Correction to: Outcome of kidney function after ischaemic and zero-ischaemic laparoscopic and open nephron-sparing surgery for renal cell cancer

Abstract

Correction to: BMC Nephrology (2019) 20:40 https://doi.org/10.1186/s12882-019-1215-3 Following publication of the original article [1], it was reported that Fig. 1i and Fig. 1j were omitted due to a typesetting mistake. In this Correction, the complete Fig. 1 is shown and the original publication of this article has been updated to correct this. The publisher apologises to the authors and readers for the inconvenience. Fig. 1 Box plots showing the postoperative course of the absolute (a/c/e/g/i) and relative (b/d/f/h/j) change (%) in eGFR at measurement times A-E for (a/b) the overall NSS cohort (NSS-C), (c/d) the NSS group with intraoperative renal ischaemia (NSS-RI) and without intraoperative renal ischaemia (NSS-NRI), (e/f) the LNSS group with intraoperative renal ischaemia (LNSS-RI), the ONSS group with intraoperative renal ischaemia (ONSS-RI), (g/h) the NSS group with postoperative AKI (NSS-AKI), the NSS group without postoperative AKI (NSS-NAKI), and (i/j) NSS group with a baseline eGFR category G1 (NSS-G1), NSS group with a baseline eGFR category G2 (NSS-G2), and NSS group with a baseline eGFR category ≥G3 (NSS ≥ G3). Definition of measurement times a-e: (a) highest change in eGFR from baseline during the planned hospital stay at a median of 1 day postoperatively (IQR, 1–2), (b) change in eGFR from baseline prior to discharge from hospital at a median of 4 days postoperatively (IQR, 2–6), (c) change in eGFR from baseline at a median of 47 days postoperatively (IQR, 30–105), (d) a median of 13 months postoperatively (IQR, 12–15), and (e) a median of 50 months postoperatively (IQR, 35–81). Asterisks indicate significant changes from baseline in the level of absolute and relative changes in eGFR over the course of the observation period (Friedman’s test as a post hoc pairwise multiple comparison test) or between the compared groups at each measurement time (non-parametric Mann-Whitney U test). * p < 0.05, ** p < 0.01, *** p < 0.001, (ns) not significant. eGFR, estimated glomerular filtration rate; NSS, nephron-sparing surgery; LNSS, laparoscopic nephron-sparing surgery; ONSS, open nephronsparing surgery; AKI, acute kidney injury; IQR, interquartile range Additionally, the authors reported that the caption of Table 4 was incorrectly presented as “Multiple linear regression analysis”. The correct presentation of this table caption is “Multiple regression analysis”. And Table 4 with its corrected caption can be found on page 3-4. Table 4 Multiple regression analysis a (model 1) Regressioncoefficientβ Multiple linear regression95% CI p-value Baseline eGFR (mL/ml/1.73 m22) - 0.20 - 0.38 - − 0.02 0.03 Baseline Haemoglobin (mg/dL) 0.51 - 0.86 - 1.89 0.46 Tumour diameter (cm) 0.67 - 0.43 - 1.76 0.24 Tumour locus central (ref.) vs. peripheral 0.43 - 3.80 - 4.67 0.84 Surgical approach LNSS (ref.) vs. ONSS - 13.48 - 17.65 - − 9.32 < 0.001 Sex male (ref.) vs. female - 3.28 - 7.80 - 1.25 0.16 Age (years) - 0.17 - 0.36 - 0.01 0.06 BMI (kg/m2) - 0.88 - 1.36 - − 0.41 < 0.001 Hypertension no (ref.) vs. yes - 0.78 - 4.75 - 3.18 0.70 Ischaemia time (min) - 0.27 - 0.41 - − 0.13 < 0.001 Operative time (min) - 0.06 - 0.09 - − 0.03 < 0.001 Preoperative ureter stenting no (ref.) vs. yes - 0.46 - 5.64 - 4.71 0.86 Intraoperative blood transfusions no (ref.) vs. yes - 3.29 - 11.91 - 5.33 0.45 Postoperative complications no (ref.) vs. yes - 3.36 - 8.42 - 1.70 0.19 Clavien-Dindo score < 3 (ref.) vs. ≥ 3 - 10.98 - 18.47 - − 3.48 0.004 b (model 2) Regressioncoefficientβ Multiple linear regression95% CI p-value Baseline eGFR (mL/ml/1.73 m22) - 0.29 - 0.49 - − 0.09 0.005 Baseline Haemoglobin (mg/dL) - 0.32 - 1.95 - 1.31 0.70 Relative change of eGFR from baseline at time A (%) 0.18 0.03 - 0.33 0.02 AKI 48 h p.o. no (ref.) vs. yes - 2.11 - 9.01 - 4.79 0.55 Tumour diameter (cm) - 1.76 - 2.87 - − 0.66 0.002 Tumour locus central (ref.) vs. peripheral - 0.30 - 5.14 - 4.54 0.90 Surgical approach LNSS (ref.) vs. ONSS 1.13 - 4.17 - − 6.44 0.67 Sex male (ref.) vs. female 1.63 - 3.43 - 6.70 0.53 Age (years) - 0.10 - 0.33 - 0.13 0.40 BMI (kg/m2) 0.15 - 0.39 - 0.70 0.58 Hypertension no (ref.) vs. yes - 2.11 - 6.82 - 2.60 0.38 Ischaemia time (min) 0.03 - 0.14 - 0.21 0.72 Operative time (min) 0.01 - 0.03 - 0.05 0.54 Preoperative ureter stenting no (ref.) vs. yes - 4.35 - 10.46 - 1.77 0.16 Intraoperative blood transfusions no (ref.) vs. yes 4.12 - 6.29 - 14.52 0.44 Postoperative complications no (ref.) vs. yes 1.20 - 4.77 - 7.18 0.69 Clavien-Dindo score < 3 (ref.) vs. ≥ 3 4.43 - 4.28 - 13.14 0.32 c (model 3) OR Multiple logistic regression95% CI p-value Baseline eGFR (mL/ml/1.73 m22) 0.99 0.96 - 1.01 0.30 Baseline Haemoglobin (mg/dl) 0.85 0.70 - 1.03 0.10 Tumour diameter (cm) 0.94 0.81 - 1.08 0.35 Tumour locus central (ref.) vs. peripheral 1.20 0.70 - 2.05 0.51 Surgical approach LNSS (ref.) vs. ONSS 3.87 2.17 - 6.92 < 0.001 Sex male (ref.) vs. female 2.51 1.35 - 4.67 0.004 Age (years) 1.01 0.99 - 1.04 0.26 BMI (kg/m2) 1.13 1.06 - 1.21 < 0.001 Hypertension no (ref.) vs. yes 1.05 0.63 - 1.74 0.85 Ischaemia time (min) 1.02 1.00 - 1.04 0.046 Operative time (min) 1.01 1.00 - 1.01 0.002 Preoperative ureter stenting no (ref.) vs. yes 0.92 0.46 - 1.83 0.81 Intraoperative blood transfusions no (ref.) vs. yes 0.73 0.22 - 2.45 0.61 Postoperative complications no (ref.) vs. yes 1.79 0.92 - 3.48 0.08 Clavien-Dindo score < 3 (ref.) vs. ≥ 3 2.14 0.68 - 6.72 0.19 d (model 4) OR Multiple logistic regression95% CI p-value Baseline eGFR (mL/ml/1.73 m2) 0.89 0.85 - 0.92 < 0.001 Baseline Haemoglobin (mg/dL) 0.99 0.73 - 1.35 0.95 Relative change of eGFR from baseline at time A (%) 0.98 0.98 - 1.01 0.12 AKI 48 h p.o. no (ref.) vs. yes 1.23 0.39 - 3.85 0.72 Tumour diameter (cm) 0.93 0.71 - 1.21 0.58 Tumour locus central (ref.) vs. peripheral 1.35 0.56 - 3.15 0.49 Surgical approach LNSS (ref.) vs. ONSS 1.69 0.67 - 4.24 0.26 Sex male (ref.) vs. female 0.63 0.24 - 1.67 0.35 Age (years) 0.99 0.95 - 1.04 0.75 BMI (kg/m2) 0.97 0.87 - 1.07 0.50 Hypertension no (ref.) vs. yes 1.62 0.66 - 4.00 0.29 Ischaemia time (min) 1.01 0.98 - 1.04 0.55 Operative time (min) 1.00 0.99 - 1.01 0.86 Preoperative ureter stenting no (ref.) vs. yes 1.26 0.41 - 3.86 0.68 Intraoperative blood transfusions no (ref.) vs. yes 0.95 0.08 - 11.05 0.97 Postoperative complications no (ref.) vs. yes 0.67 0.22 - 2.00 0.47 Clavien-Dindo score < 3 (ref.) vs. ≥ 3 1.37 0.22 - 8.41 0.73 Multiple linear regression analysis for models 1 and 2 including ischaemia time as a continuous variable investigating predictors of the relative change (%) of eGFR from baseline at (a) measurement time A (median, 1 day p.o.; IQR, 1–2) and at (b) at measurement time D (median, 13 months p.o.; IQR 12–15), and multiple logistic regression analysis for models 3 and 4 including ischaemia time as a continuous variable investigating (c) predictors for the development of postoperative AKI within 48 h p.o. and (d) predictors for the development of postoperative new-onset CKD stage ≥ 3 (eGFR < 60 mL/min/1.73 m2) within measurement time D The regression models are based on pooled estimates from 100 imputed datasets. A p-value < 0.05 is regarded as statistically significant eGFR estimated glomerular filtration rate, CKD chronic kidney disease, AKI acute kidney injury, LNSS laparoscopic nephron-sparing surgery, ONSS open nephron-sparing surgery, BMI body mass index, OR odds ratio