ArticleClinical journal of the American Society of Nephrology : CJASN2015
Nephrolithiasis as a Risk Factor for CKD: The Atherosclerosis Risk in Communities Study.
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 20 papers, 2 of them syntheses that pooled it.
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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.
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.
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Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- Nephrolithiasis as a risk factor of chronic kidney disease: a meta-analysis of cohort studies with 4,770,691 participants.Urolithiasis · 2017Pooled it
- KDIGO Clinical Practice Guideline on the Evaluation and Care of Living Kidney Donors.Transplantation · 2017Guideline
- Empagliflozin in nondiabetic individuals with calcium and uric acid kidney stones: a randomized phase 2 trial.Nature medicine · 2025Trial
- Balancing Stone Prevention and Kidney Function: A Therapeutic Dilemma.Journal of clinical medicine · 2025Review
- Risk factors for readmission after ureteroscopy for stone disease: Modern single centre experience.BJUI compass · 2025Article
- Risk Factors of Asymptomatic Kidney Stone Passage in Adults with Recurrent Kidney Stones.Clinical journal of the American Society of Nephrology : CJASN · 2024Article
- Risk of incident chronic kidney disease among patients with urolithiasis: a nationwide longitudinal cohort study.Clinical kidney journal · 2024Article
- Vitamin D and Calcium Supplementation and Urolithiasis: A Controversial and Multifaceted Relationship.Nutrients · 2023Review
- Incidence of and risk factors of chronic kidney disease: results of a nationwide study in Iceland.Clinical kidney journal · 2022Article
- Prevalence of chronic kidney diseases and its determinants among Iranian adults: results of the first phase of Shahedieh cohort study.BMC nephrology · 2022Article
- Upper urolithiasis in cats with chronic kidney disease: prevalence and investigation of serum and urinary calcium concentrations.Journal of feline medicine and surgery · 2022Article
- Clinical and Kidney Structural Characteristics of Living Kidney Donors With Nephrolithiasis and Their Long-term Outcomes.Transplantation direct · 2022Article
- Calcium and Vitamin D Supplementation and Their Association with Kidney Stone Disease: A Narrative Review.Nutrients · 2021Review
- Risk of Kidney Stones: Influence of Dietary Factors, Dietary Patterns, and Vegetarian-Vegan Diets.Nutrients · 2020Review
- Urinary Stone Disease and Cardiovascular Disease Risk in a Rural Chinese Population.Kidney international reports · 2017Article
- Comparative risk of chronic kidney diseases in patients with urolithiasis and urological interventions: a longitudinal population-based study.Urolithiasis · 2017Article
- Epidemiology and economics of nephrolithiasis.Investigative and clinical urology · 2017Review
- Article
- Kidney Function After the First Kidney Stone Event.Mayo Clinic proceedings · 2016Article
- DASH (Dietary Approaches to Stop Hypertension) Diet and Risk of Subsequent Kidney Disease.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2016Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 3 countries.
Funding
Abstract
BACKGROUND AND
objectivesPrevious studies demonstrated a higher risk of CKD in persons with a history of kidney stones, but these studies examined mostly white populations and did not evaluate important potential interactions such as race and plasma uric acid. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: In 10,678 Atherosclerosis Risk in Communities (ARIC) study participants free of CKD at baseline (ARIC visit 4 in 1996-1998), we assessed the association between a history of nephrolithiasis (a time-varying variable, defined by a combination of self-report and diagnostic codes) and incident CKD (defined by diagnostic codes from linkage to hospitalizations and US Centers for Medicare and Medicaid Services' records).
resultsAt baseline, 856 participants had a history of nephrolithiasis; 322 developed nephrolithiasis during follow-up. Over a mean follow-up of 12 years, there were 1037 incident CKD events. Nephrolithiasis history was associated with a 29% (hazard ratio [HR], 1.29; 95% confidence interval [95% CI], 1.07 to 1.54) higher risk of CKD in demographic-adjusted analyses, but the association was no longer statistically significant after multivariable adjustment (HR, 1.09; 95% CI, 0.90 to 1.32). The multivariable-adjusted association was stronger among participants with plasma uric acid levels ≤6 mg/dl (HR, 1.34; 95% CI, 1.05 to 1.72) compared with those with levels >6 mg/dl (HR, 0.94; 95% CI, 0.70 to 1.28; P(interaction) = 0.05). There was no interaction of stone disease and race with incident CKD.
conclusionsIn this community-based cohort, nephrolithiasis was not an independent risk factor for incident CKD overall. However, risk of CKD was unexpectedly elevated in participants with stone disease and lower plasma uric acid levels.
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