Evidence map›Paper›PMID 38134019›Full record

ArticlePloS one2023

The impact of SARS-CoV-2 infection on renal function in patients with biopsy-proven kidney diseases.

Bogdan Obrișcă, Valentin Mocanu, Alexandra Vornicu, Roxana Jurubiță, Bogdan Sorohan, George Dimofte, Camelia Achim, Andreea Andronesi, Georgia Micu, Raluca Bobeică and 5 more

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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 19% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Observational
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

15 authors at 2 institutions in 1 country.

Bogdan Obrișcă"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.ORCID 0000-0003-4796-4950
Valentin MocanuDepartment of Nephrology, Fundeni Clinical Institute, Bucharest, Romania.
Alexandra Vornicu"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Roxana Jurubiță"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Bogdan Sorohan"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
George DimofteDepartment of Nephrology, Fundeni Clinical Institute, Bucharest, Romania.
Camelia Achim"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Andreea Andronesi"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Georgia MicuDepartment of Nephrology, Fundeni Clinical Institute, Bucharest, Romania.
Raluca BobeicăDepartment of Nephrology, Fundeni Clinical Institute, Bucharest, Romania.
Nicu CaceauneDepartment of Internal Medicine, Fundeni Clinical Institute, Bucharest, Romania.
Alexandru ProcopDepartment of Pathology, Fundeni Clinical Institute, Bucharest, Romania.
Vlad Herlea"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Mihaela Gherghiceanu"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Gener Ismail"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Carol Davila University of Medicine and Pharmacy · ROInstitutul Clinic Fundeni · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe sought to evaluate the long-term effects of COVID-19 on renal function in patients with biopsy-proven kidney diseases.

methodsA total of 451 patients with biopsy-proven kidney disease and at least 12 months of follow-up subsequent to COVID-19 pandemic onset were included in the study. The primary study endpoint was a composite of a persistent decline of more than 30% in eGFR or ESRD.

results23.1% of patients had COVID-19 during a follow-up period of 2.5 y (0.8-2.6), while 17.6% of patients reached the composite endpoint. Those with COVID-19 were more likely to reach the composite endpoint [26.7% vs. 14.8%; OR, 2.1 (95%CI, 1.23-3.58), p = 0.006). There was a significant eGFR change in the first year of follow-up between the two study groups [-2.24 (95%CI,-4.86; 0.37) vs. +2.31 (95%CI, 0.78; 3.85) ml/min, p = 0.004], with an adjusted mean difference of -4.68 ml/min (95%CI,-7.7; -1.59)(p = 0.03). The trend for worse renal outcomes remained consistent in patients with IgAN, MN and FSGS, but not in those with LN. After multivariate adjustment, the independent predictors of the composite endpoint were baseline eGFR (HR, 0.94; 95%CI, 0.92-0.95), COVID-19 (HR, 1.91; 1.16-3.12) and male gender (HR, 1.64; 95%CI, 1.01-2.66). In multivariate linear regression analysis, COVID-19 independently determined a reduction of eGFR at 12 months by 4.62 ml/min/1.73m2 (β coefficient, -4.62; 95%CI, -7.74 to -1.5, p = 0.004).

conclusionsThere is a significant impact of COVID-19 on long-term renal function in patients with biopsy-proven kidney diseases, leading to a greater decline of eGFR and a worse renal survival.

Indexed as

COVID-19Kidney Failure, ChronicBiopsyDisease ProgressionGlomerular Filtration RateHumansKidneyMalePandemicsRetrospective StudiesSARS-CoV-2

Identifiers

PMID38134019
PMCPMC10745175
OpenAlexW4390100601

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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.