Evidence map›Paper›PMID 26045089›Full record

ArticleJournal of the American Society of Nephrology : JASN2015

Cause-Specific Deaths in Non-Dialysis-Dependent CKD.

Sankar D Navaneethan, Jesse D Schold, Susana Arrigain, Stacey E Jolly, Joseph V Nally

Registry-linked trialAbstract read
In one paragraph

Article 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. It is linked to trial NCT03832166 (A Prospective, Randomized Two Group Study to Evaluate the Feasibility and Initial Efficacy of a Community-engaged Screening, Identification, and F&V Intervention to Improve F&V Intake and CKD Outcomes in 140 AA Adults), which is not on this map. Cited by 76 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT03832166 nacompletednot on this mapstarted 2019, after this paper: background citation

A Prospective, Randomized Two Group Study to Evaluate the Feasibility and Initial Efficacy of a Community-engaged Screening, Identification, and F&V Intervention to Improve F&V Intake and CKD Outcomes in 140 AA Adults

TypeinterventionalSponsorBaylor Research InstituteRan2019 to 2020Enrolled142ConditionsCKD, ESRDArmsFruits and Vegetables, Cooking
3 · Its place in the literature

Who cites it

76 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Chronic kidney disease and risk of kidney or urothelial malignancy: systematic review and meta-analysis.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024
    Pooled it
  3. Pooled it
  4. Trial
  5. Review
  6. Adverse Muscle Composition Is Associated with All-Cause Mortality in CKD: A UK Biobank Imaging Study.Clinical journal of the American Society of Nephrology : CJASN · 2026
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Lower absolute numbers of CD4Renal failure · 2025
    Article
  13. Physical activity and cardiorenal health-from associations to interventional studies.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Review
  14. Article
  15. Article
  16. SerumLife (Basel, Switzerland) · 2025
    Article
  17. Review
  18. The potential for improving cardio-renal outcomes in chronic kidney disease with the aldosterone synthase inhibitor vicadrostat (BI 690517): a rationale for the EASi-KIDNEY trial.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Article
  19. Article
  20. Cardiovascular and Kidney Outcomes of Non-Diabetic CKD by Albuminuria Severity: Findings From the CRIC Study.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2024
    Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Sankar D NavaneethanDepartment of Nephrology and Hypertension, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio; Cleveland Clinic Lerner College of Medicine of CWRU, Cleveland, Ohio; and navanes@ccf.org.
Jesse D ScholdDepartment of Nephrology and Hypertension, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio; Departments of Quantitative Health Sciences, and.
Susana ArrigainDepartments of Quantitative Health Sciences, and.
Stacey E JollyCleveland Clinic Lerner College of Medicine of CWRU, Cleveland, Ohio; and General Internal Medicine, Medicine Institute, Cleveland Clinic, Cleveland, Ohio.
Joseph V NallyDepartment of Nephrology and Hypertension, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio; Cleveland Clinic Lerner College of Medicine of CWRU, Cleveland, Ohio; and.

Funding

Visceral Adiposity and Physical Fitness in CKDR01DK101500 · NIDDK · CLEVELAND CLINIC LERNER COM-CWRU · PI NAVANEETHAN, SANKAR DASS · 2014 to 2018
$3.0M
Chronic Kidney Disease Knowledge and Awareness among American IndiansK23DK091363 · NIDDK · CLEVELAND CLINIC LERNER COM-CWRU · PI JOLLY, STACEY · 2011 to 2015
$796k
Navigating the Challenges of Chronic Kidney DiseaseR34DK094112 · NIDDK · CLEVELAND CLINIC LERNER COM-CWRU · PI NALLY, JOSEPH · 2011 to 2013
$700k
NIDDK NIH HHS K23 DK091363NIDDK NIH HHS R01 DK101500NIDDK NIH HHS R34 DK094112
6 · The paper itself

Abstract

CKD is associated with higher risk of death, but details regarding differences in cause-specific death in CKD are unclear. We examined the leading causes of death among a non-dialysis-dependent CKD population using an electronic medical record-based CKD registry in a large healthcare system and the Ohio Department of Health mortality files. We included 33,478 white and 5042 black patients with CKD who resided in Ohio between January 2005 and September 2009 and had two measurements of eGFR<60 ml/min per 1.73 m(2) obtained 90 days apart. Causes of death (before ESRD) were classified into cardiovascular, malignancy, and non-cardiovascular/non-malignancy diseases and non-disease-related causes. During a median follow-up of 2.3 years, 6661 of 38,520 patients (17%) with CKD died. Cardiovascular diseases (34.7%) and malignant neoplasms (31.8%) were the leading causes of death, with malignancy-related deaths more common among those with earlier stages of kidney disease. After adjusting for covariates, each 5 ml/min per 1.73 m(2) decline in eGFR was associated with higher risk of death due to cardiovascular disease (hazard ratio [HR], 1.10; 95% confidence interval [95% CI], 1.08 to 1.12) and non-cardiovascular/non-malignancy diseases (HR, 1.12; 95% CI, 1.09 to 1.14) but not to malignancy. In the adjusted models, blacks had overall-mortality hazard ratios similar to those of whites but higher hazard ratios for cardiovascular deaths. Further studies to confirm these findings and explain the mechanisms for differences are warranted. In addition to lowering cardiovascular burden in CKD, efforts to target known risk factors for cancer at the population level are needed.

Indexed as

AgedCause of DeathFemaleHumansMaleRenal DialysisRenal Insufficiency, Chroniccardiovascular diseasechronic kidney diseasemalignancymortality

Identifiers

PMID26045089
PMCPMC4587705

What OpenQuestion holds

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Registered trials

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.