Evidence map›Paper›PMID 23300770›Full record

ArticlePloS one2012

Association of hsCRP, white blood cell count and ferritin with renal outcome in chronic kidney disease patients.

Yi-Chun Tsai, Chi-Chih Hung, Mei-Chuan Kuo, Jer-Chia Tsai, Shih-Meng Yeh, Shang-Jyh Hwang, Yi-Wen Chiu, Hung-Tien Kuo, Jer-Ming Chang, Hung-Chun Chen

Abstract read
In one paragraph

Article in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

21 citing papers in PubMed.

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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

10 authors.

Yi-Chun TsaiDivision of Nephrology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Chi-Chih Hung
Mei-Chuan Kuo
Jer-Chia Tsai
Shih-Meng Yeh
Shang-Jyh Hwang
Yi-Wen Chiu
Hung-Tien Kuo
Jer-Ming Chang
Hung-Chun Chen

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inflammation is a pathogenic factor in renal injury, but whether inflammation is related to renal outcome in chronic kidney disease (CKD) patients is little known. We thus assess the association of inflammation and renal outcome in an advanced CKD cohort. This study analyzed the association between inflammatory markers, such as C-reactive protein (hsCRP), white blood cell (WBC) count and ferritin, renal replacement therapy (RRT) and rapid renal progression (estimated GFR slope<-6 ml/min/1.73 m²/y) in 3303 patients with stage 3-5 CKD. In all subjects, the mean hsCRP, WBC count, and ferritin levels were 1.2 (0.4, 5.4) mg/L, 7.2±2.3×10³ cells/µL, and 200 (107,349) ng/mL, respectively. During a mean 3.2-year follow-up, there were 1080 (32.7%) subjects commencing RRT, and 841(25.5%) subjects presenting rapid renal progression. Both hsCRP and ferritin were associated with increased risk for RRT with the adjusted HR (tertile 3 versus tertile 1∶1.17 〔1.01-1.36〕 and 1.20 〔1.03-1.40〕, respectively). Both hsCRP and ferritin were associated with increased odds for rapid renal progression with the adjusted OR (tertile 3 versus tertile 1∶1.40 〔1.13-1.77〕 and 1.32 〔1.06-1.67〕, respectively). hsCRP and ferritin stratified by albumin were also associated with RRT and rapid renal progression. Instead, WBC count was not associated with renal outcome. In conclusion, elevated levels of hsCRP and ferritin are risk factors associated with RRT and rapid renal progression in advanced CKD patients.

Indexed as

AgedBiomarkersC-Reactive ProteinDisease ProgressionFemaleFerritinsGlomerular Filtration RateHumansInflammation MediatorsKidney TransplantationLeukocyte CountMaleMiddle AgedProportional Hazards ModelsRenal Insufficiency, ChronicRisk FactorsBiomarkersC-Reactive ProteinFerritinsInflammation MediatorsSerum Albumin

Identifiers

PMID23300770
PMCPMC3534111

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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.