Evidence map›Paper›PMID 21852671›Full record

ArticleClinical journal of the American Society of Nephrology : CJASN2011

Albuminuria and estimated glomerular filtration rate as predictors of diabetic end-stage renal disease and death.

Abeba M Berhane, E Jennifer Weil, William C Knowler, Robert G Nelson, Robert L Hanson

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article 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 2 registered trials, which are not on this map. Cited by 81 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 10 pooled it
4.2field-weighted citation impact, top 6% 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.

NCT02522650 phase4unknown statusnot on this mapstarted 2013, after this paper: background citation

A Crossover Pilot Study of the Effect of Amiloride on Proteinuria in Patients With Proteinuric Kidney Disease

TypeinterventionalSponsorGeorgetown UniversityRan2013 to 2021Enrolled30ConditionsProteinuriaArmsAmiloride, Triamterene
NCT05691985 unknown statusnot on this mapstarted 2024, after this paper: background citation

Fibrinogen to Albumin Ratio (FAR) as a Risk Factor for Type 2 Diabetic Nephropathy(DN)

Typeobservational_patient_registrySponsorAssiut UniversityRan2024 to 2025Enrolled50ConditionsCKD, Type 2 Diabetes
3 · Its place in the literature

Who cites it

81 citing papers in PubMed, 10 syntheses or guidelines pooled it, 161 citations in OpenAlex.

  1. Pooled it
  2. Efficacy and safety ofFrontiers in pharmacology · 2022
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  8. Vitamin B and its derivatives for diabetic kidney disease.The Cochrane database of systematic reviews · 2015
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  14. Vascular disease, ESRD, and death: interpreting competing risk analyses.Clinical journal of the American Society of Nephrology : CJASN · 2012
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21 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

5 authors at 2 institutions in 1 country.

Abeba M BerhaneDiabetes Epidemiology and Clinical Research Section, Phoenix Epidemiology and Clinical Research Branch, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Phoenix, Arizona, USA.
E Jennifer Weil
William C Knowler
Robert G Nelson
Robert L Hanson
National Institute of Diabetes and Digestive and Kidney Diseases · USNational Institutes of Health · US

Funding

Epidemiology, Pathophysiology and Treatment of Diabetic NephropathyZIADK069062 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI NELSON, ROBERT G · 2009 to 2023
$10.1M
Morphometric Studies of Diabetic NephropathyZIADK069100 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI KNOWLER, WILLIAM C · 2009 to 2011
$716k
Epidemiology and Physiology of Diabetic NephropathyZIADK069063 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI KNOWLER, WILLIAM C · 2009 to 2011
$621k
Intramural NIH HHS
6 · The paper itself

Abstract

BACKGROUND AND

objectivesWe investigated predictive value of albuminuria and estimated GFR (eGFR) for ESRD in Pima Indians with type 2 diabetes. DESIGN, SETTING, PARTICIPANTS AND MEASUREMENTS: Beginning in 1982, 2420 diabetic Pima Indians ≥18 years old were followed until they developed ESRD or died or until December 31, 2005. Individuals were classified at baseline by urinary albumin-to-creatinine ratio (ACR) and by eGFR, calculated by the Chronic Kidney Disease Epidemiology Collaboration equation. Predictors of ESRD and mortality were examined by proportional hazards regression.

resultsDuring a mean follow-up of 10.2 years, 287 individuals developed ESRD. Incidence of ESRD among individuals with macroalbuminuria (ACR ≥ 300 mg/g) was 9.3 times that of those with normoalbuminuria (ACR < 30 mg/g), controlled for age, gender, and duration of diabetes. Incidence among individuals with eGFR 15 to 29 ml/min per 1.73 m(2) was 81.9 times that of those with eGFR 90 to 119 ml/min per 1.73 m(2). Models that combined albuminuria and eGFR added significant predictive information about risk of ESRD or death compared with models containing eGFR or albuminuria alone. The hazard ratio for ESRD associated with a 10-ml/min per 1.73 m(2) lower eGFR was 1.36, whereas that associated with an increase in albuminuria category was 2.69; corresponding hazard ratios for death were 1.15 and 1.37.

conclusionsThese results suggest that incorporation of quantitative information about albuminuria into staging systems based on eGFR adds significant prognostic information about risk for diabetic ESRD and death.

Indexed as

Glomerular Filtration RateAdultAlbuminuriaBiomarkersCreatinineDiabetes Mellitus, Type 2Diabetic NephropathiesDisease ProgressionFemaleHumansIncidenceIndians, North AmericanKidneyKidney Failure, ChronicLongitudinal StudiesMaleBiomarkersCreatinine

Identifiers

PMID21852671
PMCPMC3186453
OpenAlexW2119012442

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.