Evidence map›Paper›PMID 37850016›Full record

ArticleKidney international reports2023

Kidney Outcomes Following Utilization of Molecular Adsorbent Recirculating System.

Christopher L Trautman, Mahnoor Khan, Lyle W Baker, Nabeel Aslam, Peter Fitzpatrick, Ivan Porter, Michael Mao, Hani Wadei, Colleen T Ball, LaTonya J Hickson

Open access · goldAbstract read
In one paragraph

Article in Kidney international reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Review
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 4 institutions in 1 country.

Christopher L TrautmanDivision of Nephrology and Hypertension, Department of Medicine; Mayo Clinic Jacksonville, Florida, USA.
Mahnoor KhanDivision of Nephrology and Hypertension, Department of Medicine; Mayo Clinic Jacksonville, Florida, USA.
Lyle W BakerDivision of Nephrology and Hypertension, Department of Medicine; Mayo Clinic Jacksonville, Florida, USA.
Nabeel AslamDivision of Nephrology and Hypertension, Department of Medicine; Mayo Clinic Jacksonville, Florida, USA.
Peter FitzpatrickDivision of Nephrology and Hypertension, Department of Medicine; Mayo Clinic Jacksonville, Florida, USA.
Ivan PorterDivision of Nephrology and Hypertension, Department of Medicine; Mayo Clinic Jacksonville, Florida, USA.
Michael MaoDivision of Nephrology and Hypertension, Department of Medicine; Mayo Clinic Jacksonville, Florida, USA.
Hani WadeiDepartment of Transplantation; Mayo Clinic Jacksonville, Florida, USA.
Colleen T BallDivision of Biomedical Statistics and Informatics, Mayo Clinic Jacksonville, Florida, USA.
LaTonya J HicksonDivision of Nephrology and Hypertension, Department of Medicine; Mayo Clinic Jacksonville, Florida, USA.
WinnMed · USJacksonville College · USMayo Clinic in Florida · USHypertension Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Molecular adsorbent recirculating system (MARS) is an extracorporeal system combining conventional veno-venous hemodiafiltration and adsorption to provide rescue support in fulminant hepatic failure. Acute kidney injury (AKI) is common in patients with hepatic failure warranting continuous kidney replacement therapy (CKRT). Our primary aim was to characterize a cohort of patients who received MARS therapy and examine kidney events given the current paucity of available data. Methods: Patients initiating MARS in a tertiary care setting from January 2014 through December 2020 were assessed for treatment indications, transplantation, CKRT, kidney recovery, and death. Data was collected using the REDCAP software. Results: A total of 49 patients (67% female; 75% White) received MARS therapy with 29 patients (59%) requiring concomitant CKRT. Hepatic encephalopathy (HE) was the most common indication for MARS initiation (55%). In-hospital mortality was 41% (12/29) among patients who received CKRT versus 10% (2/20) among those not requiring CKRT (relative risk [RR] 4.15, 95% confidence interval [CI] 1.04 to 16.52, Conclusions: Patients requiring MARS frequently have AKI warranting the use of concomitant CKRT, which is associated with a high rate of in-hospital and 1-year mortality.

Indexed as

acute kidney injurycontinuous kidney replacement therapyliver failuremolecular adsorbent recirculating systemtransplantation

Identifiers

PMID37850016
PMCPMC10577361
OpenAlexW4385782408

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.