Evidence map›Paper›PMID 36883092›Full record

ReviewCureus2023

Beneficial Impacts of Fenoldopam on Patients With or at Risk for Acute Renal Failure and Undergoing Surgery: A Meta-Analysis of Randomized Clinical Trials.

Sai Kiran Kondabolu, Yasitha Kakarlapudi, Haider Malik, Hamza Malik, Saima Khan, Praveen Kumar Komminni, Sujith K Palleti, Shamsha Hirani

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 26% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Fenoldopam for preventing and treating acute kidney injury.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Article
  3. Article
  4. Review
  5. 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

8 authors at 6 institutions in 3 countries.

Sai Kiran KondaboluInternal Medicine, Andhra Medical College, Visakhapatnam, IND.
Yasitha KakarlapudiInternal Medicine, Andhra Medical College, Visakhapatnam, IND.
Haider MalikInternal Medicine, Shifa Tameer-E-Millat University Shifa College of Medicine, Islamabad, PAK.
Hamza MalikMedicine, Foundation University Medical College, Rawalpindi, PAK.
Saima KhanInternal Medicine, Sir Syed College of Medical Sciences for Girls, Karachi, PAK.
Praveen Kumar KomminniInternal Medicine, Suraksha Hospital, Hyderabad, IND.
Sujith K PalletiNephrology, Loyola University Medical Center, Chicago, USA.
Shamsha HiraniCardiology, Baqai Hospital, Karachi, PAK.
Loyola University Medical Center · USBaqai Institute of Diabetology and Endocrinology · PKBaqai Medical University · PKFoundation University Medical College · PKShifa Tameer-e-Millat University · PKSir Syed University of Engineering and Technology · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This meta-analysis aims to determine the beneficial impacts of fenoldopam on patients with or at high risk of acute kidney injury (AKI) and undergoing surgery. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed while performing the present meta-analysis. Two investigators searched electronic databases including PubMed, EMBASE, and the Cochrane library, from inception until January 10, 2023, for relevant studies. The key terms used to search for relevant articles included "fenoldopam", "acute kidney injury" and "surgery". The primary outcome was the incidence of new AKI. Secondary outcomes included change in serum creatine from baseline (mg/dl), length of stay in ICU (days), renal replacement therapy (RRT), and all-cause mortality that included mortality before or at 30 days. A total of 10 studies involving 1484 patients were included in the present meta-analysis. The risk of AKI was lower in the fenoldopam group compared to the control group [risk ratio (RR): 0.73, 95% CI: 0.57-0.95]. The length of ICU stay was also shorter in the fenoldopam group [mean difference (MD): -0.35 days, 95% confidence interval (CI): -0.68, -0.03]. No significant differences were reported in terms of all-cause mortality, change in serum creatinine, and RRT. In conclusion, our meta-analysis of studies on the use of fenoldopam in adult patients undergoing major surgery showed that fenoldopam significantly reduces the risk of AKI and shortens ICU stays. However, there was no significant impact on all-cause mortality or RRT.

Indexed as

acute kidney injuryfenoldopammeta-analysisnephroprotective effectssurgical patients

Identifiers

PMID36883092
PMCPMC9985827
OpenAlexW4319080790

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.