Evidence map›Paper›PMID 36178591›Full record

ArticleJournal of nephrology2023

Clinical characteristics, treatment and outcomes of patients with spontaneous renal artery dissections.

Andrew B Dicks, Islam Y Elgendy, Vikas Thondapu, Brian Ghoshhajra, Harold D Waller, Manolo Rubio, Robert M Schainfeld, Ido Weinberg

Abstract read
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In one paragraph

Article in Journal of nephrology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

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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

8 authors.

Andrew B DicksFireman Vascular Center, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA. andrew.dicks@prismahealth.org.ORCID http://orcid.org/0000-0003-1837-1013
Islam Y ElgendyDepartment of Medicine, Weill Cornell Medicine-Qatar, Doha, Qatar.
Vikas ThondapuDepartment of Radiology, Massachusetts General Hospital, Boston, MA, USA.
Brian GhoshhajraDepartment of Radiology, Massachusetts General Hospital, Boston, MA, USA.
Harold D WallerDepartment of Vascular Surgery, Massachusetts General Hospital, Boston, MA, USA.
Manolo RubioFireman Vascular Center, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA.
Robert M SchainfeldFireman Vascular Center, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA.
Ido WeinbergFireman Vascular Center, Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe natural history and optimal management of spontaneous renal artery dissections (SRADs) are poorly understood. We compared baseline characteristics, presentation, management, and outcomes between patients with symptomatic versus asymptomatic SRADs.

methodsWe performed a retrospective review of medical charts for patients diagnosed with SRAD at a single, tertiary care center. Patients were identified using billing codes. Patient demographics, medical history, clinical presentation, treatment, and follow up were recorded. We compared patients based on presence or absence of symptoms at the time of SRAD diagnosis.

resultsA total of 125 patients were included; 73 (58.4%) patients had symptoms at the time of SRAD diagnosis. Symptomatic patients were younger at the time of diagnosis (47.4 vs. 54.3 years, p = 0.008) and more likely male (74.0% vs. 44.2%, p = 0.005). Most patients received medical therapy (93.2% vs. 82.6%, p = 0.32). Endovascular therapy utilization was low in both groups (8.2% vs. 7.7%, p = 0.9). Outcomes between the two groups were comparable; renal function remained stable, and mortality was rare.

conclusionMost patients who presented with SRAD were treated with medical therapy alone and usually experienced a benign course. Further studies are needed to understand the pathophysiology and natural history of renal artery dissections.

Indexed as

Renal ArteryHumansMaleRetrospective StudiesTreatment OutcomeDissectionRenal artery

Identifiers

PMID36178591

What OpenQuestion holds

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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.