Evidence map›Paper›PMID 38862821›Full record

ArticleSurgical endoscopy2024

Acute kidney injury after colorectal surgery with prophylactic ureteral stents.

Assar Rather, Adrianne Fisher, Kelly Gardner, Nessreen Ghanem, Theodoris Katsichtis, Gary Siegelman, John D Mannion

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PubMed Full text at PMC Publisher
In one paragraph

Article in Surgical endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Assar RatherBayhealth Medical Center, 640 South State Street, Dover, 19901, DE, USA.
Adrianne FisherBayhealth Medical Center, 640 South State Street, Dover, 19901, DE, USA.
Kelly GardnerBayhealth Medical Center, 640 South State Street, Dover, 19901, DE, USA.
Nessreen GhanemBayhealth Medical Center, 640 South State Street, Dover, 19901, DE, USA.
Theodoris KatsichtisBayhealth Medical Center, 640 South State Street, Dover, 19901, DE, USA.
Gary SiegelmanBayhealth Medical Center, 640 South State Street, Dover, 19901, DE, USA.
John D MannionBayhealth Medical Center, 640 South State Street, Dover, 19901, DE, USA. john_mannion@bayhealth.org.ORCID 0000-0001-5246-1499

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAfter colorectal surgery, acute kidney injury (AKI) results from a complex interplay of multiple independent causes and preventive measures that occur during the hospitalization. Prophylactic stenting for ureter identification has been identified as a potential cause, but the evidence is conflicting, possibly because of differing baseline characteristics and procedure-related approaches.

objectiveThis retrospective cohort study assesses the role of stents in the etiology of AKI after determining the independent predictors of AKI.

methodsFrom a population of 1224 consecutive colorectal patients (from 8/1/2016 through 12/31/2021), 382 (31.2%) received ureteral stents, and propensity score matching was used to create stented and control groups. Emergent cases and patients with sepsis were excluded from the analysis. Previously identified independent predictors of AKI, minimally invasive procedures, and a history of diabetes mellitus were used as criteria to create two balanced groups.

resultsBaseline demographic characteristics and procedure-related factors baseline factors were similar between the groups. There was no difference in the rate of AKI between stented patients and controls (P = 0.82), nor was there any difference in postoperative complications, such as chronic renal insufficiency (CRI, P = 0.49), average postoperative creatinine (P = 0.67), urinary tract infections (UTI, P = 0.82), any postoperative infection (P = 0.48), in-hospital complications (P = 1.00), length of stay (LOS, P = 0.15), and 30-day readmissions (P = 0.79).

conclusionsIn a population of patients where stenting was frequently employed, ureter stents placed for identification did not appear to cause AKI or AKI-related complications.

Indexed as

Acute Kidney InjuryPostoperative ComplicationsStentsUreterAgedFemaleHumansMaleMiddle AgedPropensity ScoreRetrospective StudiesAcute kidney injuryComplicationsUreteral stent

Identifiers

PMID38862821
PMCPMC11289140

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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.