Evidence map›Paper›PMID 37742328›Full record

Trial reportInternational urology and nephrology2024

Randomized trial to assess the potential role of ascorbic acid and statin for post-contrast acute kidney injury prevention.

Abdelwahab Hashem, Mahmoud Laymon, Mostafa Elgamal, Mohammed Hegazy, A M Elmeniar, Huda Refaie, Yasser Osman

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International urology and nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03391830 (Effects Of Combination Therapy Of Statin And Ascorbic Acid For Prevention Of Contrast-Induced Nephropathy. Randomised Controlled Study), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 44% 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.

NCT03391830 nacompletednot on this map

Effects Of Combination Therapy Of Statin And Ascorbic Acid For Prevention Of Contrast-Induced Nephropathy. Randomised Controlled Study

TypeinterventionalSponsorMansoura UniversityRan2018 to 2020Enrolled250ConditionsContrast-induced Nephropathy, Statin, Ascorbic Acid, AKIArmsAtorvastatin-Ascorbic acid, Placebo
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

7 authors at 2 institutions in 2 countries.

Abdelwahab HashemUrology Department, Urology and Nephrology Center, Mansoura, Egypt. abdelwahab_hashem@yahoo.com.ORCID http://orcid.org/0000-0002-0664-3504
Mahmoud LaymonUrology Department, Urology and Nephrology Center, Mansoura, Egypt.
Mostafa ElgamalUrology Department, Urology and Nephrology Center, Mansoura, Egypt.
Mohammed HegazyUrology Department, Urology and Nephrology Center, Mansoura, Egypt.
A M ElmeniarUrology Department, Urology and Nephrology Center, Mansoura, Egypt.
Huda RefaieUrology Department, Met-Ghamr Urology and Nephrology Hospital, Dakahlia, Egypt.
Yasser OsmanUrology Department, Urology and Nephrology Center, Mansoura, Egypt.
Mansoura University · EGYahoo (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the effect of using statins and ascorbic acid for the prevention of post-contrast acute kidney injury (PC-AKI) in patients undergoing urologic diagnostic elective contrast-enhanced computed tomography (CECT).

methodsThis registered trial (NCT03391830) was for statin naïve patients underwent elective CECT. Patients were randomized allocated to two groups: the first group received atorvastatin 80-mg the day before the study and atorvastatin 40-mg two hours before the CECT and for continue on atorvastatin 40-mg two days after CECT; plus ascorbic acid 500 mg with atorvastatin. The other group received two tablets of placebo once/daily before the procedure and for another 3 days. The primary outcome was to assess the incidence PC-AKI.

resultsThe baseline parameters were comparable between both groups. The final median (interquartile range "IQR") serum creatinine were 0.80 (0.60, 1.00) and 0.80 (0.60, 1.00), respectively, with insignificant p-value (p = 0.8). The median (IQR) final estimated GFR were 95.2 (72.8, 108.1) and 88.6 (71.9, 111.0) mL/min in placebo and statin plus ascorbic acid groups, respectively (p = 0.48). The eGFR difference median (IQR) were - 6.46 (- 11.72, - 4.18) and - 6.57 (- 13.38, - 3.82) ml/min in placebo and statin plus ascorbic acid groups, respectively (p = 0.58). PC-AKI occurred in 11 patients (9.8%) in placebo group and in 3 patients (3%) in statin plus ascorbic acid group (p = 0.04).

conclusionsStatin and ascorbic acid did not statistically improve neither serum creatinine nor eGFR values in patient underwent CECT. However, it can decrease the incidence of the clinically insignificant PC-AKI.

Indexed as

Acute Kidney InjuryAscorbic AcidHydroxymethylglutaryl-CoA Reductase InhibitorsAtorvastatinContrast MediaCreatinineHumansAscorbic AcidAtorvastatinContrast MediaCreatinineHydroxymethylglutaryl-CoA Reductase InhibitorsAcute kidney injury (AKI)Ascorbic acidComputed tomographyContrastNephropathyStatin

Identifiers

PMID37742328
PMCPMC10808395
OpenAlexW4386997868

What OpenQuestion holds

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Registered trials

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.