Evidence map›Paper›PMID 36657383›Full record

ArticleNephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association2023

Kidney outcome after mild to moderate COVID-19.

Christian Schmidt-Lauber, Sonja Hänzelmann, Stefan Schunk, Elina L Petersen, Ammar Alabdo, Maja Lindenmeyer, Fabian Hausmann, Piotr Kuta, Thomas Renné, Raphael Twerenbold and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 20 citations in OpenAlex.

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  7. Long COVID and the kidney.Nature reviews. Nephrology · 2025
    Review
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  19. Comparative 3-Year Allograft Outcomes for Recipients of Kidneys From SARS-CoV-2 NAT-Positive Donors.Transplant infectious disease : an official journal of the Transplantation Society
    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

14 authors at 4 institutions in 2 countries.

Christian Schmidt-LauberIII. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-7864-0361
Sonja HänzelmannIII. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Stefan SchunkDepartment of Internal Medicine IV, Nephrology and Hypertension, Saarland University, Homburg/Saar, Germany.
Elina L PetersenDepartment of Cardiology, University Heart and Vascular Center, Hamburg, Germany.ORCID 0000-0002-1235-5066
Ammar AlabdoIII. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Maja LindenmeyerIII. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Fabian HausmannInstitute of Medical Systems Biology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Piotr KutaInstitute of Clinical Chemistry and Laboratory Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Thomas RennéInstitute of Clinical Chemistry and Laboratory Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Raphael TwerenboldDepartment of Cardiology, University Heart and Vascular Center, Hamburg, Germany.ORCID 0000-0003-3814-6542
Tanja ZellerDepartment of Cardiology, University Heart and Vascular Center, Hamburg, Germany.
Stefan BlankenbergDepartment of Cardiology, University Heart and Vascular Center, Hamburg, Germany.
Danilo FliserDepartment of Internal Medicine IV, Nephrology and Hypertension, Saarland University, Homburg/Saar, Germany.
Tobias B HuberIII. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0001-7175-5062
Universität Hamburg · DESaarland University · DEGerman Centre for Cardiovascular Research · DERoyal College of Surgeons in Ireland · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has a remarkable kidney tropism. While kidney effects are common in severe coronavirus disease 2019 (COVID-19), data on non-severe courses are limited. Here we provide a multilevel analysis of kidney outcomes after non-severe COVID-19 to test for eventual kidney sequela.

methodsThis cross-sectional study investigates individuals after COVID-19 and matched controls recruited from the Hamburg City Health Study (HCHS) and its COVID-19 program. The HCHS is a prospective population-based cohort study within the city of Hamburg, Germany. During the COVID-19 pandemic the study additionally recruited subjects after polymerase chain reaction-confirmed SARS-CoV-2 infections. Matching was performed by age, sex and education. Main outcomes were estimated glomerular filtration rate (eGFR), albuminuria, Dickkopf3, haematuria and pyuria.

resultsA total of 443 subjects in a median of 9 months after non-severe COVID-19 were compared with 1328 non-COVID-19 subjects. The mean eGFR was mildly lower in post-COVID-19 than non-COVID-19 subjects, even after adjusting for known risk factors {β = -1.84 [95% confidence interval (CI) -3.16 to -0.52]}. However, chronic kidney disease [odds ratio (OR) 0.90 (95% CI 0.48-1.66)] or severely increased albuminuria [OR 0.76 (95% CI 0.49-1.09)] equally occurred in post-COVID-19 and non-COVID-19 subjects. Haematuria, pyuria and proteinuria were also similar between the two cohorts, suggesting no ongoing kidney injury after non-severe COVID-19. Further, Dickkopf3 was not increased in the post-COVID-19 cohort, indicating no systematic risk for ongoing GFR decline [β = -72.19 (95% CI -130.0 to -14.4)].

conclusionWhile mean eGFR was slightly lower in subjects after non-severe COVID-19, there was no evidence for ongoing or progressive kidney sequela.

Indexed as

COVID-19PyuriaAlbuminuriaCohort StudiesCross-Sectional StudiesDisease ProgressionHematuriaHumansKidneyPandemicsProspective StudiesSARS-CoV-2CKDCOVID-19kidneySARS-CoV-2sequela

Identifiers

PMID36657383
PMCPMC10468748
OpenAlexW4317470528

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.