Evidence map›Paper›PMID 26167466›Full record

ArticleWorld journal of nephrology2015

Low T3 syndrome and long-term mortality in chronic hemodialysis patients.

Stylianos Fragidis, Konstantinos Sombolos, Elias Thodis, Stylianos Panagoutsos, Euthymia Mourvati, Maria Pikilidou, Aikaterini Papagianni, Ploumis Pasadakis, Vasilios Vargemezis

Abstract read
In one paragraph

Article in World journal of nephrology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–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.

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

17 citing papers in PubMed.

  1. Article
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  5. Observational
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  15. Thyroid dysfunction and kidney disease: An update.Reviews in endocrine & metabolic disorders · 2017
    Review
  16. Observational
  17. Review
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

9 authors.

Stylianos FragidisStylianos Fragidis, Elias Thodis, Stylianos Panagoutsos, Euthymia Mourvati, Ploumis Pasadakis, Vasilios Vargemezis, Department of Nephrology, Medical School, Democritus University of Thrace, 68100 Alexadroupolis, Greece.
Konstantinos SombolosStylianos Fragidis, Elias Thodis, Stylianos Panagoutsos, Euthymia Mourvati, Ploumis Pasadakis, Vasilios Vargemezis, Department of Nephrology, Medical School, Democritus University of Thrace, 68100 Alexadroupolis, Greece.
Elias ThodisStylianos Fragidis, Elias Thodis, Stylianos Panagoutsos, Euthymia Mourvati, Ploumis Pasadakis, Vasilios Vargemezis, Department of Nephrology, Medical School, Democritus University of Thrace, 68100 Alexadroupolis, Greece.
Stylianos PanagoutsosStylianos Fragidis, Elias Thodis, Stylianos Panagoutsos, Euthymia Mourvati, Ploumis Pasadakis, Vasilios Vargemezis, Department of Nephrology, Medical School, Democritus University of Thrace, 68100 Alexadroupolis, Greece.
Euthymia MourvatiStylianos Fragidis, Elias Thodis, Stylianos Panagoutsos, Euthymia Mourvati, Ploumis Pasadakis, Vasilios Vargemezis, Department of Nephrology, Medical School, Democritus University of Thrace, 68100 Alexadroupolis, Greece.
Maria PikilidouStylianos Fragidis, Elias Thodis, Stylianos Panagoutsos, Euthymia Mourvati, Ploumis Pasadakis, Vasilios Vargemezis, Department of Nephrology, Medical School, Democritus University of Thrace, 68100 Alexadroupolis, Greece.
Aikaterini PapagianniStylianos Fragidis, Elias Thodis, Stylianos Panagoutsos, Euthymia Mourvati, Ploumis Pasadakis, Vasilios Vargemezis, Department of Nephrology, Medical School, Democritus University of Thrace, 68100 Alexadroupolis, Greece.
Ploumis PasadakisStylianos Fragidis, Elias Thodis, Stylianos Panagoutsos, Euthymia Mourvati, Ploumis Pasadakis, Vasilios Vargemezis, Department of Nephrology, Medical School, Democritus University of Thrace, 68100 Alexadroupolis, Greece.
Vasilios VargemezisStylianos Fragidis, Elias Thodis, Stylianos Panagoutsos, Euthymia Mourvati, Ploumis Pasadakis, Vasilios Vargemezis, Department of Nephrology, Medical School, Democritus University of Thrace, 68100 Alexadroupolis, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate the predictive value of low freeT3 for long-term mortality in chronic hemodialysis (HD) patients and explore a possible causative role of chronic inflammation.

methodsOne hundred fourteen HD patients (84 males) consecutively entered the study and were assessed for thyroid function and two established markers of inflammation, high sensitivity C-reactive protein (hsCRP) and interleukin-6 (IL-6). Monthly blood samples were obtained from all patients for three consecutive months during the observation period for evaluation of thyroid function and measurement of inflammatory markers. The patients were then divided in two groups based on the cut-off value of 1.8 pg/mL for mean plasma freeT3, and were prospectively studied for a mean of 50.3 ± 30.8 mo regarding cumulative survival. The prognostic power of low serum fT3 levels for mortality was assessed using the Kaplan-Meier method and univariate and multivariate regression analysis.

resultsKaplan-Meier survival curve showed a negative predictive power for low freeT3. In Cox regression analysis low freeT3 remained a significant predictor of mortality after adjustment for age, diabetes mellitus, hypertension, hsCRP, serum creatinine and albumin. Regarding the possible association with inflammation, freeT3 was correlated with hsCRP, but not IL-6, and only at the first month of the study.

conclusionIn chronic hemodialysis patients, low plasma freeT3 is a significant predictor of all-cause mortality. Further studies are required to identify the underlying mechanisms of this association.

Indexed as

C-reactive proteinHemodialysisInflammationInterleukin-6Low T3 syndromeMortality

Identifiers

PMID26167466
PMCPMC4491933

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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.