Evidence map›Paper›PMID 39702139›Full record

ArticleReproductive biology and endocrinology : RB&E2024

Contrast induced nephropathy in women with infertility undergoing hysterosalpingography.

Akin Usta, Ceyda Sancakli Usta, Duygu Lafci, Tuncay Kiris, Eyup Avci

Abstract read
In one paragraph

Article in Reproductive biology and endocrinology : RB&E, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Akin UstaDepartment of Obstetrics and Gynecology, School of Medicine, Balikesir University, Cagis Campusu, Altieylul, Altıeylül/Balikesir, 10145, Turkey. drakinusta@gmail.com.ORCID http://orcid.org/0000-0002-7790-8450
Ceyda Sancakli UstaDepartment of Obstetrics and Gynecology, School of Medicine, Balikesir University, Cagis Campusu, Altieylul, Altıeylül/Balikesir, 10145, Turkey.
Duygu LafciDepartment of Obstetrics and Gynecology, School of Medicine, Balikesir University, Cagis Campusu, Altieylul, Altıeylül/Balikesir, 10145, Turkey.
Tuncay KirisDepartment of Cardiology, School of Medicine, Izmir Katip Celebi University, Izmir, Turkey.
Eyup AvciDepartment of Cardiology, School of Medicine, Balikesir University, Balikesir, Turkey.

Funding

Scientific Investigations Foundation of Balikesir University BAP. 2021136
6 · The paper itself

Abstract

backgroundContrast-induced nephropathy (CIN) defined as an acute kidney injury following the administration of iodinated contrast medium (CM). Hysterosalpingography (HSG) is a radiologic procedure used to investigate the shape and structure of the uterine cavity and the patency of the fallopian tubes in the evaluation of infertility. To date, there have been no reports evaluating the development of CIN after HSG procedure. Therefore, we investigated whether CIN development occurs in infertile women who underwent HSG and its relationship with clinical and laboratory changes in women who underwent HSG.

methodsThis study was undertaken in 65 women who had infertility evaluation, uterine anomalies and/or tubal blockages. CIN was defined as a 25% relative increase, or a 0.5 mg/dL (44 µmol/L) absolute increase, in serum baseline creatinine (SCr) within 72 h of contrast exposure in the absence of alternative conditions. Hysterosalpingography (HSG) was performed using 5-20 ml of contrast medium. All patients performed routine laboratory tests including assessment of serum creatinine and urea and estimated glomerular filtration rates before and 2-3 day after HSG. Statistical analysis was performed with MedCalc Statistical Software Program v22.023 (Ostend, Belgium) program.

resultsThe mean ages of participants were 29.5 years and mean BMI were 26.2 kg/m2. The rate of CIN was 12.3% and the severe nephropathy was 1.5% in our study population. The baseline SCr level was 0.59 ± 0.06 mg/dL in women with CIN and 0.67 ± 0.11 mg/dL in women without CIN. The baseline SCr level was significantly lower in CIN group that non-CIN group (p = 0.0309). The SCr level significantly higher in CIN group than non-CIN group 48-72 h after HSG (p = 0.0005). In the multivariate logistic regression analysis, the baseline SCr was found an independent risk factor for the prediction of CIN in women who underwent HSG.

conclusionThe HSG procedure is generally a safe method, but the iodine-containing contrast material used in HSG may be associated with temporary adverse effects on kidney function.

Indexed as

Acute Kidney InjuryContrast MediaHysterosalpingographyInfertility, FemaleAdultCreatinineFemaleHumansYoung AdultContrast MediaCreatinineContrast induced nephropathyCreatinineHysterosalpingographyInfertility

Identifiers

PMID39702139
PMCPMC11657215

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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.