Evidence map›Paper›PMID 39927749›Full record

ArticleCancer medicine2025

Risk of and Mortality After Acute Kidney Injury Following Cancer Treatment: A Cohort Study.

Philip Vestergaard Munch, Mette Nørgaard, Simon Kok Jensen, Henrik Birn, Henrik Schmidt, Christian Fynbo Christiansen

Abstract read
In one paragraph

Article in Cancer medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

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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

6 citing papers in PubMed.

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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

6 authors.

Philip Vestergaard MunchDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.ORCID https://orcid.org/0000-0002-8239-2970
Mette NørgaardDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.ORCID https://orcid.org/0000-0001-6110-5891
Simon Kok JensenDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.ORCID https://orcid.org/0000-0002-0032-131X
Henrik BirnDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.ORCID https://orcid.org/0000-0003-3715-7266
Henrik SchmidtDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.ORCID https://orcid.org/0000-0002-4063-3561
Christian Fynbo ChristiansenDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.ORCID https://orcid.org/0000-0002-0727-953X

Funding

Aarhus UniversitetFonden til Lægevidenskabens Fremme L-2021-00257
6 · The paper itself

Abstract

backgroundAcute kidney injury (AKI) can be a severe complication in cancer patients. However, uncertainty remains regarding the risk of and prognosis after AKI following cancer treatments. We therefore aimed to examine the risk of and mortality after AKI following a wide range of specific cancer treatments, including surgical procedures, anticancer drugs, and hematopoietic stem cell transplantations (HSCTs).

methodsWe conducted a nationwide population-based cohort study. We included adult patients receiving cancer treatment in Denmark from 2010 to 2024. We calculated the risk of AKI within 7 days after surgeries, 1 year after initiation of anticancer drugs, and 100 days after HSCTs. Furthermore, we examined the 1-year mortality in patients with and without AKI following cancer treatment.

resultsWe identified 357,870 cancer patients. The 7-day risk of AKI after surgery ranged from 0.3% (breast cancer surgery) to 68.9% (radical nephrectomy in kidney cancer) while the 1-year risk following anticancer drug treatment ranged from 3.5% (cyclophosphamide in breast cancer) to 79.3% (all drugs in acute lymphatic leukemia). The 100-day AKI risk following HSCT ranged from 20.7% (multiple myeloma) to 81.8% (leukemia). For most treatments, AKI was associated with a higher 1-year hazard ratio and risk of death, with exceptions including radical nephrectomy in kidney cancer.

conclusionIn conclusion, several cancer treatments were associated with a high risk of AKI, and AKI was associated with increased mortality in most treatments. These findings highlight the prognostic value of assessing kidney function following specific cancer treatments in clinical practice.

Indexed as

Acute Kidney InjuryAntineoplastic AgentsNeoplasmsAdultAgedCohort StudiesDenmarkFemaleHematopoietic Stem Cell TransplantationHumansMaleMiddle AgedPrognosisRisk FactorsAntineoplastic Agentsacute kidney injurycancer treatmentepidemiologymortality

Identifiers

PMID39927749
PMCPMC11808929

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