Evidence map›Paper›PMID 40118908›Full record

ArticleScientific reports2025

Impact of vitamin D deficiency on postoperative outcomes in patients with chronic kidney disease undergoing surgery: a retrospective study.

Kuo-Chuan Hung, Ting-Sian Yu, I-Yin Hung, Jheng-Yan Wu, Ming Yew, I-Wen Chen

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Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Kuo-Chuan HungDepartment of Anesthesiology, Chi Mei Medical Center, Tainan City, Taiwan.
Ting-Sian YuDepartment of Anesthesiology, E-Da Hospital, I-Shou University, Kaohsiung City, Taiwan.
I-Yin HungDepartment of Anesthesiology, Chi Mei Medical Center, Tainan City, Taiwan.
Jheng-Yan WuDepartment of Nutrition, Chi Mei Medical Center, Tainan City, Taiwan.
Ming YewDepartment of Anesthesiology, Chi Mei Medical Center, Tainan City, Taiwan.
I-Wen ChenSchool of Medicine, College of Medicine, National Sun Yat-sen University, Kaohsiung City, Taiwan. cheniwena60912@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Although both chronic kidney disease (CKD) and vitamin D deficiency (VDD) are associated with increased surgical risk, their combined impact remains unclear. Using the TriNetX Analytics Network, we conducted a matched cohort study comparing postoperative outcomes in CKD patients with preoperative VDD (≤ 20 ng/mL) to those with normal vitamin D levels (≥ 30 ng/mL). The primary outcome was 30-day mortality; secondary outcomes included acute kidney injury (AKI), pneumonia, acute myocardial infarction (AMI), and atrial fibrillation/flutter (AF). After propensity score matching (21,033 patients per group), results showed that VDD was associated with higher 30-day mortality (Odds ratio[OR]: 2.33, 95% confidence interval [CI] 1.91-2.85, p < 0.0001), AKI (OR:1.94, 95% CI1.80-2.10, p < 0.0001), and pneumonia (OR:1.76, 95% CI 1.15-2.70, p = 0.0087), with no significant difference in AMI and AF. These associations persisted for 90 days. The impact of VDD on mortality and AKI was consistent across sex and CKD stages. Vitamin D insufficiency (21-29 ng/mL) showed attenuated but significant associations, suggesting a dose-dependent effect. In conclusion, preoperative VDD in patients with CKD is associated with increased risks of mortality, AKI, and pneumonia. These findings suggest the potential value of preoperative vitamin D screening and correction in patients with CKD.

Indexed as

Postoperative ComplicationsRenal Insufficiency, ChronicVitamin D DeficiencyAcute Kidney InjuryAgedFemaleHumansMaleMiddle AgedPneumoniaPropensity ScoreRetrospective StudiesRisk FactorsVitamin DVitamin DAcute kidney injuryChronic kidney diseaseMortalitySurgeryVitamin D deficiency

Identifiers

PMID40118908
PMCPMC11928554

What Socratic holds

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LicenceCC BY-NC-ND
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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.