Evidence map›Paper›PMID 26910333›Full record

Observational studyTransplantation2017

B-Type Natriuretic Peptide and Cardiac Troponin I Are Associated With Adverse Outcomes in Stable Kidney Transplant Recipients.

Petr Jarolim, Brian L Claggett, Michael J Conrad, Myra A Carpenter, Anastasia Ivanova, Andrew G Bostom, John W Kusek, Lawrence G Hunsicker, Paul F Jacques, Lisa Gravens-Mueller and 5 more

Open access · greenAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Transplantation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.9field-weighted citation impact, top 28% 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

9 citing papers in PubMed, 13 citations in OpenAlex.

  1. Urinary Markers of Fibrosis and Risk of Cardiovascular Events and Death in Kidney Transplant Recipients: The FAVORIT Trial.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2017
    Trial
  2. Filtration Markers, Cardiovascular Disease, Mortality, and Kidney Outcomes in Stable Kidney Transplant Recipients: The FAVORIT Trial.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2017
    Trial
  3. Article
  4. Cardiac Troponins in Kidney Disease.European cardiology · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
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

15 authors at 2 institutions in 2 countries.

Petr Jarolim1 Department of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA. 2 Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA. 3 Department of Biostatistics, University of North Carolina, Chapel Hill, NC. 4 Division of Nephrology, Rhode Island Hospital, Providence, RI. 5 National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD. 6 University of Iowa, Iowa City, IA. 7 US Department of Agriculture, Jean Mayer Human Nutrition Research Center on Aging, Boston, MA. 8 Tufts Medical Center, Boston, MA.
Brian L Claggett
Michael J Conrad
Myra A Carpenter
Anastasia Ivanova
Andrew G Bostom
John W Kusek
Lawrence G Hunsicker
Paul F Jacques
Lisa Gravens-Mueller
Peter Finn
Scott D Solomon
Daniel E Weiner
Andrew S Levey
Marc A Pfeffer
Apple (Israel) · ILBrigham and Women's Hospital · US

Funding

Folic Acid for Vascular Outcome Reduction in Transplantation (FAVORIT) TrialU01DK061700 · NIDDK · TUFTS MEDICAL CENTER · PI BOSTOM, ANDREW G. · 2001 to 2011
$29.0M
NIDDK NIH HHS U01 DK061700
6 · The paper itself

Abstract

backgroundApproximately 200 000 kidney transplant recipients are living in the United States; they are at increased risk for cardiovascular and other adverse outcomes. Biomarkers predicting these outcomes are needed. Using specimens collected during the Folic Acid for Vascular Outcome Reduction in Transplantation trial, we determined whether plasma levels of B-type natriuretic peptide (BNP) and cardiac troponin I are associated with adverse outcomes in stable kidney transplant recipients.

methodsFive hundred ten subjects were selected randomly from the 4110 Folic Acid for Vascular Outcome Reduction in Transplantation participants. This cohort was then enriched for all additional subjects with adverse outcomes (death, dialysis-dependent kidney failure (DDKF), and cardiovascular outcomes) for a total of 1131 participants studied. Quartiles of BNP and high-sensitivity cardiac troponin I (hs-cTnI) were included in adjusted models. Combinations of normal and elevated hs-cTnI (>26.2 ng/L) and BNP (>100 pg/mL) were also studied.

resultsMedian concentrations (interquartile ranges) were 5.6 (3.3-10.5) ng/L for hs-cTnI and 39 (15, 94) pg/mL for BNP. Hazard ratios for each adverse outcome were higher with higher quartiles of BNP after adjustment and remained statistically significant after adding hs-cTnI to the model. The highest quartile hazard ratio for DDKF was 2.47 (95% confidence interval [95% CI], 1.21-5.05). Simultaneous elevations of BNP and hs-cTnI over clinical cutoffs were strongly associated with adverse outcomes with hazard ratios 8.8 (95% CI, 3.4-23.1) for DDKF and 6.3 (95% CI, 2.7-15.0) for cardiovascular outcomes.

conclusionsHigher BNP is associated with mortality and cardiovascular and kidney outcomes in stable kidney transplant recipients. Elevated BNP and hs-cTnI identify candidates for targeted risk reduction.

Indexed as

Transplant RecipientsAdultBiomarkersCardiovascular DiseasesCase-Control StudiesFemaleHumansKidney TransplantationMaleMiddle AgedNatriuretic Peptide, BrainPredictive Value of TestsRandomized Controlled Trials as TopicRisk FactorsTreatment OutcomeTroponin IBiomarkersNatriuretic Peptide, BrainTroponin I

Identifiers

PMID26910333
PMCPMC4956594
OpenAlexW2316551553

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.