Evidence map›Paper›PMID 41727809›Full record

ReviewTherapeutic advances in psychopharmacology2026

Lithium nephrotoxicity: a systematic review and meta-analysis of lithium versus non-lithium control studies in patients with affective disorders.

Marie Michele Macaron, Mireilla Abou Rjeily, Raphael Macaron, Asmaa Yehia, Balwinder Singh, Mark A Frye, Osama A Abulseoud

Abstract readReview
In one paragraph

Review in Therapeutic advances in psychopharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Marie Michele MacaronSchool of Medicine, St. George's University of London, London, UK.
Mireilla Abou RjeilySchool of Medicine, Université Catholique de Louvain, Louvain-la-Neuve, Belgium.
Raphael MacaronSchool of Medicine, McGill University, Montreal, QC, Canada.
Asmaa YehiaDepartment of Medical Physiology, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Balwinder SinghDepartment of Psychiatry and Psychology, Mayo Clinic Rochester, Rochester, MN, USA.ORCID https://orcid.org/0000-0001-7062-8192
Mark A FryeDepartment of Psychiatry and Psychology, Mayo Clinic Rochester, Rochester, MN, USA.
Osama A AbulseoudDepartment of Neuroscience, Graduate School of Biomedical Sciences, Mayo Clinic College of Medicine, Phoenix, AZ 58054, USA.ORCID https://orcid.org/0000-0002-0652-0862

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Lithium, the gold standard treatment of bipolar disorder (BD), is thought to cause nephropathy in long-term users. However, the role of confounding variables linked to BD in exerting this adverse effect remains unclear. Objectives: This paper evaluates kidney function in patients with affective disorders who are taking lithium compared to patients not on lithium treatment. Design: This article is a systematic review and meta-analysis. Data sources and methods: A comprehensive search of publications up to October 2023 within Cochrane, Embase, PubMed, Scopus, Web of Science, and CINAHL databases was performed. Three assessors screened and extracted data from eligible observational studies. Risk of bias assessment was done with the ROBINS-E tool. Eligible studies were comparative studies of adult patients with diagnoses of affective disorders, including BD on lithium, with control groups not on lithium, reporting kidney function outcomes. Results: Mean estimated Glomerular filtration rate (eGFR) showed less favorable outcomes in the lithium group compared to the non-lithium group ( Conclusion: Kidney function, as measured by eGFR, was decreased in the lithium-taking groups versus the non-lithium groups. Continuous monitoring and discussion of risks and benefits with patients, especially those with a baseline of reduced kidney function, is imperative. Trial registration: This review was registered prospectively with PROSPERO (CRD42024517414).

Indexed as

bipolar disorderchronic kidney disease (CKD)lithiumnephrotoxicityrenal function

Identifiers

PMID41727809
PMCPMC12921164

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.