Evidence map›Paper›PMID 21144198›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2010

Chronic kidney disease in patients with diabetes mellitus type 2 or hypertension in general practice.

Victor van der Meer, H Petra M Wielders, Diana C Grootendorst, Joost S de Kanter, Yvo Wj Sijpkens, Willem Jj Assendelft, Jacobijn Gussekloo, Friedo W Dekker, Ymte Groeneveld

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Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
2.2field-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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 64 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Victor van der MeerDepartment of Public Health and Primary Care, Leiden University Medical Centre and Academic Primary Health Care Centre 'Stevenshof', Leiden, The Netherlands. v.van_der_meer@lumc.nl
H Petra M Wielders
Diana C Grootendorst
Joost S de Kanter
Yvo Wj Sijpkens
Willem Jj Assendelft
Jacobijn Gussekloo
Friedo W Dekker
Ymte Groeneveld
Leiden University · NLLeiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence and severity of chronic kidney disease (CKD) in primary care patients with diabetes or hypertension is unknown.

aimTo assess the prevalence and severity of CKD in patients with diabetes and hypertension; and identify whether age, sex, diabetes, and hypertension are associated with CKD. DESIGN OF STUDY: Cross-sectional survey.

settingTwo Dutch primary health care centres (15 954 enlisted patients).

methodPatients, aged ≥ 25 years, with known diabetes type 2 (n = 471) or hypertension (n = 960), were selected on 1 October 2006. Initial screening uptake rates were assessed from the electronic patient records, and patients were invited when blood or urine measurements were missing. The presence of albuminuria was determined, glomerular filtration rate estimated, and clinical characteristics extracted.

resultsInitial screening uptake rates were 93% and 69% for diabetes and hypertension, respectively, and increased to 97% (n = 455) and 87% (n = 836) after active invitation. The prevalence of CKD was 28% in diabetes and 21% in hypertension only. The presence of diabetes was independently associated with albuminuria (odds ratio [OR] 4.23; 95% confidence interval [CI] = 2.67 to 6.71), but not with decreased estimated GFR (eGFR) (OR 0.75; 95% CI = 0.54 to 1.04). Age showed the strongest association with decreased eGFR (OR 2.73; 95% CI = 2.02 to 3.70).

conclusionIn primary care, more than one-quarter of patients with diabetes and about one-fifth of patients with hypertension have CKD. The high prevalence justifies longitudinal follow-up in order to evaluate whether intensified cardiovascular risk management is beneficial in this primary care population.

Indexed as

AdultAgedAlbuminuriaCardiovascular DiseasesDiabetes Mellitus, Type 2Epidemiologic MethodsFemaleGeneral PracticeGlomerular Filtration RateHumansHypertensionMaleMiddle AgedNetherlandsRenal Insufficiency, Chronic

Identifiers

PMID21144198
PMCPMC2991741
OpenAlexW2105903831

What OpenQuestion holds

Textmetadata
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Registered trials

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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.