, Brisbane, QLD, Australia.
Sree VenuthurupalliFaculty of Medicine, University of Queensland, Brisbane, QLD, Australia.
Jianzhen ZhangFaculty of Medicine, University of Queensland, Brisbane, QLD, Australia.
Wendy E HoyFaculty of Medicine, University of Queensland, Brisbane, QLD, Australia.
NHMRC CKD.CRE, the CKD.QLD Collaborative
The University of Queensland · AUTranslational Research Institute · AUPrincess Alexandra Hospital · AU

Funding

National Health and Medical Research Council
6 · The paper itself

Abstract

purposeThis study tested the hypothesis that progression of chronic kidney disease (CKD) is less aggressive in patients whose primary cause of CKD was nephrectomy, compared with non-surgical causes.

methodsA sample of 5983 patients from five specialist nephrology practices was ascertained from the Queensland CKD Registry. Rates of kidney failure/death were compared on primary aetiology of CKD using multivariable Cox proportional hazards models. CKD progression was compared using multivariable linear and logistic regression analyses.

resultsOf 235 patients with an acquired single kidney as their primary cause of CKD, 24 (10%) and 38 (17%) developed kidney failure or died at median [IQR] follow-up times of 12.9 [2.5-31.0] and 33.6 [18.0-57.9] months after recruitment. Among patients with an eGFR < 45 mL/min per 1.73m

conclusionPatients who developed CKD after nephrectomy had similar rates of adverse events to most other causes of CKD, except for diabetic nephropathy which was consistently associated with worse outcomes. While CKD after nephrectomy is not the most aggressive cause of kidney disease, it is by no means benign, and is associated with a tangible risk of kidney failure and death, which is comparable to other major causes of CKD.

Indexed as

Diabetic NephropathiesGlomerulonephritisRenal Insufficiency, ChronicSolitary KidneyDisease ProgressionGlomerular Filtration RateHumansNephrectomyProportional Hazards ModelsChronic kidney diseaseKidney failureNephrectomy

Identifiers

PMID35084650
PMCPMC9371989
OpenAlexW4210551128

What OpenQuestion holds

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LicenceCC BY
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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.