Evidence map›Paper›PMID 21293117›Full record

ArticleAmerican journal of nephrology2011

Racial and ethnic differences in mortality of hemodialysis patients: role of dietary and nutritional status and inflammation.

Nazanin Noori, Csaba P Kovesdy, Ramanath Dukkipati, Usama Feroze, Miklos Z Molnar, Rachelle Bross, Allen R Nissenson, Joel D Kopple, Keith C Norris, Kamyar Kalantar-Zadeh

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in American journal of nephrology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01415570 (Malnutrition, Diet and Racial Disparities in Chronic Kidney Disease), which is not on this map. Cited by 44 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 5% 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.

NCT01415570 unknown statusnot on this map

Malnutrition, Diet and Racial Disparities in Chronic Kidney Disease (CKD) - A Prospective Data Collection Study

TypeobservationalSponsorLundquist Institute for Biomedical Innovation at Harbor-UCLA Medical CenterRan2011 to 2016Enrolled1,050ConditionsChronic Kidney Disease (CKD), End-Stage Renal Disease (ESRD)
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 2 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Changes in urine volume and serum albumin in incident hemodialysis patients.Hemodialysis international. International Symposium on Home Hemodialysis · 2017
    Article
  13. Article
  14. Article
  15. Concurrence of Serum Creatinine and Albumin With Lower Risk for Death in Twice-Weekly Hemodialysis Patients.Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation · 2017
    Article
  16. Article
  17. Article
  18. Why minorities live longer on dialysis: an in-depth examination of the Danish nephrology registry.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2016
    Article
  19. Lean Body Mass and Survival in Hemodialysis Patients and the Roles of Race and Ethnicity.Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation · 2016
    Article
  20. Observational
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

10 authors at 6 institutions in 2 countries.

Nazanin NooriHarold Simmons Center for Chronic Disease Research and Epidemiology, Torrance, Calif., USA.
Csaba P Kovesdy
Ramanath Dukkipati
Usama Feroze
Miklos Z Molnar
Rachelle Bross
Allen R Nissenson
Joel D Kopple
Keith C Norris
Kamyar Kalantar-Zadeh
University of California, Los Angeles · USSalem VA Medical Center · USSemmelweis University · HUThe Aerospace Corporation · USUCLA Health · USUCLA Medical Center · US

Funding

ZONA-FREE HAMSTER OVA ASSAY AS AN INDICATOR OF MALE FERTILITYM01RR000425 · NCRR · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI ANDERSON, GAIL V · 1985 to 2011
$74.2M
Sustaining Faculty Development & Community EngagementS21MD000103 · NIMHD · CHARLES R. DREW UNIVERSITY OF MED &SCI · PI CARLISLE, DAVID M · 2001 to 2015
$73.9M
TRAINING COREP20MD000182 · NIMHD · CHARLES R. DREW UNIVERSITY OF MED &SCI · PI MILBURN, NORWEETA GERMAINE, SHAPIRO, MARTIN F. · 2002 to 2016
$16.5M
VITAMIN D STIMULATES CARDIAC DIFFERENTIATIONU54RR026138 · NCRR · CHARLES R. DREW UNIVERSITY OF MED & SCI · PI HSIA, STANLEY · 2009 to 2011
$14.0M
Examining Racial and Cardiovascular Paradoxes in Chronic Kidney DiseaseR01DK078106 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KALANTAR-ZADEH, KAMYAR · 2007 to 2011
$1.1M
Nutritional/Inflammatory Evaluation of Dialysis PatientsK23DK061162 · NIDDK · LA BIOMED RES INST/ HARBOR UCLA MED CTR · PI KALANTAR-ZADEH, KAMYAR · 2001 to 2005
$797k
Anti-Inflammatory and Anti-Oxidative Nutrition in Dialysis PatientsR21DK078012 · NIDDK · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI KALANTAR-ZADEH, KAMYAR · 2007 to 2008
$380k
NCRR NIH HHS M01-RR00425NCRR NIH HHS RR026138NIDDK NIH HHS DK078012NIDDK NIH HHS DK61162NIDDK NIH HHS K23 DK061162NIDDK NIH HHS R01 DK078106NIMHD NIH HHS MD000103NIMHD NIH HHS MD00182
6 · The paper itself

Abstract

backgroundRacial/ethnic disparities prevail among hemodialysis patients. We hypothesized that significant differences exist between Black and non-Hispanic and Hispanic White hemodialysis patients in nutritional status, dietary intake and inflammation, and that they account for racial survival disparities.

methodsIn a 6-year (2001-2007) cohort of 799 hemodialysis patients, we compared diet and surrogates of nutritional-inflammatory status and their mortality-predictabilities between 279 Blacks and 520 Whites using matched and regression analyses and Cox with cubic splines.

resultsIn age-, gender- and diabetes-matched analyses, Blacks had higher lean body mass and serum prealbumin, creatinine and homocysteine levels than Whites. In case-mix-adjusted analyses, dietary intakes in Blacks versus Whites were higher in energy (+293 ± 119 cal/day) and fat (+18 ± 5 g/day), but lower in fiber (-2.9 ± 1.3 g/day) than Whites. In both races, higher serum albumin, prealbumin and creatinine were associated with greater survival, whereas CRP and IL-6, but not TNF-α, were associated with increased mortality. The highest (vs. lowest) quartile of IL-6 was associated with a 2.4-fold (95% CI: 1.3-3.8) and 4.1-fold (2.2-7.2) higher death risk in Blacks and Whites, respectively.

conclusionsSignificant racial disparities exist in dietary, nutritional and inflammatory measures, which may contribute to hemodialysis outcome disparities. Testing race-specific dietary and/or anti-inflammatory interventions is indicated.

Indexed as

InflammationNutritional StatusAge FactorsAnti-Inflammatory AgentsBody CompositionC-Reactive ProteinEthnicityFemaleHumansInterleukin-6Kidney Failure, ChronicMaleProportional Hazards ModelsRenal DialysisSex FactorsTumor Necrosis Factor-alphaAnti-Inflammatory AgentsC-Reactive ProteinInterleukin-6Tumor Necrosis Factor-alpha

Identifiers

PMID21293117
PMCPMC3202917
OpenAlexW2089697832

What OpenQuestion holds

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Registered trials

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.