Acute kidney injury and intermediate‐term renal function after clampless partial nephrectomy
Objectives To evaluate the incidence and predictors of acute kidney injury after clampless partial nephrectomy, and its impact on intermediate‐term renal function. Methods The incidence and severity of acute kidney injury were assessed for 262 patients undergoing clampless partial nephrectomy betwee...
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| Veröffentlicht in: | International journal of urology 2019-01, Vol.26 (1), p.113-118 |
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| creator | Kawamura, Naoko Yokoyama, Minato Tanaka, Hajime Nakayama, Takayuki Yasuda, Yosuke Kijima, Toshiki Yoshida, Soichiro Ishioka, Junichiro Matsuoka, Yoh Saito, Kazutaka Kihara, Kazunori Fujii, Yasuhisa |
| description | Objectives
To evaluate the incidence and predictors of acute kidney injury after clampless partial nephrectomy, and its impact on intermediate‐term renal function.
Methods
The incidence and severity of acute kidney injury were assessed for 262 patients undergoing clampless partial nephrectomy between 2010 and 2015. The association between perioperative covariates and acute kidney injury was evaluated using multivariate logistic regression analysis. An annual change in estimated glomerular filtration rate from 1 year after surgery was calculated according to the presence or absence of acute kidney injury. An impact of acute kidney injury on postoperative renal impairment, defined as a ≥25% estimated glomerular filtration rate decrease, was evaluated.
Results
Overall, 21 (8.0%) patients experienced grade 1 acute kidney injury after clampless partial nephrectomy, and grade ≥2 acute kidney injury was not observed. High tumor complexity was the only independent predictor of acute kidney injury. Estimated glomerular filtration rate in patients with acute kidney injury improved within 1 year, and annual estimated glomerular filtration rate changes were similar among patients with or without acute kidney injury. Ultimately, 13 (5.0%) patients showed postoperative renal impairment during the median follow‐up period of 37 months. Advanced age and diabetes mellitus were independent risk factors for renal impairment, but acute kidney injury was not.
Conclusions
The incidence and severity of acute kidney injury after clampless partial nephrectomy are low. Low‐grade acute kidney injury after clampless partial nephrectomy does not seem to affect intermediate‐term renal function. |
| doi_str_mv | 10.1111/iju.13799 |
| format | Article |
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To evaluate the incidence and predictors of acute kidney injury after clampless partial nephrectomy, and its impact on intermediate‐term renal function.
Methods
The incidence and severity of acute kidney injury were assessed for 262 patients undergoing clampless partial nephrectomy between 2010 and 2015. The association between perioperative covariates and acute kidney injury was evaluated using multivariate logistic regression analysis. An annual change in estimated glomerular filtration rate from 1 year after surgery was calculated according to the presence or absence of acute kidney injury. An impact of acute kidney injury on postoperative renal impairment, defined as a ≥25% estimated glomerular filtration rate decrease, was evaluated.
Results
Overall, 21 (8.0%) patients experienced grade 1 acute kidney injury after clampless partial nephrectomy, and grade ≥2 acute kidney injury was not observed. High tumor complexity was the only independent predictor of acute kidney injury. Estimated glomerular filtration rate in patients with acute kidney injury improved within 1 year, and annual estimated glomerular filtration rate changes were similar among patients with or without acute kidney injury. Ultimately, 13 (5.0%) patients showed postoperative renal impairment during the median follow‐up period of 37 months. Advanced age and diabetes mellitus were independent risk factors for renal impairment, but acute kidney injury was not.
Conclusions
The incidence and severity of acute kidney injury after clampless partial nephrectomy are low. Low‐grade acute kidney injury after clampless partial nephrectomy does not seem to affect intermediate‐term renal function.</description><identifier>ISSN: 0919-8172</identifier><identifier>EISSN: 1442-2042</identifier><identifier>DOI: 10.1111/iju.13799</identifier><identifier>PMID: 30253449</identifier><language>eng</language><publisher>Australia: Wiley Subscription Services, Inc</publisher><subject>acute kidney injury ; Acute Kidney Injury - epidemiology ; Acute Kidney Injury - etiology ; Adult ; Aged ; Aged, 80 and over ; clampless ; Diabetes mellitus ; Female ; Glomerular Filtration Rate ; Humans ; Kidneys ; Male ; Middle Aged ; Multivariate Analysis ; Nephrectomy ; Nephrectomy - adverse effects ; partial nephrectomy ; renal cell carcinoma ; Renal function ; Risk Factors ; Surgery ; Survival Analysis ; Treatment Outcome ; Warm Ischemia</subject><ispartof>International journal of urology, 2019-01, Vol.26 (1), p.113-118</ispartof><rights>2018 The Japanese Urological Association</rights><rights>2018 The Japanese Urological Association.</rights><rights>Copyright © 2019 The Japanese Urological Association</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4129-903b778440988a49d921f3bab77d8eaceaa217563ebca7f4011e6890800fb04e3</citedby><cites>FETCH-LOGICAL-c4129-903b778440988a49d921f3bab77d8eaceaa217563ebca7f4011e6890800fb04e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fiju.13799$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fiju.13799$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30253449$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kawamura, Naoko</creatorcontrib><creatorcontrib>Yokoyama, Minato</creatorcontrib><creatorcontrib>Tanaka, Hajime</creatorcontrib><creatorcontrib>Nakayama, Takayuki</creatorcontrib><creatorcontrib>Yasuda, Yosuke</creatorcontrib><creatorcontrib>Kijima, Toshiki</creatorcontrib><creatorcontrib>Yoshida, Soichiro</creatorcontrib><creatorcontrib>Ishioka, Junichiro</creatorcontrib><creatorcontrib>Matsuoka, Yoh</creatorcontrib><creatorcontrib>Saito, Kazutaka</creatorcontrib><creatorcontrib>Kihara, Kazunori</creatorcontrib><creatorcontrib>Fujii, Yasuhisa</creatorcontrib><title>Acute kidney injury and intermediate‐term renal function after clampless partial nephrectomy</title><title>International journal of urology</title><addtitle>Int J Urol</addtitle><description>Objectives
To evaluate the incidence and predictors of acute kidney injury after clampless partial nephrectomy, and its impact on intermediate‐term renal function.
Methods
The incidence and severity of acute kidney injury were assessed for 262 patients undergoing clampless partial nephrectomy between 2010 and 2015. The association between perioperative covariates and acute kidney injury was evaluated using multivariate logistic regression analysis. An annual change in estimated glomerular filtration rate from 1 year after surgery was calculated according to the presence or absence of acute kidney injury. An impact of acute kidney injury on postoperative renal impairment, defined as a ≥25% estimated glomerular filtration rate decrease, was evaluated.
Results
Overall, 21 (8.0%) patients experienced grade 1 acute kidney injury after clampless partial nephrectomy, and grade ≥2 acute kidney injury was not observed. High tumor complexity was the only independent predictor of acute kidney injury. Estimated glomerular filtration rate in patients with acute kidney injury improved within 1 year, and annual estimated glomerular filtration rate changes were similar among patients with or without acute kidney injury. Ultimately, 13 (5.0%) patients showed postoperative renal impairment during the median follow‐up period of 37 months. Advanced age and diabetes mellitus were independent risk factors for renal impairment, but acute kidney injury was not.
Conclusions
The incidence and severity of acute kidney injury after clampless partial nephrectomy are low. Low‐grade acute kidney injury after clampless partial nephrectomy does not seem to affect intermediate‐term renal function.</description><subject>acute kidney injury</subject><subject>Acute Kidney Injury - epidemiology</subject><subject>Acute Kidney Injury - etiology</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>clampless</subject><subject>Diabetes mellitus</subject><subject>Female</subject><subject>Glomerular Filtration Rate</subject><subject>Humans</subject><subject>Kidneys</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Nephrectomy</subject><subject>Nephrectomy - adverse effects</subject><subject>partial nephrectomy</subject><subject>renal cell carcinoma</subject><subject>Renal function</subject><subject>Risk Factors</subject><subject>Surgery</subject><subject>Survival Analysis</subject><subject>Treatment Outcome</subject><subject>Warm Ischemia</subject><issn>0919-8172</issn><issn>1442-2042</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kEtOwzAQhi0EoqWw4AIoEhtYpPU4bhIvq4pHERIbuiVynIlwyQs7EcqOI3BGToJDCwskZuPx6Jtfmo-QU6BTcDXTm24KQSTEHhkD58xnlLN9MqYChB9DxEbkyNoNpRAwiA_JKKBsHnAuxuRpoboWvRedVdh7utp0pvdklbm2RVNipmWLn-8fw8czWMnCy7tKtbquPJm7qacKWTYFWus10rTaARU2zwZVW5f9MTnIZWHxZPdOyPr66nF5698_3KyWi3tfcWDCFzRIoyjmnIo4llxkgkEepNINsxilQikZRPMwwFTJKOcUAMNY0JjSPKUcgwm52OY2pn7t0LZJqa3CopAV1p1NGAALYdhz6PkfdFN3xh02UKErCGHuqMstpUxtrcE8aYwupekToMkgPXHSk2_pjj3bJXapM_ZL_lh2wGwLvOkC-_-TktXdehv5BdF3jKw</recordid><startdate>201901</startdate><enddate>201901</enddate><creator>Kawamura, Naoko</creator><creator>Yokoyama, Minato</creator><creator>Tanaka, Hajime</creator><creator>Nakayama, Takayuki</creator><creator>Yasuda, Yosuke</creator><creator>Kijima, Toshiki</creator><creator>Yoshida, Soichiro</creator><creator>Ishioka, Junichiro</creator><creator>Matsuoka, Yoh</creator><creator>Saito, Kazutaka</creator><creator>Kihara, Kazunori</creator><creator>Fujii, Yasuhisa</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7X8</scope></search><sort><creationdate>201901</creationdate><title>Acute kidney injury and intermediate‐term renal function after clampless partial nephrectomy</title><author>Kawamura, Naoko ; Yokoyama, Minato ; Tanaka, Hajime ; Nakayama, Takayuki ; Yasuda, Yosuke ; Kijima, Toshiki ; Yoshida, Soichiro ; Ishioka, Junichiro ; Matsuoka, Yoh ; Saito, Kazutaka ; Kihara, Kazunori ; Fujii, Yasuhisa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4129-903b778440988a49d921f3bab77d8eaceaa217563ebca7f4011e6890800fb04e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>acute kidney injury</topic><topic>Acute Kidney Injury - epidemiology</topic><topic>Acute Kidney Injury - etiology</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>clampless</topic><topic>Diabetes mellitus</topic><topic>Female</topic><topic>Glomerular Filtration Rate</topic><topic>Humans</topic><topic>Kidneys</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Nephrectomy</topic><topic>Nephrectomy - adverse effects</topic><topic>partial nephrectomy</topic><topic>renal cell carcinoma</topic><topic>Renal function</topic><topic>Risk Factors</topic><topic>Surgery</topic><topic>Survival Analysis</topic><topic>Treatment Outcome</topic><topic>Warm Ischemia</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kawamura, Naoko</creatorcontrib><creatorcontrib>Yokoyama, Minato</creatorcontrib><creatorcontrib>Tanaka, Hajime</creatorcontrib><creatorcontrib>Nakayama, Takayuki</creatorcontrib><creatorcontrib>Yasuda, Yosuke</creatorcontrib><creatorcontrib>Kijima, Toshiki</creatorcontrib><creatorcontrib>Yoshida, Soichiro</creatorcontrib><creatorcontrib>Ishioka, Junichiro</creatorcontrib><creatorcontrib>Matsuoka, Yoh</creatorcontrib><creatorcontrib>Saito, Kazutaka</creatorcontrib><creatorcontrib>Kihara, Kazunori</creatorcontrib><creatorcontrib>Fujii, Yasuhisa</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kawamura, Naoko</au><au>Yokoyama, Minato</au><au>Tanaka, Hajime</au><au>Nakayama, Takayuki</au><au>Yasuda, Yosuke</au><au>Kijima, Toshiki</au><au>Yoshida, Soichiro</au><au>Ishioka, Junichiro</au><au>Matsuoka, Yoh</au><au>Saito, Kazutaka</au><au>Kihara, Kazunori</au><au>Fujii, Yasuhisa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute kidney injury and intermediate‐term renal function after clampless partial nephrectomy</atitle><jtitle>International journal of urology</jtitle><addtitle>Int J Urol</addtitle><date>2019-01</date><risdate>2019</risdate><volume>26</volume><issue>1</issue><spage>113</spage><epage>118</epage><pages>113-118</pages><issn>0919-8172</issn><eissn>1442-2042</eissn><abstract>Objectives
To evaluate the incidence and predictors of acute kidney injury after clampless partial nephrectomy, and its impact on intermediate‐term renal function.
Methods
The incidence and severity of acute kidney injury were assessed for 262 patients undergoing clampless partial nephrectomy between 2010 and 2015. The association between perioperative covariates and acute kidney injury was evaluated using multivariate logistic regression analysis. An annual change in estimated glomerular filtration rate from 1 year after surgery was calculated according to the presence or absence of acute kidney injury. An impact of acute kidney injury on postoperative renal impairment, defined as a ≥25% estimated glomerular filtration rate decrease, was evaluated.
Results
Overall, 21 (8.0%) patients experienced grade 1 acute kidney injury after clampless partial nephrectomy, and grade ≥2 acute kidney injury was not observed. High tumor complexity was the only independent predictor of acute kidney injury. Estimated glomerular filtration rate in patients with acute kidney injury improved within 1 year, and annual estimated glomerular filtration rate changes were similar among patients with or without acute kidney injury. Ultimately, 13 (5.0%) patients showed postoperative renal impairment during the median follow‐up period of 37 months. Advanced age and diabetes mellitus were independent risk factors for renal impairment, but acute kidney injury was not.
Conclusions
The incidence and severity of acute kidney injury after clampless partial nephrectomy are low. Low‐grade acute kidney injury after clampless partial nephrectomy does not seem to affect intermediate‐term renal function.</abstract><cop>Australia</cop><pub>Wiley Subscription Services, Inc</pub><pmid>30253449</pmid><doi>10.1111/iju.13799</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0919-8172 |
| ispartof | International journal of urology, 2019-01, Vol.26 (1), p.113-118 |
| issn | 0919-8172 1442-2042 |
| language | eng |
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| source | MEDLINE; Wiley Journals |
| subjects | acute kidney injury Acute Kidney Injury - epidemiology Acute Kidney Injury - etiology Adult Aged Aged, 80 and over clampless Diabetes mellitus Female Glomerular Filtration Rate Humans Kidneys Male Middle Aged Multivariate Analysis Nephrectomy Nephrectomy - adverse effects partial nephrectomy renal cell carcinoma Renal function Risk Factors Surgery Survival Analysis Treatment Outcome Warm Ischemia |
| title | Acute kidney injury and intermediate‐term renal function after clampless partial nephrectomy |
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