Evidence mapPaperPMID 36172213Full record

SynthesisFrontiers in public health2022

Kidney health in the COVID-19 pandemic: An umbrella review of meta-analyses and systematic reviews.

Letian Yang, Jian Li, Wei Wei, Cheng Yi, Yajun Pu, Ling Zhang, Tianlei Cui, Liang Ma, Juqian Zhang, Jay Koyner and 2 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Frontiers in public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% of its field
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Review
  8. Observational
  9. Article
  10. 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

12 authors at 4 institutions in 3 countries.

Letian YangDivision of Nephrology, Kidney Research Institute, West China Hospital of Sichuan University, Chengdu, China.
Jian LiWest China School of Medicine, Sichuan University, Chengdu, China.
Wei WeiDivision of Nephrology, Kidney Research Institute, West China Hospital of Sichuan University, Chengdu, China.
Cheng YiWest China School of Medicine, Sichuan University, Chengdu, China.
Yajun PuDivision of Nephrology, Kidney Research Institute, West China Hospital of Sichuan University, Chengdu, China.
Ling ZhangDivision of Nephrology, Kidney Research Institute, West China Hospital of Sichuan University, Chengdu, China.
Tianlei CuiDivision of Nephrology, Kidney Research Institute, West China Hospital of Sichuan University, Chengdu, China.
Liang MaDivision of Nephrology, Kidney Research Institute, West China Hospital of Sichuan University, Chengdu, China.
Juqian ZhangLiverpool Centre for Cardiovascular Science, Liverpool Heart and Chest Hospital, University of Liverpool, Liverpool, United Kingdom.
Jay KoynerDivision of Nephrology, Department of Medicine, University of Chicago, Chicago, IL, United States.
Yuliang ZhaoDivision of Nephrology, Kidney Research Institute, West China Hospital of Sichuan University, Chengdu, China.
Ping FuDivision of Nephrology, Kidney Research Institute, West China Hospital of Sichuan University, Chengdu, China.
Sichuan University · CNWest China Hospital of Sichuan University · CNUniversity of Chicago · USUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This umbrella review aims to consolidate evidence from systematic reviews and meta-analyses investigating the impact of the coronavirus disease-2019 (COVID-19) on kidney health, and the associations between kidney diseases and clinical outcomes in COVID-19 patients. Methods: Five databases, namely, EMBASE, PubMed, Web of Science, the Cochrane Database of Systematic Reviews and Ovid Medline, were searched for meta-analyses and systematic reviews from January 1, 2020 to June 2, 2022. Two reviewers independently selected reviews, identified reviews for inclusion and extracted data. Disagreements were resolved by group discussions. Two reviewers independently assessed the methodological quality of all included reviews using ROBIS tool. A narrative synthesis was conducted. The characteristics and major findings of the included reviews are presented using tables and forest plots. The included meta-analyses were updated when necessary. The review protocol was prospectively registered in PROSPERO (CRD42021266300). Results: A total of 103 reviews were identified. Using ROBIS, 30 reviews were rated as low risk of bias. Data from these 30 reviews were included in the narrative synthesis. Ten meta-analyses were updated by incorporating 119 newly available cohort studies. Hospitalized COVID-19 patients had a notable acute kidney injury (AKI) incidence of 27.17%. AKI was significantly associated with mortality (pooled OR: 5.24) and severe conditions in COVID-19 patients (OR: 14.94). The pooled prevalence of CKD in COVID-19 patients was 5.7%. Pre-existing CKD was associated with a higher risk of death (pooled OR: 2.21) and disease severity (pooled OR: 1.87). Kidney transplant recipients were susceptible to SARS-CoV-2 infection (incidence: 23 per 10,000 person-weeks) with a pooled mortality of 18%. Conclusion: Kidney disease such as CKD or recipients of kidney transplants were at increased risk of contracting COVID-19. Persons with COVID-19 also had a notable AKI incidence. AKI, the need for RRT, pre-existing CKD and a history of kidney transplantation are associated with adverse outcomes in COVID-19. Systematic review registration: www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42021266300, identifier: CRD42021266300.

Indexed as

Acute Kidney InjuryCOVID-19Renal Insufficiency, ChronicHumansKidneyPandemicsSARS-CoV-2Systematic Reviews as Topicacute kidney injurychronic kidney diseaseCOVID-19kidney transplantrenal replacement therapy

Identifiers

PMID36172213
PMCPMC9511113
OpenAlexW4295233182

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.