Evidence map›Paper›PMID 41620769›Full record

SynthesisMalaria journal2026

Clinical characteristics and outcome of malaria-associated acute kidney injury in adult patients: a systematic review and meta analysis.

Priti Meena, Vidhi Singla, Ameya Deshpande, Umang Kasturi, Eram F Khan, V R Krishna Kumar, Robert Kalyesubula

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Malaria journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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.

Priti MeenaDepartment of Nephrology, All India Institute of Medical Sciences, Bhubaneswar, Sijua, Patrapada, Bhubaneswar, Odisha, 751019, India.
Vidhi SinglaSir Ganga Ram Hospital, Rajinder Nagar, New Delhi, 110060, India.
Ameya DeshpandeSir Ganga Ram Hospital, Rajinder Nagar, New Delhi, 110060, India.
Umang KasturiSir Ganga Ram Hospital, Rajinder Nagar, New Delhi, 110060, India.
Eram F KhanSir Ganga Ram Hospital, Rajinder Nagar, New Delhi, 110060, India.
V R Krishna KumarGovernment Medical College Thiruvananthapuram, Akkulam Road, Junction, Thiruvananthapuram, Kerala, 695011, India.
Robert KalyesubulaDepartment of Physiology and Department of Medicine, Makerere University College of Health Sciences, Kampala, Uganda. rkalyesubula@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMalaria-associated acute kidney injury (MAKI) represents a severe complication of malaria, increasingly documented in both Plasmodium falciparum and Plasmodium vivax infections across endemic regions.

methodsA systematic review and metaanalysis using PubMed, EMBASE, and Cochrane CENTRAL was conducted to identify studies published between 2000 and 2024. This review evaluates the existing literature on MAKI in adult population, aiming to synthesize data on demographics, Plasmodium species, kidney involvement, dialysis need, mortality, kidney histopathology, and long-term kidney outcomes.

resultsThe review included 25 studies with 2,094 MAKI patients predominantly from South Asia, especially India followed by Pakistan and Thailand. Plasmodium falciparum was the most common species implicated, though severe AKI due to P. vivax was increasingly reported. AKI definitions varied, using serum creatinine thresholds or classifications like KDIGO, RIFLE, and WHO. The incidence of MAKI ranged from 2.4 to 45.5%, rising to as high as 77% among patients with severe malaria. The pooled incidence of AKI among adults patients with malaria was 26.5% (95% CI 19.8-34.4; I

conclusionMAKI is a severe complication of malaria with regional variation in species, outcomes, and care access. Improved diagnostics, timely dialysis, and long-term nephrology follow-up are essential in endemic regions.

Indexed as

Acute Kidney InjuryMalaria, FalciparumMalaria, VivaxAdultHumansIncidence

Identifiers

PMID41620769
PMCPMC12947477

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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.