Evidence map›Paper›PMID 21944667›Full record

Trial reportAmerican journal of kidney diseases : the official journal of the National Kidney Foundation2011

Comparison of measured GFR, serum creatinine, cystatin C, and beta-trace protein to predict ESRD in African Americans with hypertensive CKD.

Nrupen A Bhavsar, Lawrence J Appel, John W Kusek, Gabriel Contreras, George Bakris, Josef Coresh, Brad C Astor, AASK Study Group

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in American journal of kidney diseases : the official journal of the National Kidney Foundation, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
3.9field-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.

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

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 81 citations in OpenAlex.

  1. Beta-blockers for hypertension.The Cochrane database of systematic reviews · 2017
    Pooled it
  2. Filtration Markers as Predictors of ESRD and Mortality: Individual Participant Data Meta-Analysis.Clinical journal of the American Society of Nephrology : CJASN · 2017
    Pooled it
  3. Trial
  4. Filtration Markers, Cardiovascular Disease, Mortality, and Kidney Outcomes in Stable 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
  5. Article
  6. GFR estimated with creatinine rather than cystatin C is more reflective of the true risk of adverse outcomes with low GFR in kidney transplant recipients.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. A New Panel-Estimated GFR, Including βAmerican journal of kidney diseases : the official journal of the National Kidney Foundation · 2021
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Relationships of Measured Iohexol GFR and Estimated GFR With CKD-Related Biomarkers in Children and Adolescents.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2017
    Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Nrupen A BhavsarWelch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, MD, USA.
Lawrence J Appel
John W Kusek
Gabriel Contreras
George Bakris
Josef Coresh
Brad C Astor
AASK Study Group
Johns Hopkins University · USNational Institutes of Health · USUniversity of Chicago · USUniversity of Miami · US

Funding

ZOVIRAX CREAM TO TREAT HERPES LABIALIS IN ADOLESCENTSM01RR000827 · NCRR · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ZELL, JASON · 1985 to 2010
$74.3M
ZIPRASIDONE (GEODON) AUGMENTATION IN SEROTONIN REUPTAKE INHIBITOR-RESISTANT OBM01RR000071 · NCRR · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI OHNUMA, TAKAO · 1985 to 2009
$41.5M
ZINC AND CA EDTA THERAPY OF PLUMBISMM01RR000052 · NCRR · JOHNS HOPKINS UNIVERSITY · PI PERSAUD, DEBORAH · 1985 to 2007
$37.3M
Zosuquidar trihydrochloride for acute myeloid leukemia &refractory anemiaM01RR000080 · NCRR · UNIVERSITY HOSPITALS OF CLEVELAND · PI DAVIS, PAMELA B · 1985 to 2007
$22.2M
CARDIOVASCULAR EPIDEMIOLOGY INSTITUTIONAL TRAININGT32HL007024 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Elizabeth Selvin · 1985 to 2026
$17.5M
YQ MICRODELETIONS AND MALE INFERTILITYP20RR011145 · NCRR · CHARLES R. DREW UNIVERSITY OF MED &SCI · PI SINHA-HIKIM, INDRANI · 1995 to 2009
$17.0M
Chronic Renal Disease-Individual Patient Meta AnalysisU01DK053869 · NIDDK · TUFTS MEDICAL CENTER · PI LEVEY, ANDREW S · 2005 to 2007
$2.5M
Renal and Cardiovascular Events in Patients with Chronic Kidney DiseaseK24DK062234 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI OJO, AKINLOLU OLUSEUN · 2002 to 2013
$1.6M
MENTORING PROGRAM FOR CLINICAL RESEARCHERS IN NEPHROLOGYK24DK002818 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2001 to 2010
$1.5M
MDRD LONG TERM FOLLOW UP STUDYU01DK035073 · NIDDK · CLEVELAND CLINIC FOUNDATION · PI BECK, GERALD J · 1986 to 2004
$650k
Refining Estimates of Kidney Function in the U.S.U01DK067651 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI CORESH, JOSEF · 2005 to 2007
$377k
Endogenous Cardiac Glycosides in AASKR21DK078218 · NIDDK · UNIVERSITY OF WISCONSIN-MADISON · PI ASTOR, BRAD C · 2009 to 2010
$320k
NCRR NIH HHS 5M01 RR00071NCRR NIH HHS M01 RR000052NCRR NIH HHS M01 RR000071NCRR NIH HHS M01 RR000080NCRR NIH HHS M01 RR00052NCRR NIH HHS M01-RR00080NCRR NIH HHS M01 RR000827NCRR NIH HHS M01 RR00827NCRR NIH HHS P20 RR011145NCRR NIH HHS P20-RR11145NHLBI NIH HHS T32 HL007024NHLBI NIH HHS T32HL07024NIDDK NIH HHS DK 2818-02NIDDK NIH HHS K24 DK002818NIDDK NIH HHS K24 DK062234NIDDK NIH HHS R21 DK078218NIDDK NIH HHS R21DK078218NIDDK NIH HHS U01 DK 053869NIDDK NIH HHS U01 DK 067651NIDDK NIH HHS U01 DK 35073PHS HHS 2P20 R11104PHS HHS M01 00032
6 · The paper itself

Abstract

backgroundIdentification of persons with chronic kidney disease (CKD) who are at highest risk to progress to end-stage renal disease (ESRD) is necessary to reduce the burden of kidney failure. The relative utility of traditional markers of kidney function, including estimated glomerular filtration rate (eGFR) and serum creatinine level, and emerging markers of kidney function, including cystatin C and beta-trace protein (BTP) levels, to predict ESRD and mortality has yet to be established. STUDY

designRandomized clinical trial followed by an observational cohort study. SETTING &

participants865 African American individuals with hypertensive CKD enrolled in a clinical trial of 2 levels of blood pressure control and 3 different antihypertensive drugs as initial therapy and subsequently followed by an observational cohort study. PREDICTORS: Quintile of measured GFR (mGFR) by iothalamate clearance, serum creatinine, serum creatinine-based eGFR, cystatin C, and BTP values. OUTCOMES & MEASUREMENTS: Incidence of ESRD and mortality.

results246 participants reached ESRD during a median follow-up of 102 months. The incidence rate of ESRD was higher with higher quintiles of each marker. The association between higher BTP level and ESRD was stronger than those for the other markers, including mGFR. All markers remained significantly associated with ESRD after adjustment for mGFR and relevant covariates (all P < 0.05), with BTP level retaining the strongest association (HR for highest vs lowest quintile, 5.7; 95% CI, 2.2-14.9). Associations with the combined end point of ESRD or mortality (n = 390) were weaker, but remained significant for cystatin C (P = 0.05) and BTP levels (P = 0.004). LIMITATIONS: The ability of these markers to predict ESRD and mortality in other racial and ethnic groups and in individuals with CKD due to other causes is unknown.

conclusionsPlasma BTP and cystatin C levels may be useful adjuncts to serum creatinine level and mGFR in evaluating risk of progression of kidney disease.

Indexed as

AgedBiomarkersBlack or African AmericanCreatinineCystatin CDisease ProgressionFemaleHumansHypertensionIntramolecular OxidoreductasesKidney Failure, ChronicLipocalinsMaleMiddle AgedPredictive Value of TestsRenal Insufficiency, ChronicBiomarkersCreatinineCystatin CIntramolecular OxidoreductasesLipocalinsprostaglandin R2 D-isomerase

Identifiers

PMID21944667
PMCPMC3221777
OpenAlexW2158978306

What OpenQuestion holds

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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.