Evidence map›Paper›PMID 21852664›Full record

SynthesisClinical journal of the American Society of Nephrology : CJASN2011

Metabolic syndrome and kidney disease: a systematic review and meta-analysis.

George Thomas, Ashwini R Sehgal, Sangeeta R Kashyap, Titte R Srinivas, John P Kirwan, Sankar D Navaneethan

Registry-linked trialOpen access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Clinical journal of the American Society of Nephrology : CJASN, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04482153 (Prevalence of Non-alcoholic Fatty Liver Disease in Patients With Chronic Kidney Disease in Assiut University Hospitals), which is not on this map. Cited by 309 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
309citing papers in PubMed, 6 pooled it
17.1field-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.

NCT04482153 unknown statusnot on this mapstarted 2020, after this paper: background citation

Prevalence of Non-alcoholic Fatty Liver Disease in Patients With Chronic Kidney Disease in Assiut University Hospitals

TypeobservationalSponsorAssiut UniversityRan2020 to 2021Enrolled80ConditionsStudy of the NAFLD in CKD Patients Using Fibroscan StudyArmsfibroscan
3 · Its place in the literature

Who cites it

309 citing papers in PubMed, 6 syntheses or guidelines pooled it, 554 citations in OpenAlex.

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  10. Early signs of nephropathy in adolescents with obesity.International journal of obesity (2005) · 2026
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249 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

6 authors at 3 institutions in 1 country.

George ThomasDepartment of Nephrology and Hypertension, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH 44195, USA.
Ashwini R Sehgal
Sangeeta R Kashyap
Titte R Srinivas
John P Kirwan
Sankar D Navaneethan
Cleveland Clinic · USCleveland Clinic Lerner College of Medicine · USMetroHealth Medical Center · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024989 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI DAVIS, PAMELA B · 2007 to 2011
$53.7M
Transplant navigator interventuon to overcome barriers to kidney transplantionP60MD002265 · NIMHD · CASE WESTERN RESERVE UNIVERSITY · PI PIKE, EARL · 2007 to 2016
$10.5M
Case Western Reserve University/Cleveland Clinic CTSA (KL2)KL2RR024990 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI DAVIS, PAMELA B · 2007 to 2011
$9.5M
Effect of Bariatric Surgery on Mechanisms of Type 2 Diabetes: The B2D TrialR01DK089547 · NIDDK · CLEVELAND CLINIC LERNER COM-CWRU · PI KASHYAP, SANGEETA R, KIRWAN, JOHN P. · 2010 to 2013
$1.9M
NCRR NIH HHS KL2 RR024990NCRR NIH HHS RR024990NIDDK NIH HHS R01 DK089547NIDDK NIH HHS R01 DK089547-01NIMHD NIH HHS P60 MD002265
6 · The paper itself

Abstract

BACKGROUND AND

objectivesObservational studies have reported an association between metabolic syndrome (MetS) and microalbuminuria or proteinuria and chronic kidney disease (CKD) with varying risk estimates. We aimed to systematically review the association between MetS, its components, and development of microalbuminuria or proteinuria and CKD. DESIGN, SETTING, PARTICIPANTS AND MEASUREMENTS AND POPULATION: We searched MEDLINE (1966 to October 2010), SCOPUS, and the Web of Science for prospective cohort confidence interval (CI) studies that reported the development of microalbuminuria or proteinuria and/or CKD in participants with MetS. Risk estimates for eGFR <60 ml/min per 1.73 m(2) were extracted from individual studies and pooled using a random effects model. The results for proteinuria outcomes were not pooled because of the small number of studies.

resultsEleven studies (n = 30,146) were included. MetS was significantly associated with the development of eGFR <60 ml/min per 1.73 m(2) (odds ratio, 1.55; 95% CI, 1.34, 1.80). The strength of this association seemed to increase as the number of components of MetS increased (trend P value = 0.02). In patients with MetS, the odds ratios (95% CI) for development of eGFR <60 ml/min per 1.73 m(2) for individual components of MetS were: elevated blood pressure 1.61 (1.29, 2.01), elevated triglycerides 1.27 (1.11, 1.46), low HDL cholesterol 1.23 (1.12, 1.36), abdominal obesity 1.19 (1.05, 1.34), and impaired fasting glucose 1.14 (1.03, 1.26). Three studies reported an increased risk for development of microalbuminuria or overt proteinuria with MetS.

conclusionsMetS and its components are associated with the development of eGFR <60 ml/min per 1.73 m(2) and microalbuminuria or overt proteinuria.

Indexed as

AdultAgedAlbuminuriaChi-Square DistributionFemaleGlomerular Filtration RateHumansKidney DiseasesMaleMetabolic SyndromeMiddle AgedOdds RatioPrognosisProteinuriaRisk AssessmentRisk Factors

Identifiers

PMID21852664
PMCPMC3186450
OpenAlexW2144383336

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.