Evidence map›Paper›PMID 25012163›Full record

Trial reportJournal of the American Society of Nephrology : JASN2015

HDL cholesterol, apolipoproteins, and cardiovascular risk in hemodialysis patients.

Günther Silbernagel, Bernd Genser, Christiane Drechsler, Hubert Scharnagl, Tanja B Grammer, Tatjana Stojakovic, Vera Krane, Eberhard Ritz, Christoph Wanner, Winfried März

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Society of Nephrology : JASN, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

30 citing papers in PubMed, 51 citations in OpenAlex.

  1. Trial
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  9. Review
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  15. Review
  16. Article
  17. Kidney as modulator and target of "good/bad" HDL.Pediatric nephrology (Berlin, Germany) · 2019
    Review
  18. Article
  19. Lipid management in patients with chronic kidney disease.Nature reviews. Nephrology · 2018 · on this map
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 4 countries.

Günther SilbernagelDepartment of Angiology, Swiss Cardiovascular Center, Inselspital, University of Bern, Bern, Switzerland; guenther.silbernagel@insel.ch.
Bernd GenserMannheim Institute of Public Health, Social and Preventive Medicine, and Institute of Public Health, Federal University of Bahia, Salvador, Brazil; Division of Nephrology, Department of Medicine I, and.
Christiane DrechslerDivision of Nephrology, Department of Medicine I, and Comprehensive Heart Failure Centre, University of Würzburg, Würzburg, Germany;
Hubert ScharnaglClinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Graz, Austria;
Tanja B GrammerMannheim Institute of Public Health, Social and Preventive Medicine, and.
Tatjana StojakovicClinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Graz, Austria;
Vera KraneDivision of Nephrology, Department of Medicine I, and Comprehensive Heart Failure Centre, University of Würzburg, Würzburg, Germany;
Eberhard RitzDivision of Nephrology, Department of Internal Medicine, University of Heidelberg, Heidelberg, Germany; and.
Christoph WannerDivision of Nephrology, Department of Medicine I, and Comprehensive Heart Failure Centre, University of Würzburg, Würzburg, Germany;
Winfried MärzClinical Institute of Medical and Chemical Laboratory Diagnostics, Medical University of Graz, Graz, Austria; Medical Clinic V (Nephrology, Hypertensiology, Endocrinology, Diabetology, Rheumatology), Department of Internal Medicine, Mannheim Medical Faculty, University of Heidelberg, Mannheim, Germany; Synlab Academy, Synlab Services LLC, Mannheim, Germany.
Medical University of Graz · ATComprehensive Cancer Center Mainfranken · DEHeidelberg University · DEUniversidade Federal da Bahia · BRUniversity Hospital of Bern · CHUniversity of Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High concentrations of HDL cholesterol are considered to indicate efficient reverse cholesterol transport and to protect from atherosclerosis. However, HDL has been suggested to be dysfunctional in ESRD. Hence, our main objective was to investigate the effect of HDL cholesterol on outcomes in maintenance hemodialysis patients with diabetes. Moreover, we investigated the associations between the major protein components of HDL (apoA1, apoA2, and apoC3) and end points. We performed an exploratory, post hoc analysis with 1255 participants (677 men and 578 women) of the German Diabetes Dialysis study. The mean age was 66.3 years and the mean body mass index was 28.0 kg/m(2). The primary end point was a composite of cardiac death, myocardial infarction, and stroke. The secondary end point included all-cause mortality. The mean duration of follow-up was 3.9 years. A total of 31.3% of the study participants reached the primary end point and 49.1% died from any cause. HDL cholesterol and apoA1 and apoC3 quartiles were not related to end points. However, there was a trend toward an inverse association between apoA2 and all-cause mortality. The hazard ratio for death from any cause in the fourth quartile compared with the first quartile of apoA2 was 0.63 (95% confidence interval, 0.40 to 0.89). The lack of an association between HDL cholesterol and cardiovascular risk may support the concept of dysfunctional HDL in hemodialysis. The possible beneficial effect of apoA2 on survival requires confirmation in future studies.

Indexed as

Renal DialysisAgedApolipoproteinsBiomarkersCardiovascular DiseasesCholesterol, HDLFemaleHumansKidney Failure, ChronicMaleMiddle AgedPredictive Value of TestsPrognosisRetrospective StudiesRisk FactorsSurvival RateApolipoproteinsBiomarkersCholesterol, HDLcardiovascular diseasechronic dialysislipidsmortality risk

Identifiers

PMID25012163
PMCPMC4310646
OpenAlexW2112681449

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.