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In their important study, Tsien et al 1 demonstrated for the first time that minor increases of serum creatinine have major clinical impact in outpatients with cirrhosis, ascites and normal serum creatinine. Patients with acute kidney injury (AKI) had a slow constant increase of serum creatinine over time and, interestingly, a reduced survival probability. These data …
Competing interests None.
Provenance and peer review Not commissioned; internally peer reviewed.