Evidence map›Paper›PMID 17236758›Full record

Trial reportThe Journal of steroid biochemistry and molecular biology2007

Falls are associated with decreased renal function and insufficient calcitriol production by the kidney.

J C Gallagher, Prema Rapuri, Lynette Smith

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of steroid biochemistry and molecular biology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% of its field
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Interventions for preventing falls in older people living in the community.The Cochrane database of systematic reviews · 2012
    Pooled it
  2. Association of 1,25-dihydroxyvitamin D levels with physical performance and thigh muscle cross-sectional area in chronic kidney disease stage 3 and 4.Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation · 2012
    Trial
  3. Article
  4. Article
  5. Factors associated with falls in older adults with cancer: a validated model from the Cancer and Aging Research Group.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018
    Article
  6. Article
  7. Article
  8. Article
  9. Chronic Kidney Disease-Mineral Bone Disorder in the Elderly Peritoneal Dialysis Patient.Peritoneal dialysis international : journal of the International Society for Peritoneal Dialysis · 2015
    Review
  10. Vitamin D and neurocognitive function.Clinical interventions in aging · 2014
    Review
  11. Vitamin D and aging.Endocrinology and metabolism clinics of North America · 2013
    Review
  12. Fracture risk assessment in patients with chronic kidney disease.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2012
    Review
  13. Cardiorespiratory fitness is independently associated with 25-hydroxyvitamin D in chronic kidney disease.Clinical journal of the American Society of Nephrology : CJASN · 2011
    Article
  14. Review
  15. Renal senescence in 2008: progress and challenges.International urology and nephrology · 2008
    Review
  16. Article
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

3 authors at 2 institutions in 1 country.

J C GallagherBone Metabolism, Creighton University, Omaha, NE 68131, USA. jcg@creighton.edu
Prema Rapuri
Lynette Smith
Creighton University · USUniversity of Nebraska Medical Center · US

Funding

PATHOPHYSIOLOGY OF SENILE TYPE 11 OSTEOPOROSISR01AG010358 · NIA · CREIGHTON UNIVERSITY · PI GALLAGHER, JOHN CHRISTOPHER · 1991 to 1995
–
TREATMENT FOR OSTEOPOROSIS OF THE HIP-SUPPLEMENT AG10373U01AG010373 · NIA · CREIGHTON UNIVERSITY · PI GALLAGHER, JOHN CHRISTOPHER · 1991 to 1998
–
NIA NIH HHS U01 AG010358NIA NIH HHS U01 AG010373-08
6 · The paper itself

Abstract

In a double blind placebo controlled 3-year osteoporosis study in elderly women, we collected prospective data on falls. The study population comprised 489 normal elderly women aged 65-77 years randomized to four groups: placebo, calcitriol 0.25 mcg b.i.d., conjugated equine estrogens (0.625 mg/day) and calcitriol+estrogen. Falls occurred in 57% of all women. Using a Poisson regression model, the placebo group with low GFR-creatinine clearance (CrCl<60 ml/min) had 60% more falls compared to the group with CrCl> or =60 ml/min. Further sub group analyses showed that there is no increased risk of falls with CrCl 60-70, 70-80 and >90 ml/min. Calcitriol treatment significantly reduced the number of falls by 50% (OR=0.5, 95% CI: 0.4-0.9, p=0.010) compared to placebo in the low CrCl group. The group with lower CrCl had lower calcium absorption (p<0.001), lower serum 1,25-dihydroxyvitamin D (1,25(OH)(2)D) (p<0.001) and normal serum 25OHD suggesting that there is decreased conversion of 25OHD to 1,25(OH)(2)D by the aging kidney. It is postulated that the decrease in falls on calcitriol therapy is related to an increase in serum 1,25(OH)(2)D, upregulation of VDR and improvement in muscle strength although one cannot exclude an effect on the central nervous system.

Indexed as

SeasonsAgedAge DistributionAnimalsCalcitriolCreatineEstrogensFemaleHorsesHumansKidneyCalcitriolCreatineEstrogens

Identifiers

PMID17236758
PMCPMC1868543
OpenAlexW2103731423

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.