Evidence map›Paper›PMID 24129480›Full record

ArticleBMJ (Clinical research ed.)2013

Risk of moderate to advanced kidney disease in patients with psoriasis: population based cohort study.

Joy Wan, Shuwei Wang, Kevin Haynes, Michelle R Denburg, Daniel B Shin, Joel M Gelfand

Open access · hybridAbstract read
In one paragraph

Article in BMJ (Clinical research ed.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed, 5 pooled it
7.8field-weighted citation impact, top 2% 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

100 citing papers in PubMed, 5 syntheses or guidelines pooled it, 198 citations in OpenAlex.

  1. Pooled it
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  19. Review
  20. Psoriasis.Nature reviews. Disease primers · 2025
    Review

40 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Joy WanDepartment of Dermatology, University of Pennsylvania, Philadelphia, PA 19104, USA.
Shuwei Wang
Kevin Haynes
Michelle R Denburg
Daniel B Shin
Joel M Gelfand
University of Pennsylvania · USChildren's Hospital of Philadelphia · US

Funding

Institutional Clinical and Translational Science AwardUL1TR000003 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2012 to 2015
$38.9M
Penn Dermatology Research Training ProgramT32AR007465 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI Elizabeth Anne Grice, David Joel Margolis · 1986 to 2026
$9.0M
The Risk of Myocardial Infarction in Patients with PsoriasisR01HL089744 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI GELFAND, JOEL M · 2009 to 2013
$3.8M
Psoriasis and the Risk of DiabetesK24AR064310 · NIAMS · UNIVERSITY OF PENNSYLVANIA · PI GELFAND, JOEL M · 2013 to 2017
$870k
Vitamin D Deficiency in Glomerular DiseaseK23DK093556 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI DENBURG, MICHELLE · 2012 to 2016
$858k
Short Term Research Training for Medical StudentsT35DK060441 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI WOLF, BRYAN A · 2002 to 2011
$543k
NCATS NIH HHS UL1TR000003NHLBI NIH HHS R01 HL089744NHLBI NIH HHS R01-HL089744NIAMS NIH HHS K24 AR064310NIAMS NIH HHS K24AR064310NIAMS NIH HHS T32 AR007465NIDDK NIH HHS K23 DK093556NIDDK NIH HHS K23-DK093556NIDDK NIH HHS T35-DK060441
6 · The paper itself

Abstract

objectiveTo determine the risk of chronic kidney disease in patients with psoriasis.

designPopulation based cohort study and nested cross sectional study.

settingElectronic medical records database based in United Kingdom.

participantsCohort study: patients with psoriasis aged 18-90 each matched to up to five patients without psoriasis based on age, practice, and time of visit. Nested study: patients with psoriasis aged 25-64 with confirmed data on psoriasis severity, each matched to up to 10 patients without psoriasis based on age and practice.

main outcome measuresCohort study: incident moderate to advanced (stage 3 through 5) chronic kidney disease. Nested study: baseline prevalence of chronic kidney disease.

results136,529 patients with mild psoriasis and 7354 patients with severe psoriasis based on treatment patterns were matched to 689,702 unaffected patients. The adjusted hazard ratios (95% confidence intervals) for incident chronic kidney disease were 1.05 (1.02 to 1.07), 0.99 (0.97 to 1.02), and 1.93 (1.79 to 2.08) in the overall, mild, and severe psoriasis groups, respectively. Age was a significant effect modifier in the severe psoriasis group, with age specific adjusted hazard ratios (95% confidence intervals) of 3.82 (3.15 to 4.64) and 2.00 (1.86 to 2.17) for patients aged 30 and 60, respectively. In the nested analysis of 8731 patients with psoriasis with measurements of affected body surface area matched to 87,310 patients without psoriasis, the adjusted odds ratios (95% confidence intervals) for chronic kidney disease were 0.89 (0.72 to 1.10), 1.36 (1.06 to 1.74), and 1.58 (1.07 to 2.34) in the mild, moderate, and severe psoriasis groups, respectively.

conclusionsModerate to severe psoriasis is associated with an increased risk of chronic kidney disease independent of traditional risk factors.

Indexed as

AdolescentAdultAgedAged, 80 and overAge FactorsBody Surface AreaCase-Control StudiesConfidence IntervalsCross-Sectional StudiesDatabases, FactualElectronic Health RecordsFemaleHumansMaleMiddle AgedOdds Ratio

Identifiers

PMID24129480
PMCPMC3805477
OpenAlexW2063490210

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.