Evidence map›Paper›PMID 38983763›Full record

ReviewWorld journal of nephrology2024

Obstructive uropathy: Overview of the pathogenesis, etiology and management of a prevalent cause of acute kidney injury.

Xabier Pérez-Aizpurua, Ramiro Cabello Benavente, Gonzalo Bueno Serrano, José María Alcázar Peral, Blanca Gómez-Jordana Mañas, Jaime Tufet I Jaumot, Joaquín Ruiz de Castroviejo Blanco, Felipe Osorio Ospina, Carmen Gonzalez-Enguita

Abstract readReview
In one paragraph

Review in World journal of nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–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

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Acute kidney injury in urological conditions.Asian biomedicine : research, reviews and news · 2026
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. High-mobility group box 1 in acute kidney injury.Frontiers in pharmacology · 2025
    Review
  18. Review
  19. Anthraquinones fromDrug design, development and therapy · 2025
    Review
  20. 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

9 authors.

Xabier Pérez-AizpuruaDepartment of Urology, Hospital Universitario Fundación Jiménez Díaz, Madrid 28015, Madrid, Spain. xabier.perez@quironsalud.es.
Ramiro Cabello BenaventeDepartment of Urology, Hospital Universitario Fundación Jiménez Díaz, Madrid 28015, Madrid, Spain.
Gonzalo Bueno SerranoDepartment of Urology, Hospital Universitario Fundación Jiménez Díaz, Madrid 28015, Madrid, Spain.
José María Alcázar PeralDepartment of Urology, Hospital Universitario Fundación Jiménez Díaz, Madrid 28015, Madrid, Spain.
Blanca Gómez-Jordana MañasDepartment of Urology, Hospital Universitario Fundación Jiménez Díaz, Madrid 28015, Madrid, Spain.
Jaime Tufet I JaumotDepartment of Urology, Hospital Universitario Fundación Jiménez Díaz, Madrid 28015, Madrid, Spain.
Joaquín Ruiz de Castroviejo BlancoDepartment of Urology, Hospital Universitario Fundación Jiménez Díaz, Madrid 28015, Madrid, Spain.
Felipe Osorio OspinaDepartment of Urology, Hospital Universitario Fundación Jiménez Díaz, Madrid 28015, Madrid, Spain.
Carmen Gonzalez-EnguitaDepartment of Urology, Hospital Universitario Fundación Jiménez Díaz, Madrid 28015, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Obstructive uropathy is defined as the structural or functional interruption of urinary outflow at any level in the urinary tract. It is regarded as one of the most prevalent causes of acute kidney injury (AKI), accounting for 5%-10% of cases. Acute severe obstruction of the urinary tract is a potentially threatening situation for the kidneys and therefore requires prompt identification and management to relieve obstruction. The aim of the present article is to review and synthesize available evidence on obstructive uropathy, providing a clinical guideline for clinicians. A literature review on obstructive uropathy in the context of AKI was performed, focusing on the least clarified aspects regarding diagnosis and management. Recent literature searching was conducted in English and top-level evidence articles including systematic reviews, metanalyses and large series were prioritized. Acute obstruction of the urinary tract is a diagnostic and therapeutical challenge that may lead to important clinical complications together with direct structural and hemodynamic damage to the kidney. Early recognition of the leading cause and its exact location is essential to ensure prompt urinary drainage together with the most suitable drainage technique selection. A multidisciplinary approach, including urologists, nephrologists, and other medical specialties, is best suited to correctly manage concomitant hemodynamic changes, fluid and electrolyte imbalances, and other related issues. Obstructive uropathy is one of the leading causes of AKI. Recognition of patients suitable for early diversion and feasibility or adequate selection of the indicated technique is sometimes challenging. A thorough understanding of the physiopathology behind the development of urinary obstruction is vital for correct diagnosis and management.

Indexed as

Acute kidney injuryObstruction of the urinary tractObstructive uropathyRenal recoveryUrinary diversionUrinary tract obstruction

Identifiers

PMID38983763
PMCPMC11229834

What Socratic 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 Socratic graph.