Evidence map›Paper›PMID 40935723›Full record

Trial reportBritish journal of anaesthesia2025

Effect of perioperative dexmedetomidine on acute kidney injury after partial nephrectomy: a single-centre, randomised, double-blind, placebo-controlled trial.

Hao Kong, Qiao-Li Yin, Mo Li, Zhen-Zhen Xu, Ning Zhang, Xiao-Nan Zhao, Zhong-Yuan Zhang

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in British journal of anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

5 citing papers in PubMed.

  1. [Risk factors for perioperative acute kidney injury following partial nephrectomy in patients with stage 3 chronic kidney disease].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2026
    Article
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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

7 authors.

Hao KongDepartment of Anaesthesiology, Peking University First Hospital, Beijing, China. Electronic address: konghao2438@126.com.
Qiao-Li YinDepartment of Anaesthesiology, Peking University First Hospital Ningxia Women's and Children's Hospital, Yinchuan, China.
Mo LiDepartment of Anaesthesiology, Peking University First Hospital, Beijing, China.
Zhen-Zhen XuDepartment of Anaesthesiology, Peking University First Hospital, Beijing, China.
Ning ZhangDepartment of Anaesthesiology, Qingdao Hospital, University of Health and Rehabilitation Sciences (Qingdao Municipal Hospital), Qingdao, China.
Xiao-Nan ZhaoDepartment of Anaesthesiology, Baoding No. 1 Central Hospital, Baoding, China.
Zhong-Yuan ZhangDepartment of Urology, Peking University First Hospital, Beijing, China. Electronic address: 15810531228@yeah.net.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute kidney injury (AKI) is a frequent complication after partial nephrectomy. Dexmedetomidine appears to protect against kidney injury in both in vitro and in vivo. We tested the primary hypothesis that perioperative administration of dexmedetomidine would reduce the incidence of postoperative AKI after partial nephrectomy.

methodsThis randomised, double-blind, placebo-controlled trial was conducted in a tertiary care hospital in Beijing, China with 290 participants randomly assigned to receive dexmedetomidine or saline at a loading dose of 0.6 μg kg

resultsTwo surgeries were cancelled after randomisation, leaving 288 participants (mean age [range]: 55 [20-79] yr; 32% female) for the modified intention-to-treat analysis. AKI occurred in 32/144 (22%) participants randomly assigned to dexmedetomidine, compared with 33/144 (23%) participants randomly assigned to saline (risk ratio 0.97; 95% confidence interval 0.63-1.49; P=0.888). Secondary outcomes, including postoperative serum cystatin C and serum creatinine levels and estimated glomerular filtration rate in postoperative 6 months, were not different between groups. The incidence of safety outcomes was similar in each group.

conclusionsPerioperative dexmedetomidine administration did not reduce postoperative AKI after partial nephrectomy. CLINICAL

trial registrationChiCTR2200059536.

Indexed as

Acute Kidney InjuryDexmedetomidineNephrectomyPerioperative CarePostoperative ComplicationsAdultAgedCreatinineDouble-Blind MethodFemaleHumansMaleMiddle AgedYoung AdultCreatinineDexmedetomidineacute kidney injurycystatin Cdexmedetomidineestimated glomerular filtration ratepartial nephrectomy

Identifiers

PMID40935723
PMCPMC12597390

What OpenQuestion holds

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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.