Evidence map›Paper›PMID 36282399›Full record

ArticleInternational urology and nephrology2023

Immune checkpoints inhibitors and its link to acute kidney injury and renal prognosis.

Mehmet Kanbay, Abdullah Burak Yildiz, Dimitrie Siriopol, Sezan Vehbi, Nuri Baris Hasbal, Yavuz E Kesgin, Melisa Celayir, Fatih Selcukbiricik, Adrian Covic, Mark A Perazella

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Article in International urology and nephrology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
1.0field-weighted citation impact, top 21% 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

9 citing papers in PubMed, 3 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
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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

10 authors at 4 institutions in 3 countries.

Mehmet KanbayDepartment of Medicine, Section of Nephrology, Koc University School of Medicine, 34010, Istanbul, Turkey. drkanbay@yahoo.com.ORCID http://orcid.org/0000-0002-1297-0675
Abdullah Burak YildizDepartment of Medicine, Koc University School of Medicine, Istanbul, Turkey.
Dimitrie SiriopolDepartment of Nephrology, "Saint John the New" County Hospital, Suceava, Romania.
Sezan VehbiDepartment of Medicine, Koc University School of Medicine, Istanbul, Turkey.
Nuri Baris HasbalDepartment of Medicine, Section of Nephrology, Koc University School of Medicine, 34010, Istanbul, Turkey.
Yavuz E KesginDepartment of Medicine, Koc University School of Medicine, Istanbul, Turkey.
Melisa CelayirDepartment of Medicine, Koc University School of Medicine, Istanbul, Turkey.
Fatih SelcukbiricikDepartment of Medicine, Koc University School of Medicine, Istanbul, Turkey.
Adrian CovicDepartment of Nephrology, Grigore T. Popa' University of Medicine, Iasi, Romania.
Mark A PerazellaDepartment of Internal Medicine Section of Nephrology, Yale University School of Medicine, New Haven, CT, USA.
Koç University · TRGrigore T. Popa University of Medicine and Pharmacy · ROŞtefan cel Mare University of Suceava · ROYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmunotherapy with immune checkpoint inhibitors (ICPi) may cause acute kidney injury (AKI) and their use is increasing. MATERIALS AND

methodsThis is a single-center retrospective cohort study of patients receiving ICPi drugs for solid organ malignancies. ICPi-related AKI, the need for renal replacement therapy during or following ICPi treatment, and the associated mortality was studied.

resultsTwo hundred thirty five patients were included in the final analysis. Patients with (N = 40) and without (n = 195) AKI had similar age, sex, type of ICPi, baseline serum creatinine levels, comorbidities and mortality; while patients with AKI were more likely to be receiving a nephrotoxic agent or be treated for genitourinary malignancy. 18 patients had ICPi-related AKI; 7 of these patients underwent kidney biopsy, which showed acute interstitial nephritis while the remaining 11 were diagnosed on clinical parameters. 18 (45%) patients recovered kidney function after AKI. No differences were observed between patients with and without kidney function recovery, although patients without recovery had a numerical, but not statistically significant, higher mortality. Patients with biopsy-confirmed ICPi-induced AKI had an increased risk of mortality, as compared with the rest of the population-HR 1.83, 95% CI 1.22-2.74, p = 0.003.

conclusionUse of nephrotoxic drugs and the location of malignancy appear to be common drivers of AKI in patients receiving ICPis for solid organ malignancy. Whether nephrotoxic agents or urinary tract obstruction may favor ICPi-related autoimmunity should be further studied.

Indexed as

Acute Kidney InjuryNeoplasmsHumansImmune Checkpoint InhibitorsKidneyPrognosisRetrospective StudiesRisk FactorsImmune Checkpoint InhibitorsAcute kidney injuryImmune checkpoint inhibitorsImmune-related adverse eventsImmunityMortalityRenal adverse effects

Identifiers

PMID36282399
OpenAlexW4307231636

What OpenQuestion holds

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Registered trials

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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.