Evidence map›Paper›PMID 42374257›Full record

ArticleBMC nephrology2026

Nephrologist follow-up improves outcomes after hospitalization with acute kidney injury.

Yi-Ran Tu, Chen-Chia Lee, Pei-Chun Fan, Kun-Hua Tu, Jia-Jin Chen, Ya-Lien Cheng, Chao-Yu Chen, Victor Chien-Chia Wu, Vin-Cent Wu, Chih-Hsiang Chang

Abstract read
In one paragraph

Article in BMC nephrology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Yi-Ran TuKidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Linkou Branch, No.5, Fusing St., Gueishan District,, Taoyuan City, 333423, Taiwan.
Chen-Chia LeeKidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Linkou Branch, No.5, Fusing St., Gueishan District,, Taoyuan City, 333423, Taiwan.
Pei-Chun FanKidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Linkou Branch, No.5, Fusing St., Gueishan District,, Taoyuan City, 333423, Taiwan.
Kun-Hua TuKidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Linkou Branch, No.5, Fusing St., Gueishan District,, Taoyuan City, 333423, Taiwan.
Jia-Jin ChenKidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Linkou Branch, No.5, Fusing St., Gueishan District,, Taoyuan City, 333423, Taiwan.
Ya-Lien ChengKidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Linkou Branch, No.5, Fusing St., Gueishan District,, Taoyuan City, 333423, Taiwan.
Chao-Yu ChenKidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Linkou Branch, No.5, Fusing St., Gueishan District,, Taoyuan City, 333423, Taiwan.
Victor Chien-Chia WuDepartment of Cardiology, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan, Taiwan.
Vin-Cent WuDepartment of Nephrology, National Taiwan University Hospital, Taipei, Taiwan.
Chih-Hsiang ChangKidney Research Center, Department of Nephrology, Chang Gung Memorial Hospital, Linkou Branch, No.5, Fusing St., Gueishan District,, Taoyuan City, 333423, Taiwan. franwisandsun@gmail.com.ORCID http://orcid.org/0000-0002-7342-335X

Funding

Chang Gung Memorial Hospital CMRPG5M0111, CMRPG5L0071, CMRPG5N0041, CGRPG3N0041Taiwanese Ministry of Health and Welfare MOHW110-TDU-B-212-124005, MOHW111-TDU-B-212-134005, and MOHW112-TDU-B-212-144005
6 · The paper itself

Abstract

introductionAcute kidney injury (AKI) is a common medical condition for patients during hospitalization and is associated with long-term sequelae. The incidence of AKI is increasing, whereas in-hospital mortality from the condition is decreasing. We compared outcomes following discharge in patients with AKI between those who received follow-up with nephrologists and those who only received routine follow-up (i.e., follow-up not at the nephrology department). MATERIALS AND

methodsThis retrospective cohort study identified 66,859 AKI survivors with discharge eGFR values of less than 60 mL/min/1.73 m² from January 1, 2004, to June 30, 2019. Patients were categorized by follow-up department after discharge into nephrology and non-nephrology groups during the 6-month exposed period. The clinical outcomes included all-cause death, cardiovascular death, heart failure, readmission with AKI, and new-onset dialysis.

resultsAKI survivors who received 3 years of follow-up at a nephrology department had significantly lower rates of all-cause death (hazard ratio [HR]: 0.91; 95% CI: 0.87 to 0.96), cardiovascular death (HR: 0.82; 95% CI: 0.75 to 0.90), and readmission with AKI (HR: 0.82; 95% CI: 0.77 to 0.87) but higher rates of heart failure (HR: 1.13; 95% CI: 1.05 to 1.21) and new-onset dialysis (HR: 1.67; 95% CI: 1.43 to 1.95) than did those who received routine follow-up at non-nephrology department.

conclusionsFollowing discharge, patients with AKI during hospitalization, especially severe AKI, are at significantly lower risk of all-cause death, cardiovascular death, and readmission with AKI if they receive follow-up at a nephrology department compared with non-nephrology follow-up.

Indexed as

Acute Kidney InjuryAftercareHospitalizationNephrologistsAgedCause of DeathFemaleFollow-Up StudiesHeart FailureHospital MortalityHumansMaleMiddle AgedPatient ReadmissionRenal DialysisRetrospective StudiesAcute kidney injury (AKI)Cardiovascular deathDialysisHeart failurePrognosis

Identifiers

PMID42374257
PMCPMC13579766

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.