Evidence map›Paper›PMID 23066118›Full record

ArticleThe Journal of clinical endocrinology and metabolism2012

The association of parathyroid hormone with ESRD and pre-ESRD mortality in the Kidney Early Evaluation Program.

Georges Saab, Andrew S Bomback, Samy I McFarlane, Suying Li, Shu-Cheng Chen, Peter A McCullough, Adam Whaley-Connell, Kidney Early Evaluation Program Investigators

Open access · bronzeAbstract readEvaluation Study
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 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
0.7field-weighted citation impact, top 31% 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

7 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
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  6. Observational
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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

8 authors at 6 institutions in 1 country.

Georges SaabMetroHealth Medical Center, 2500 MetroHealth Drive, G531, Cleveland, Ohio 44109, USA. saabge@yahoo.com
Andrew S Bomback
Samy I McFarlane
Suying Li
Shu-Cheng Chen
Peter A McCullough
Adam Whaley-Connell
Kidney Early Evaluation Program Investigators
Orthopaedic Research Foundation · USColumbia University · USMetroHealth Medical Center · USProvidence Hospital · USSUNY Downstate Health Sciences University · USUniversity of Missouri · US

Funding

The Role of Angiotensin II on mTOR mediated Tubulointerstitial FibrosisR03AG040638 · NIA · UNIVERSITY OF MISSOURI-COLUMBIA · PI WHALEY CONNELL, ADAM T · 2011 to 2012
$146k
NIA NIH HHS AG040638NIA NIH HHS R03 AG040638
6 · The paper itself

Abstract

contextStudies have suggested that PTH may influence mortality and progression of chronic kidney disease. However, the development of either event may influence the development of the other as a competing risk.

objectiveThe objective of the study was to examine the association of PTH with end-stage renal disease (ESRD) and pre-ESRD death using a competing risk survival model. DESIGN, SETTING, AND PATIENTS: A total of 10,823 participants in the Kidney Early Evaluation Program with chronic kidney disease (estimated glomerular filtration rate < 60 ml/min per 1.73 m(2)) were examined from 2005 to 2010.

main outcome measuresThe association of PTH levels with ESRD and pre-ESRD mortality was ascertained by linking Kidney Early Evaluation Program data to the Social Security Administration Death Master File and the U.S. Renal Data System.

resultsAmong the cohort, the incidence of ESRD and pre-ESRD mortality was 6.4 and 20.1 events per 1000 person-years. Higher PTH levels were associated with increasing age, black race, lack of a high school education, cardiovascular disease, hypertension, and lower glomerular filtration rate. The incidence of ESRD and pre-ESRD mortality was lowest among participants in the second PTH quintile. After multivariate adjustment, as compared with the second quintile, the risk of pre-ESRD mortality was higher in the third [subhazard ratio (SHR) 1.52 (95% confidence interval 1.04-2.22)], fourth [SHR 1.73 (95% confidence interval 1.19-2.52)], and fifth [SHR 1.86 (1.28-2.52)] quintiles, respectively. Conversely, PTH was not associated with ESRD after multivariate adjustment. The association was not modified by diabetic status, gender, race, or glomerular filtration rate status.

conclusionsElevated PTH levels are associated with increased pre-ESRD mortality but not with ESRD.

Indexed as

AgedAged, 80 and overCohort StudiesDisease ProgressionEarly DiagnosisFemaleHumansKidney Failure, ChronicMaleMass ScreeningMiddle AgedNational Health ProgramsParathyroid HormoneRenal Insufficiency, ChronicUnited StatesParathyroid Hormone

Identifiers

PMID23066118
PMCPMC3591681
OpenAlexW1997015607

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.