Evidence map›Paper›PMID 41809295›Full record

ArticleCureus2026

Defining Subclinical Acute Kidney Injury Within 72 Hours After Minimally Invasive Esophagectomy in Prone Position and Its Association With Outcomes: An Exploratory Study.

Seiji Ishikawa, Junko Hirashima, Makiko Hiroyama, Shojiro Ozato, Masayuki Watanabe, Katsuyuki Terajima

Abstract read
In one paragraph

Article in Cureus, 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

6 authors.

Seiji IshikawaDepartment of Anesthesiology and Pain Medicine, Juntendo University, Tokyo, JPN.
Junko HirashimaDepartment of Anesthesiology, Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, JPN.
Makiko HiroyamaDepartment of Anesthesiology, Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, JPN.
Shojiro OzatoDepartment of Anesthesiology, Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, JPN.
Masayuki WatanabeDepartment of Gastroenterological Surgery, Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, JPN.
Katsuyuki TerajimaDepartment of Anesthesiology, Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aimed to investigate the effects of slight increases in the serum creatinine concentration (sCr) postoperatively that do not meet the diagnostic criteria for acute kidney injury (AKI) on outcomes in patients undergoing minimally invasive esophagectomy (MIE) in the prone position.

methodsA retrospective cohort study was carried out on patients who underwent MIE between January 2010 and December 2024. Patients who underwent MIE were categorized into three groups: those diagnosed with AKI based on the Kidney Disease: Improving Global Outcomes creatinine criteria within 72 hours after surgery (AKI group); those with a postoperative percentage increase in serum creatinine (ΔsCr%) of 30% or more compared with baseline (subclinical AKI group); and those with a ΔsCr% <30% (reference group). Patient outcomes were compared among the groups.

resultsOf 933 patients, 33, 12, and 888 patients were classified into the AKI, subclinical AKI, and reference groups, respectively. The proportion of patients with postoperative hospital stay ≥25 days and the proportion of patients who required mechanical ventilation after surgery were significantly higher in the AKI group (51.5%, 27.3%) and the subclinical AKI group (50.0%, 25.0%) than in the reference group (18.6%, 3.3%) (p<0.0167, Bonferroni correction). No statistically significant differences were identified between the AKI and subclinical AKI groups with respect to these outcomes.

conclusionsThe incidence of subclinical AKI, defined based on ΔsCr% after MIE, was 1.3%. Subclinical AKI patients were significantly more likely to require postoperative mechanical ventilation. To prevent worsening outcomes after MIE, not only AKI, but also subclinical AKI should be targeted for prevention.

Indexed as

acute kidney injuryesophageal cancermechanical ventilationminimally invasive esophagectomypostoperative complication

Identifiers

PMID41809295
PMCPMC12968731

What Socratic holds

Textmetadata
LicenceCC BY
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.