Evidence map›Paper›PMID 40057704›Full record

SynthesisBMC nephrology2025

Effect of N-acetylcysteine on antimicrobials induced nephrotoxicity: a meta-analysis.

Xianming Qiu, Shenao Yang, Yuke Zhang, Quanzhen Wang, Li Kong, Lei Zhou

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC nephrology, 2025. 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. Review
  2. 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

6 authors.

Xianming Qiu *Department of Critical Care Medicine, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, China.
Shenao Yang *Jining Medical University, Jining, Shandong, China.
Yuke ZhangDepartment of Critical Care Medicine, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, China.
Quanzhen WangDepartment of Critical Care Medicine, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, China.
Li KongDepartment of Emergency Center, Shandong University of Traditional Chinese Medicine Affiliated Hospital, No. 42, Wenhua West Road, Jinan, Shandong, 250014, China. zykl1@126.com.
Lei ZhouDepartment of Emergency Center, Shandong University of Traditional Chinese Medicine Affiliated Hospital, No. 42, Wenhua West Road, Jinan, Shandong, 250014, China. lily_zhoulei@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveN-acetylcysteine (NAC) has antioxidant effects in reducing acute kidney injury. This study systematically reviewed and assessed the efficacy of NAC in preventing antimicrobials induced nephrotoxicity.

methodsPubmed, Embase, Web of Science, and the Cochrane Library were searched extensively for relevant studies that evaluating NAC on antimicrobials induced nephrotoxicity until June 1, 2024. Eligible records were screened according to the inclusion and exclusion criteria. The odds ratio (OR) was selected to evaluate the effect of NAC on nephrotoxicity. We pooled the extracted data using a random effects model.

resultsThree randomized controlled trials were included in the analysis. The pooled results showed that NAC could reduce the incidence of antimicrobials induced nephrotoxicity (OR = 0.487, 95% CI = 0.258, 0.918, P = 0.03, I

conclusionIn this meta-analysis, NAC was associated with a benefit in the prevention of antimicrobials induced nephrotoxicity. However, large-scaled and well-designed RCTs are required in the future.

Indexed as

AcetylcysteineAcute Kidney InjuryAnti-Infective AgentsAntioxidantsCreatinineHumansRandomized Controlled Trials as TopicAcetylcysteineAnti-Infective AgentsAntioxidantsCreatinineAntimicrobialsMeta-analysisN-acetylcysteineNephrotoxicity

Identifiers

PMID40057704
PMCPMC11890532

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.