Evidence map›Paper›PMID 36791117›Full record

ArticlePloS one2023

Consulting to nephrologist when starting continuous renal replacement therapy for acute kidney injury is associated with a survival benefit.

Jinwoo Lee, Seong Geun Kim, Donghwan Yun, Min Woo Kang, Yong Chul Kim, Dong Ki Kim, Kook-Hwan Oh, Kwon Wook Joo, Yon Su Kim, Seung Seok Han

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.6field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 8 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.

Jinwoo LeeDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
Seong Geun KimDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
Donghwan YunDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
Min Woo KangDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
Yong Chul KimDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
Dong Ki KimDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
Kook-Hwan OhDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
Kwon Wook JooDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.ORCID 0000-0001-9941-7858
Yon Su KimDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
Seung Seok HanDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.ORCID 0000-0003-0137-5261
Seoul National University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral studies suggest improved outcomes for patients with kidney disease who consult a nephrologist. However, it remains undetermined whether a consultation with a nephrologist is related to a survival benefit after starting continuous renal replacement therapy (CRRT) due to acute kidney injury (AKI).

methodsData from 2,397 patients who started CRRT due to severe AKI at Seoul National University Hospital, Korea between 2010 and 2020 were retrospectively collected. The patients were divided into two groups according to whether they underwent a nephrology consultation regarding the initiation and maintenance of CRRT. The Cox proportional hazards model was used to calculate the hazard ratio (HR) of mortality during admission to the intensive care unit after adjusting for multiple variables.

resultsA total of 2,153 patients (89.8%) were referred to nephrologists when starting CRRT. The patients who underwent a nephrology consultation had a lower mortality rate than those who did not have a consultation (HR = 0.47 [0.40-0.56]; P < 0.001). Subsequently, patients who had nephrology consultations were divided into two groups (i.e., early and late) according to the timing of the consultation. Both patients with early and late consultation had lower mortality rates than patients without consultations, with HRs of 0.45 (0.37-0.54) and 0.51 (0.42-0.61), respectively.

conclusionsConsultation with a nephrologist may contribute to a survival benefit after starting CRRT for AKI.

Indexed as

Acute Kidney InjuryContinuous Renal Replacement TherapyHumansNephrologistsReferral and ConsultationRenal Replacement TherapyRetrospective Studies

Identifiers

PMID36791117
PMCPMC9931119
OpenAlexW4320856734

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.