Evidence map›Paper›PMID 40887459›Full record

SynthesisRenal failure2025

Desmopressin and bleeding risk in high-risk native kidney biopsy: updated meta-analysis of RCTs and observational studies.

Gabriel Sartori Pacini, Vanderlei Carlos Bertuol Junior, Renata Asnis Schuchmann, Arthur Gus Manfro, Gabriela Vieira Steckert, Cleuber Gea Martins FIlho, Roberto Ceratti Manfro, Andrea Carla Bauer

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Renal failure, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
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

8 authors.

Gabriel Sartori PaciniDivision of Nephrology, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Vanderlei Carlos Bertuol JuniorDivision of Nephrology, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Renata Asnis SchuchmannDivision of Nephrology, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Arthur Gus ManfroDivision of Nephrology, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Gabriela Vieira SteckertDivision of Transplantation, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Cleuber Gea Martins FIlhoDivision of Transplantation, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Roberto Ceratti ManfroDivision of Nephrology, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Andrea Carla BauerDivision of Nephrology, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDesmopressin (DDAVP) is sometimes used prophylactically to mitigate bleeding complications associated with kidney biopsy in patients with impaired kidney function, although its efficacy remains uncertain. We conducted a systematic review and meta-analysis to evaluate whether DDAVP reduces bleeding complications in high-risk patients undergoing native kidney biopsy.

methodsWe searched PubMed, EMBASE, Cochrane, and ClinicalTrials.gov through April 2025 for randomized or observational studies comparing DDAVP to placebo or no intervention in adults with eGFR <60 mL/min/1.73 m

resultsNine studies (

conclusionsWhile the overall pooled analysis did not reach statistical significance, results from observational studies and sensitivity analyses suggest a potential protective effect of DDAVP in reducing bleeding after kidney biopsy in high-risk patients. However, given the low certainty of evidence, these findings should be considered exploratory and hypothesis-generating. Larger, well-powered RCTs are warranted to confirm these findings and to better characterize safety.

Indexed as

Deamino Arginine VasopressinHemorrhageHemostaticsKidneyPostoperative HemorrhageBiopsyHumansObservational Studies as TopicRandomized Controlled Trials as TopicDeamino Arginine VasopressinHemostaticsbleedingDDAVPDesmopressinkidney biopsyrenal biopsy

Identifiers

PMID40887459
PMCPMC12404058

What OpenQuestion holds

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LicenceCC BY
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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.