Evidence map›Paper›PMID 38550960›Full record

ReviewPolish journal of radiology2024

The use of intravascular contrast media in patients with impaired kidney function - joint clinical practice position statement of the Polish Society of Nephrology and the Polish Medical Society of Radiology.

Michał Chmielewski, Zbigniew Serafin, Dorota Kamińska, Katarzyna Skrobisz, Oliwia Kozak, Piotr Olczyk, Przemysław Rutkowski, Marcin Adamczak, Edyta Szurowska, Magdalena Krajewska

Open access · diamondAbstract readReview
In one paragraph

Review in Polish journal of radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Diagnostic and therapeutic management of severe acute pancreatitis. Evidence based medicine (EBM) clinical practice guidelines.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2025
    Article
  4. Article
  5. 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

10 authors at 4 institutions in 1 country.

Michał ChmielewskiDepartment of Nephrology, Transplantology, and Internal Medicine, Medical University of Gdansk, Poland.
Zbigniew SerafinDepartment of Radiology and Diagnostic Imaging, Nicolaus Copernicus University, Collegium Medicum, Bydgoszcz, Poland.
Dorota KamińskaDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, Poland.
Katarzyna SkrobiszDepartment of Radiology, Medical University of Gdansk, Poland.
Oliwia KozakDepartment of Radiology, Medical University of Gdansk, Poland.
Piotr OlczykDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, Poland.
Przemysław RutkowskiDepartment of Internal and Paediatric Nursing, Faculty of Health Sciences, Medical University of Gdansk, Poland.
Marcin AdamczakDepartment of Nephrology, Transplantation, and Internal Medicine, Medical University of Silesia, Katowice, Poland.
Edyta SzurowskaDepartment of Radiology, Medical University of Gdansk, Poland.
Magdalena KrajewskaDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, Poland.
Gdańsk Medical University · PLWroclaw Medical University · PLMedical University of Silesia · PLNicolaus Copernicus University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Radiological procedures utilising intravascular contrast media (ICM) are fundamental to modern medicine, enhancing diagnostics and treatment in diverse medical fields. However, the application of ICM has been constrained in patients with compromised kidney function due to perceived nephrotoxic risks, called contrast-induced nephropathy or contrastinduced acute kidney injury. Historical evidence marked ICM as a possible contributor to kidney damage. This led to restrictive guidelines advocating limited ICM use in patients with impaired renal function, preventing crucial radiographic interventions in patients with acute kidney injury (AKI) and chronic kidney disease. Recent advances challenge these traditional views. In particular, no direct causal relationship has been confirmed between contrast admi-nistration and elevated serum creatinine concentrations in humans. Furthermore, contemporary research models and meta-analyses do not associate AKI with contrast usage. This paper, prepared by a cross-disciplinary team of nephrologists and radiologists, presents updated guidelines for ICM application amid renal function impairments, emphasising the reduced nephrotoxic risks currently understood and loosening the previous restrictive approach in patients with renal dysfunction.

Indexed as

acute kidney injurychronic kidney diseaseintravascular contrast mediaposition statement

Identifiers

PMID38550960
PMCPMC10976626
OpenAlexW4393170087

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.