Evidence map›Paper›PMID 36335144›Full record

ArticleScientific reports2022

Incidence, risk factors and prognosis of acute kidney injury in patients treated with immune checkpoint inhibitors: a retrospective study.

Ming-Su Ji, Rilige Wu, Zhe Feng, Yuan-Da Wang, Yong Wang, Li Zhang, Xue-Feng Sun, Xiang-Mei Chen, Kun-Lun He, Guang-Yan Cai

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
2.3field-weighted citation impact, top 9% 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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 23 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

10 authors at 1 institution in 1 country.

Ming-Su Ji *Department of Nephropathy, The First Medical Center of Chinese PLA General Hospital, Beijing, 100853, China.
Rilige Wu *Medical Big Data Research Center, Chinese PLA General Hospital, Beijing, 100853, China.
Zhe FengDepartment of Nephropathy, The First Medical Center of Chinese PLA General Hospital, Beijing, 100853, China.
Yuan-Da WangDepartment of Nephropathy, The First Medical Center of Chinese PLA General Hospital, Beijing, 100853, China.
Yong WangDepartment of Nephropathy, The First Medical Center of Chinese PLA General Hospital, Beijing, 100853, China.
Li ZhangDepartment of Nephropathy, The First Medical Center of Chinese PLA General Hospital, Beijing, 100853, China.
Xue-Feng SunDepartment of Nephropathy, The First Medical Center of Chinese PLA General Hospital, Beijing, 100853, China.
Xiang-Mei ChenDepartment of Nephropathy, The First Medical Center of Chinese PLA General Hospital, Beijing, 100853, China.
Kun-Lun HeMedical Big Data Research Center, Chinese PLA General Hospital, Beijing, 100853, China.
Guang-Yan CaiDepartment of Nephropathy, The First Medical Center of Chinese PLA General Hospital, Beijing, 100853, China. caiguangyan@sina.com.
Chinese PLA General Hospital · CN

Funding

National Key Research and Development Program of China 2018YFA0108803National Natural Science Foundation of China 82170686
6 · The paper itself

Abstract

Immune checkpoint inhibitors (ICIs) change the prognosis of many cancer patients. With the increasing use of ICIs, immune-related adverse events are occurring, including acute kidney injury (AKI). This study aimed to assess the incidence of AKI during ICI treatment and its risk factors and impact on mortality. Patients treated with ICIs at the First Medical Center of the Chinese PLA General Hospital from January 1, 2014, to December 30, 2019, were consecutively enrolled, and risk factors affecting AKI development in patients treated with ICIs were analyzed using univariate and multivariate logistic regression. Medical record surveys and telephone inquiry were used for follow-up, and Kaplan-Meier survival analysis and Cox regression were used to analyze independent risk factors for death. Among 1615 patients, 114 (7.1%) had AKI. Multivariate logistic regression analysis showed that anemia, Alb < 30 g/L, antibiotic use, diuretic use, NSAID use and proton pump inhibitor use were independent risk factors for AKI development in patients treated with ICIs. Stage 2 or 3 AKI was an independent risk factor for nonrecovery of renal function after AKI onset. Multivariate Cox regression analysis showed that anemia, Alb < 30 g/L, AKI occurrence, and diuretic use were independent risk factors for death in patients treated with ICIs, while high baseline BMI, other tumor types, ACEI/ARB use, and chemotherapy use were protective factors for patient death. AKI occurs in 7.1% of patients treated with ICIs. Anemia, Alb < 30 g/L, and combined medication use are independent risk factors for AKI in patients treated with ICIs. Anemia, Alb < 30 g/L, AKI occurrence, and diuretic use were independent risk factors for death in patients treated with ICIs.

Indexed as

Acute Kidney InjuryImmune Checkpoint InhibitorsAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsDiureticsHumansIncidencePrognosisRetrospective StudiesRisk FactorsAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsDiureticsImmune Checkpoint Inhibitors

Identifiers

PMID36335144
PMCPMC9637155
OpenAlexW4308496873

What OpenQuestion holds

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LicenceCC BY
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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.