Evidence map›Paper›PMID 20439574›Full record

ArticleAnnals of internal medicine2010

The association between age and nephrosclerosis on renal biopsy among healthy adults.

Andrew D Rule, Hatem Amer, Lynn D Cornell, Sandra J Taler, Fernando G Cosio, Walter K Kremers, Stephen C Textor, Mark D Stegall

Abstract read
In one paragraph

Article in Annals of internal medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 236 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
236citing papers in PubMed, 2 pooled it
13.2field-weighted citation impact, top 1% 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

236 citing papers in PubMed, 2 syntheses or guidelines pooled it, 492 citations in OpenAlex.

  1. Guideline
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  5. Association of Urine Biomarkers of Kidney Tubule Injury and Dysfunction With Frailty Index and Cognitive Function in Persons With CKD in SPRINT.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2021
    Trial
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  9. Urinary Markers of Fibrosis and Risk of Cardiovascular Events and Death in Kidney Transplant Recipients: The FAVORIT Trial.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2017
    Trial
  10. Urine Fibrosis Markers and Risk of Allograft Failure in Kidney Transplant Recipients: A Case-Cohort Ancillary Study of the FAVORIT Trial.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2017
    Trial
  11. Article
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  15. Organism-scale annotation with Pan-human Azimuth.bioRxiv : the preprint server for biology · 2026
    Article
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  17. Article
  18. Article
  19. Chronic Kidney Disease and Cellular Senescence.International journal of molecular sciences · 2026
    Review
  20. Article

176 more citing papers are in PubMed but not listed here.

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

8 authors at 1 institution in 2 countries.

Andrew D RuleMayo Clinic, Rochester, Minnesota, USA.
Hatem Amer
Lynn D Cornell
Sandra J Taler
Fernando G Cosio
Walter K Kremers
Stephen C Textor
Mark D Stegall
Mayo Clinic · US

Funding

Comparison of kidney function measurement methods in the communityK23DK078229 · NIDDK · MAYO CLINIC ROCHESTER · PI RULE, ANDREW DAVID · 2007 to 2011
$742k
NIDDK NIH HHS K23 DK078229
6 · The paper itself

Abstract

backgroundChronic kidney disease is common with older age and is characterized on renal biopsy by global glomerulosclerosis, tubular atrophy, interstitial fibrosis, and arteriosclerosis.

objectiveTo see whether the prevalence of these histologic abnormalities in the kidney increases with age in healthy adults and whether histologic findings are explained by age-related differences in kidney function or chronic kidney disease risk factors.

designCross-sectional study.

settingMayo Clinic, Rochester, Minnesota, from 1999 to 2009. PATIENTS: 1203 adult living kidney donors. MEASUREMENTS: Core-needle biopsy of the renal cortex obtained during surgical implantation of the kidney, and medical record data of kidney function and risk factors obtained before donation.

resultsThe prevalence of nephrosclerosis (> or =2 chronic histologic abnormalities) was 2.7% (95% CI, 1.1% to 6.7%) for patients aged 18 to 29 years, 16% (CI, 12% to 20%) for patients aged 30 to 39 years, 28% (CI, 24% to 32%) for patients aged 40 to 49 years, 44% (CI, 38% to 50%) for patients aged 50 to 59 years, 58% (CI, 47% to 67%) for patients aged 60 to 69 years, and 73% (CI, 43% to 90%) for patients aged 70 to 77 years. Adjustment for kidney function and risk factor covariates did not explain the age-related increase in the prevalence of nephrosclerosis. LIMITATION: Kidney donors are selected for health and lack the spectrum or severity of renal pathologic findings in the general population.

conclusionKidney function and chronic kidney disease risk factors do not explain the strong association between age and nephrosclerosis in healthy adults. PRIMARY FUNDING SOURCE: National Institutes of Health, U.S. Public Health Service.

Indexed as

Living DonorsAdolescentAdultAgedAgingArteriosclerosisAtrophyBlood PressureCross-Sectional StudiesHumansKidney CortexKidney Function TestsKidney TubulesMiddle AgedNephrosclerosisRisk Factors

Identifiers

PMID20439574
PMCPMC2864956
OpenAlexW2061285072

What OpenQuestion holds

Textmetadata
LicenceTDM
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.