Evidence map›Paper›PMID 22917700›Full record

ArticleClinical journal of the American Society of Nephrology : CJASN2012

Association of smoking with cardiovascular and infection-related morbidity and mortality in chronic hemodialysis.

Finnian R Mc Causland, Steven M Brunelli, Sushrut S Waikar

Abstract read
In one paragraph

Article 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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Review
  2. Observational
  3. Article
  4. Review
  5. Observational
  6. Tobacco and the pediatric chronic kidney disease population.Pediatric nephrology (Berlin, Germany) · 2015
    Review
  7. Evidence-based cardiology in hemodialysis patients.Journal of the American Society of Nephrology : JASN · 2013
    Review
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

3 authors.

Finnian R Mc CauslandRenal Division, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts 02116, USA. fmccausland@partners.org
Steven M Brunelli
Sushrut S Waikar

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
Urinary Biomarkers of Chronic Kidney Disease Pathology and ProgressionU01DK085660 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI BONVENTRE, JOSEPH VINCENT, WAIKAR, SUSHRUT S. · 2009 to 2019
$5.3M
Blood pressure variability and cardiovascular disease in hemodialysis patientsK23DK079056 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI BRUNELLI, STEVEN · 2008 to 2012
$695k
Determinants of the Incidence and Outcome of Acute Renal FailureK23DK075941 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI WAIKAR, SUSHRUT S. · 2007 to 2011
$680k
NCRR NIH HHS UL1 RR025758NIDDK NIH HHS DK075941NIDDK NIH HHS DK079056NIDDK NIH HHS K23 DK075941NIDDK NIH HHS K23 DK079056NIDDK NIH HHS U01 DK085660NIDDK NIH HHS U01DK085660
6 · The paper itself

Abstract

BACKGROUND AND

objectivesSmoking is common in the hemodialysis population and is associated with increased all-cause mortality and development of cardiovascular disease. Cause-specific outcomes have not yet been examined in detail. This study investigated the association of baseline smoking status with all-cause, cardiovascular, and infection-related morbidity and mortality in patients undergoing long-term hemodialysis. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: Post hoc analysis of the HEMO Study in patients with available comorbidity, clinical, and nutritional data. Cox proportional hazards regression models were fit to estimate the association of smoking status with mortality. Poisson and negative binomial regression models were fit to estimate the association of smoking status with hospitalization rate.

resultsComplete data were available for 1842 individuals (44% male, 63% black, 45% diabetic). Mean age was 58 ± 14 years. At baseline, 17% were current smokers and 32% were former smokers. After case-mix adjustment, compared with never smoking, current smoking was associated with greater infection-related mortality (hazard ratio [HR], 2.04; 95% confidence interval [CI], 1.32-3.10) and all-cause mortality (HR, 1.44; 95% CI, 1.16-1.79) and greater cardiovascular (incidence rate ratio [IRR], 1.49; 95% CI, 1.22-1.82), infection-related (IRR, 1.35; 95% CI, 1.11-1.64) and all-cause (IRR, 1.43; 95% CI, 1.24-1.65) hospitalization rates. The population attributable fraction (i.e., fraction of observed deaths that may have been avoided) was 5.3% for current smokers versus never-smokers and 2.1% for current versus former smokers.

conclusionsActive smoking is prevalent in the chronic hemodialysis population and is associated with greater all-cause, cardiovascular, and infection-related morbidity and mortality.

Indexed as

AdultAgedCardiovascular DiseasesFemaleHospitalizationHumansInfectionsMaleMiddle AgedMorbidityRenal DialysisSmoking

Identifiers

PMID22917700
PMCPMC3488948

What OpenQuestion holds

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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.