Evidence map›Paper›PMID 26286924›Full record

ArticleClinical journal of the American Society of Nephrology : CJASN2015

Lifetime Risk of Stage 3-5 CKD in a Community-Based Sample in Iceland.

Lesley A Inker, Hocine Tighiouart, Thor Aspelund, Vilmundur Gudnason, Tamara Harris, Olafur S Indridason, Runolfur Palsson, Shani Shastri, Andrew S Levey, Mark J Sarnak

Abstract read
In one paragraph

Article in Clinical journal of the American Society of Nephrology : CJASN, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 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.

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 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Identification of Patients with CKD in Medical Databases: A Comparison of Different Algorithms.Clinical journal of the American Society of Nephrology : CJASN · 2021
    Article
  12. Article
  13. Observational
  14. Residual lifetime risk of chronic kidney disease.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2017
    Article
  15. Article
  16. Article
  17. Lifetime Risk of CKD: What Does It Really Mean?Clinical journal of the American Society of Nephrology : CJASN · 2015
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Lesley A InkerDivision of Nephrology and linker@tuftsmedicalcenter.org.
Hocine TighiouartInstitute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, Massachusetts; Tufts Clinical and Translational Science Institute, Tufts University, Boston, Massachusetts;
Thor AspelundIcelandic Heart Association, Kopavogur, Iceland; Centre for Public Health Sciences, University of Iceland, Reykjavik, Iceland;
Vilmundur GudnasonIcelandic Heart Association, Kopavogur, Iceland; Centre for Public Health Sciences, University of Iceland, Reykjavik, Iceland;
Tamara HarrisNational Institute on Aging, Bethesda, Maryland;
Olafur S IndridasonDivision of Nephrology, Landspitali - National University Hospital of Iceland, Reykjavik, Iceland; and.
Runolfur PalssonCentre for Public Health Sciences, University of Iceland, Reykjavik, Iceland; Division of Nephrology, Landspitali - National University Hospital of Iceland, Reykjavik, Iceland; and.
Shani ShastriDivision of Nephrology, University of Texas Southwestern, Dallas, Texas.
Andrew S LeveyDivision of Nephrology and.
Mark J SarnakDivision of Nephrology and.

Funding

THE PURPOSE OF MODIFICATION TO(1)INCREASE EFFORT OF OPTION 2 AND OPTION 3 FOR ICN01AG12100 · NIA · ICELANDIC HEART ASSOCIATION · PI GUDNASON, VILMUNDUR · 2007 to 2012
$18.4M
Kidney Function, Aortic Stiffness and AgingR01DK082447 · NIDDK · TUFTS MEDICAL CENTER · PI LEVEY, ANDREW S · 2010 to 2014
$2.4M
AGES STUDY-THE REYKJAVIK STUDY OF HEALTHY AGING FOR THE NEW MILLENNIUM-26012100N01AG012100 · NIA · ICELANDIC HEART ASSOCIATION · 2002 to 2004
–
NIA NIH HHS N01 AG012100NIA NIH HHS N01AG12100NIDDK NIH HHS R01 DK082447NIDDK NIH HHS R01-DK082447
6 · The paper itself

Abstract

BACKGROUND AND

objectivesLifetime risk estimates of CKD can be used effectively in public education campaigns. This study sought to estimate lifetime risk of incident CKD stage 3 and higher in Iceland for people without CKD by the age of 45 years. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: This was a prospective cohort study with longitudinal creatinine measurements of residents in Reykjavik, Iceland, from 1967 to 2005. CKD was ascertained by two consecutive eGFR measurements <60 ml/min per 1.73 m(2), development of treated kidney failure, one eGFR<60 ml/min per 1.73 m(2) if the participant died before the next evaluation, or one eGFR<45 ml/min per 1.73 m(2) if it was the last eGFR.

resultsMean follow-up was 25 (SD 10) years. Of the study participants, 727 (19%) developed the outcome and 942 (24%) died first. By age 85 years, the lifetime risks for 45-year-old women and men without prevalent CKD were 35.8% (95% confidence interval [95% CI], 32.7 to 38.9) and 21.3% (95% CI, 18.7 to 23.8), respectively. Risk was higher in individuals with a lower eGFR, hypertension, and a higher body mass index. Lifetime risk for higher stages of CKD 3b and 4 were less common than stage 3a; by age 85 years, the lifetime risks for CKD stages 3a, 3b, and 4 in women were 38.5% (95% CI, 25.8 to 51.1), 19.4% (95% CI, 8.9 to 29.9), and 3.6% (95% CI, 2.2 to 5.0), respectively.

conclusionsThe lifetime risk of developing CKD stage 3 or higher is substantial, emphasizing the importance of strategies to prevent development of CKD throughout the course of life. Estimates are lower than reported using single estimates of GFR, emphasizing the importance of confirming estimates of reduced GFR in studies of CKD.

Indexed as

AgedAged, 80 and overAge FactorsBody Mass IndexCreatinineFemaleGlomerular Filtration RateHumansHypertensionIcelandIncidenceKidney Failure, ChronicLongitudinal StudiesMaleMiddle AgedProspective StudiesCreatinineCKDelderlyepidemiology and outcomesGFRlifetime risk

Identifiers

PMID26286924
PMCPMC4559497

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.