Evidence map›Paper›PMID 41568274›Full record

ArticleKidney international reports2026

Kidney Tubule Secretion and AKI After Cardiac Surgery.

Orlando M Gutiérrez, Ashutosh Tamhane, Jennifer A Frey, Ching Min Chu, Lauren Shingler, Alexander Keister, Alexander L Bullen, Byron C Jaeger, Suzanne E Judd, Edward D Siew and 6 more

Abstract read
In one paragraph

Article in Kidney international reports, 2026. 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. Article
  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

16 authors.

Orlando M GutiérrezDivision of Nephrology, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Ashutosh TamhaneDivision of Nephrology, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Jennifer A FreyDepartment of Emergency Medicine, The Ohio State University, Columbus, Ohio, USA.
Ching Min ChuDepartment of Emergency Medicine, The Ohio State University, Columbus, Ohio, USA.
Lauren ShinglerDepartment of Emergency Medicine, The Ohio State University, Columbus, Ohio, USA.
Alexander KeisterDepartment of Emergency Medicine, The Ohio State University, Columbus, Ohio, USA.
Alexander L BullenDivision of Nephrology-Hypertension, Department of Medicine, University of California San Diego, and Veterans Affairs San Diego Healthcare System, San Diego, California, USA.
Byron C JaegerDepartment of Biostatistics and Data Science, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.
Suzanne E JuddDepartment of Biostatistics, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Edward D SiewDivision of Nephrology and Hypertension, Department of Medicine, Vanderbilt University Medical Center and Tennessee Valley Health Systems, Nashville Veterans Affairs, Nashville, Tennessee, USA.
Michael G ShlipakDepartment of Medicine, Kidney Health Research Collaborative, San Francisco Veterans Affairs Health Care System and University of California San Francisco, San Francisco, California, USA.
Joseph V BonventreDivision of Renal Medicine and Engineering in Medicine Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Emily B LevitanDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Jesse C SeegmillerDepartment of Laboratory Medicine and Pathology, University of Minnesota, Minneapolis, Minnesota, USA.
Henry E WangDepartment of Emergency Medicine, The Ohio State University, Columbus, Ohio, USA.
Joachim H IxDivision of Nephrology-Hypertension, Department of Medicine, University of California San Diego, and Veterans Affairs San Diego Healthcare System, San Diego, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Endogenous measures of impaired kidney tubule secretion are associated with kidney function decline. Whether they associate with future acute kidney injury (AKI) risk is unclear. Methods: In 397 participants of the Reasons for Geographic and Racial Differences in Stroke study who underwent coronary artery bypass graft (CABG) surgery (mean age: 66 years, 29% female), we examined the association of a summary secretion score of 11 endogenous secretion markers (measured at a median 5.5 years before CABG) with AKI risk following CABG, adjusting for confounders including estimated glomerular filtration rate (eGFR) and albuminuria. Results: A total of 177 participants developed AKI (≥ 0.3 mg/dl or 1.5× creatinine increase) following CABG. Individuals who developed AKI were older, more likely to be men, have diabetes, lower eGFR and greater albuminuria at the baseline visit. In models adjusted for age, sex, race, urine creatinine, time from baseline to CABG, diabetes, hypertension, and body mass index, a higher (signifying better) secretion score was associated with lower risk of AKI (risk ratio [RR] comparing 4th to 1st quartile: 0.49, 95% confidence interval [CI]: 0.32-0.74). The results did not meaningfully differ after further adjusting for eGFR and albuminuria (RR: 0.58, 95% CI: 0.38-0.89), or when secretion score was analyzed as a continuous variable (RR per 1 SD higher score: 0.85, 95% CI: 0.71-1.01). Associations were stronger in women (RR: 0.75, 95% CI: 0.59-0.95) than men (RR: 0.89, 95% CI: 0.69-1.16) in fully adjusted models ( Conclusion: In community-based adults, greater estimated tubular secretion at times of relative health is associated with lower risk of AKI following CABG.

Indexed as

acute kidney injurybiomarkerscoronary artery disease

Identifiers

PMID41568274
PMCPMC12818208

What Socratic holds

Textmetadata
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.