Evidence map›Paper›PMID 26843213›Full record

ArticleLipids in health and disease2016

Markers of increased atherosclerotic risk in patients with chronic kidney disease: a preliminary study.

Anna Gluba-Brzózka, Marta Michalska-Kasiczak, Beata Franczyk, Marek Nocuń, Peter Toth, Maciej Banach, Jacek Rysz

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Lipids in health and disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  9. Vitamin K Dependent Proteins in Kidney Disease.International journal of molecular sciences · 2019
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Anna Gluba-BrzózkaDepartment of Nephrology, Hypertension and Family Medicine, WAM University Hospital of Lodz, Poland, Żeromskiego 113, 90-549, Łódź, Poland. aniagluba@yahoo.pl.
Marta Michalska-KasiczakDepartment of Hypertension, Medical University of Lodz, Poland, Żeromskiego 113, 90-549, Łódź, Poland. marta.zofia.michalska@umed.lodz.pl.
Beata FranczykDepartment of Nephrology, Hypertension and Family Medicine, WAM University Hospital of Lodz, Poland, Żeromskiego 113, 90-549, Łódź, Poland. bfranczyk@wp.pl.
Marek NocuńNofer Institute of Occupational Medicine, Lodz, Poland, Św. Teresy od Dzieciątka Jezus 8, 91-348, Łódź, Poland. mareknocun@gmail.com.
Peter TothPreventive Cardiology, CGH Medical Center, Sterling, IL, USA. peter.toth@cghmc.com.
Maciej BanachDepartment of Hypertension, Medical University of Lodz, Poland, Żeromskiego 113, 90-549, Łódź, Poland. maciejbanach@aol.co.uk.
Jacek RyszDepartment of Nephrology, Hypertension and Family Medicine, WAM University Hospital of Lodz, Poland, Żeromskiego 113, 90-549, Łódź, Poland. jacek.rysz@umed.lodz.pl.
Medical University of Lodz · PLCGH Medical Center · USNofer Institute of Occupational Medicine · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of chronic kidney disease is rising continuously. Cardiovascular disease is among leading causes of death and premature mortality of patients with chronic kidney disease. Even the earliest stages of chronic kidney disease are associated with higher risk of subsequent coronary heart disease. The aim of this study was to determine markers of increased risk of atherosclerosis in CKD.

methodsThe study group consisted of a total of 80 patients (20 patients with stage I/II CKD, 20 with stage III CKD, 20 stage IV CKD and 20 stage V/dialysis) and 24 healthy volunteers. Levels of proteins (osteoprotegerin, osteopontin, osteocalcin, matrix γ-carboxyglutamic acid protein, fetuin A, MMP-2, MMP-9, TIMP-1, TIMP-2) and biochemical parameters were measured to analyse their influence on atherosclerosis risk in CKD patients. Cardiac echocardiography was performed to assess structural integrity and function, presence of left ventricular hypertrophy and systolic and diastolic function dysfunction.

resultsThis study shows that the prevalence of ventricular hypertrophy (95.3 %) and diastolic dysfunction (93.2 %) in CKD patients is high. Also E/E' ratio was significantly higher (13.6 ± 4.4, p = 0.001), tricuspid insufficiency (27.3 in CKD I/II vs. 71.4 in CKD V, p = 0.016), contractile dysfunction (33.3 in CKD I/II vs. 78.9 in CKD V, p = 0.040), mitral valve calcification (0 in CKD I/II vs. 28.6 in CKD V, p = 0.044) and aortic valve calcification (0 in CKD I/II vs. 61.9 in CKD V, p = 0.0008) were significantly more frequent in patients with CKD stage V/dialysis than in other groups. Only MMP-2, MMP-2/TIMP-2 ratio and TIMP-1 differed significantly between groups.

conclusionsThis study shows high prevalence of ventricular hypertrophy and diastolic dysfunction in CKD patients. Contractile dysfunction, mitral and aortic valve calcification in HD patients were significantly more frequent than in patients with other CKD stages. Significantly increased levels of MMP-2, MMP-2/TIMP-2 ratio and lower TIMP-1 suggests that these factors may be involved in the pathogenesis of atherosclerosis in CKD patients.

Indexed as

Agedalpha-2-HS-GlycoproteinBiomarkersCalcium-Binding ProteinsEchocardiographyExtracellular Matrix ProteinsFemaleHumansHypertrophy, Left VentricularMaleMatrix Gla ProteinMatrix Metalloproteinase 2Matrix Metalloproteinase 9Middle AgedOsteocalcinOsteopontinalpha-2-HS-GlycoproteinBiomarkersCalcium-Binding ProteinsExtracellular Matrix ProteinsMatrix Gla ProteinMatrix Metalloproteinase 2Matrix Metalloproteinase 9OsteocalcinOsteopontinOsteoprotegerinTIMP1 protein, humanTIMP2 protein, humanTissue Inhibitor of Metalloproteinase-1Tissue Inhibitor of Metalloproteinase-2

Identifiers

PMID26843213
PMCPMC4739105
OpenAlexW2269844929

What OpenQuestion holds

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LicenceCC BY
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.