Evidence map›Paper›PMID 22383748›Full record

Trial reportClinical journal of the American Society of Nephrology : CJASN2012

Racial differences in markers of mineral metabolism in advanced chronic kidney disease.

Anna Jovanovich, Michel Chonchol, Alfred K Cheung, James S Kaufman, Tom Greene, William L Roberts, Gerard Smits, Jessica Kendrick, HOST Investigators

Abstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Clinical journal of the American Society of Nephrology : CJASN, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
1.7field-weighted citation impact, top 16% 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

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Interventions for lowering plasma homocysteine levels in dialysis patients.The Cochrane database of systematic reviews · 2016
    Pooled it
  4. Trial
  5. Review
  6. Genetic Variants Associated With Mineral Metabolism Traits in Chronic Kidney Disease.The Journal of clinical endocrinology and metabolism · 2022
    Article
  7. Review
  8. Race and Ethnicity Predict Bone Markers and Fracture in Pediatric Patients With Chronic Kidney Disease.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2021
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. The Role of Vitamin D in CKD Stages 3 to 4: Report of a Scientific Workshop Sponsored by the National Kidney Foundation.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2018
    Review
  14. Article
  15. Fibroblast Growth Factor 23 is Associated With Adiposity in Patients Receiving Hemodialysis: Possible Cross Talk Between Bone and Adipose Tissue.Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation · 2018
    Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
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

9 authors at 6 institutions in 1 country.

Anna JovanovichDivision of Renal Diseases and Hypertension, University of Colorado School of Medicine, Aurora, USA.
Michel Chonchol
Alfred K Cheung
James S Kaufman
Tom Greene
William L Roberts
Gerard Smits
Jessica Kendrick
HOST Investigators
University of Colorado Denver · USBoston University · USDenver Health Medical Center · USHypertension Institute · USUniversity of Utah · USVA Salt Lake City Healthcare System · US

Funding

Adipokines in Hemodialysis PatientsR01DK078112 · NIDDK · UNIVERSITY OF UTAH · PI BEDDHU, SRINIVASAN · 2008 to 2011
$2.2M
Vitamin D and Clinical Outcomes in Chronic Hemodialysis PatientsR01DK081473 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI CHONCHOL, MICHEL BENJAMIN · 2009 to 2012
$1.4M
Vitamin D and Arterial Function in Patients with Chronic Kidney DiseaseK23DK087859 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI KENDRICK, JESSICA B · 2011 to 2015
$784k
NIDDK NIH HHS K23 DK087859NIDDK NIH HHS K23DK087859-01A1NIDDK NIH HHS R01 DK078112NIDDK NIH HHS R01 DK081473
6 · The paper itself

Abstract

BACKGROUND AND

objectivesThis study examined differences in the concentration of markers of mineral metabolism across race in patients with advanced CKD not requiring dialysis and ESRD. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: Concentrations of 25-hydroxyvitamin D (25(OH)D), 1,25-dihydroxyvitamin D (1,25(OH)(2)D), intact parathyroid hormone (iPTH), and fibroblast growth factor 23 (FGF-23) were measured in stored plasma samples of 1497 patients with advanced CKD not yet on dialysis and ESRD who participated in the Homocysteine in Kidney and End Stage Renal Disease study. Linear regression models were used to examine the relationship between race and 25(OH)D, 1,25(OH)(2)D, iPTH, and FGF-23 concentrations.

resultsNon-Hispanic white patients comprised 58% of the cohort, whereas non-Hispanic blacks comprised 42%. Median (interquartile range) FGF-23 concentrations were lower in blacks compared with whites with CKD (323 [181-655] versus 431 [232-1026] RU/ml; P<0.001) but not in ESRD. In adjusted linear regression models, blacks with CKD not requiring dialysis had significantly lower plasma FGF-23 concentrations (difference, -159; 95% confidence interval, -205 to -106; P<0.001) compared with whites, independent of plasma 25(OH)D, 1,25(OH)(2)D, and iPTH concentrations. This difference was not observed in the ESRD group. The magnitude of correlation for the relationships between 1,25(OH)(2)D with iPTH, FGF-23 with 1,25(OH)(2)D, and FGF-23 with iPTH were stronger among blacks than whites with CKD not requiring dialysis.

conclusionsIn advanced CKD not requiring dialysis, blacks have lower FGF-23 concentrations than whites. Blacks with CKD and ESRD have lower 25(OH)D and higher iPTH compared with whites, independent of FGF-23 concentrations.

Indexed as

AgedBiomarkersBlack or African AmericanBone and BonesChi-Square DistributionChronic DiseaseCross-Sectional StudiesFemaleFibroblast Growth Factor-23Fibroblast Growth FactorsHumansKidney DiseasesKidney Failure, ChronicLinear ModelsMaleMetabolic Diseases1,25-dihydroxyvitamin D25-hydroxyvitamin DBiomarkersFGF23 protein, humanFibroblast Growth Factor-23Fibroblast Growth FactorsParathyroid HormonePTH protein, humanVitamin D

Identifiers

PMID22383748
PMCPMC3315341
OpenAlexW2152107150

What OpenQuestion holds

Textmetadata
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.