Evidence map›Paper›PMID 22338109›Full record

ArticleDiabetes care2012

One risk assessment tool for cardiovascular disease, type 2 diabetes, and chronic kidney disease.

Marjan Alssema, Rachel S Newson, Stephan J L Bakker, Coen D A Stehouwer, Martijn W Heymans, Giel Nijpels, Hans L Hillege, Albert Hofman, Jacqueline C M Witteman, Ron T Gansevoort and 1 more

Open access · bronzeAbstract readEvaluation StudyValidation Study
In one paragraph

Article in Diabetes care, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 9% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Socioeconomic measures and CKD in the United States and The Netherlands.Clinical journal of the American Society of Nephrology : CJASN · 2013
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Marjan AlssemaDepartment of Epidemiology and Biostatistics, VU University Medical Center, Amsterdam, The Netherlands. marjanalssema@hotmail.com
Rachel S Newson
Stephan J L Bakker
Coen D A Stehouwer
Martijn W Heymans
Giel Nijpels
Hans L Hillege
Albert Hofman
Jacqueline C M Witteman
Ron T Gansevoort
Jacqueline M Dekker
Amsterdam UMC Location VUmc · NLErasmus MC · NLUniversity Medical Center Groningen · NLEMGO Institute for Health and Care Research · NLMaastricht University Medical Centre · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIndividuals at high risk for chronic cardiometabolic disease (cardiovascular disease [CVD], type 2 diabetes, and chronic kidney disease [CKD]) share many risk factors and would benefit from early intervention. We developed a nonlaboratory-based risk-assessment tool for identification of people at high cardiometabolic disease risk. RESEARCH DESIGN AND

methodsData of three population-based cohorts from different regions of the Netherlands were merged. Participants were 2,840 men and 3,940 women, white, aged 28-85 years, free from CVD, type 2 diabetes, and CKD diagnosis at baseline. The outcome was developing cardiometabolic disease during 7 years follow-up.

resultsAge, BMI, waist circumference, antihypertensive treatment, smoking, family history of myocardial infarction or stroke, and family history of diabetes were significant predictors, whereas former smoking, history of gestational diabetes, and use of lipid-lowering medication were not. The models showed acceptable calibration (Hosmer and Lemeshow statistics, P > 0.05) and discrimination (area under the receiver operating characteristic [ROC] curve 0.82 [95% CI 0.81-0.83] for women and 0.80 [0.78-0.82] for men). Discrimination of individual outcomes was lowest for diabetes (area under the ROC curve 0.70 for men and 0.73 for women) and highest for CVD mortality (0.83 for men and 0.85 for women).

conclusionsWe demonstrate that a single risk stratification tool can identify people at high risk for future CVD, type 2 diabetes, and/or CKD. The present risk-assessment tool can be used for referring the highest risk individuals to health care for further (multivariable) risk assessment and may as such serve as an important part of prevention programs targeting chronic cardiometabolic disease.

Indexed as

Models, TheoreticalAdultAgedAged, 80 and overAlgorithmsCardiovascular DiseasesCohort StudiesDiabetes Mellitus, Type 2FemaleFollow-Up StudiesHumansKidney Failure, ChronicMaleMiddle AgedNetherlandsResearch Design

Identifiers

PMID22338109
PMCPMC3308277
OpenAlexW2127727836

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.