Evidence map›Paper›PMID 25852865›Full record

ArticleClinical kidney journal2014

Magnesium and FGF-23 are independent predictors of pulse pressure in pre-dialysis diabetic chronic kidney disease patients.

André Fragoso, Ana Paula Silva, Kristina Gundlach, Janine Büchel, Pedro Leão Neves

Open access · bronzeAbstract read
In one paragraph

Article in Clinical kidney journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.1field-weighted citation impact, top 14% 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

14 citing papers in PubMed, 27 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
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  5. Observational
  6. Incremental prognostic value of SPECT-MPI in chronic kidney disease: A reclassification analysis.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2018
    Article
  7. Review
  8. Interpreting magnesium status to enhance clinical care: key indicators.Current opinion in clinical nutrition and metabolic care · 2017
    Review
  9. The Biology of Hemodialysis Vascular Access Failure.Seminars in interventional radiology · 2016
    Review
  10. Review
  11. Review
  12. Review
  13. Article
  14. Article
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

5 authors at 2 institutions in 2 countries.

André FragosoNephrology Department , Hospital de Faro E.P.E. , Faro , Portugal.
Ana Paula SilvaNephrology Department , Hospital de Faro E.P.E. , Faro , Portugal.
Kristina GundlachFresenius Medical Care Deutschland GmbH , Renal Pharma/Biomedical & Pharmaceutical Research , Bad Homburg , Germany.
Janine BüchelFresenius Medical Care Deutschland GmbH , Renal Pharma/Biomedical & Pharmaceutical Research , Bad Homburg , Germany.
Pedro Leão NevesNephrology Department , Hospital de Faro E.P.E. , Faro , Portugal.
Hospital de Faro EPE · PTFresenius Medical Care (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of our study was to evaluate the relevance of magnesium and FGF-23 in terms of cardiovascular disease in a population of type 2 diabetic patients with nephropathy.

methodsIn a cross-sectional study, we included 80 type 2 diabetic patients with chronic kidney disease (CKD) stages 2, 3 and 4. We analysed mineral metabolism, inflammation, oxidative stress and insulin resistance. Our population was divided into two groups according to their pulse pressure (PP) as follows: G-1 with PP < 50 mmHg (n = 34) and G-2 with PP ≥ 50 mmHg (n = 46).

resultsWe found that G-2 patients showed lower calcium (P = 0.004), eGFR (P = 0.001), magnesium (P = 0.0001), osteocalcin (P = 0.0001) and 25(OH)D3 (P = 0.001), and higher iPTH (P = 0.001), FGF-23 (P = 0.0001), malonaldehyde (P = 0.0001), interleukin 6 (P = 0.001) and HOMA-IR (P = 0.033). No differences were found between the two groups regarding age, duration of disease, haemoglobin, HgA1c and phosphorus. In a multivariate analysis, we found that FGF-23 and magnesium independently influenced the PP [OR = 1.239 (1.001-2.082), P = 0.039 and OR = 0.550 (0.305-0.727), P = 0.016, respectively].

conclusionsIn our diabetic population with early stages of CKD, FGF-23 as well as lower magnesium levels were significantly and independently associated with higher PP levels, an established marker of cardiovascular morbidity and mortality.

Indexed as

diabetesFGF-23magnesiumpre-dialysispulse pressure

Identifiers

PMID25852865
PMCPMC4377779
OpenAlexW2120740428

What OpenQuestion holds

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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.