Evidence map›Paper›PMID 26924046›Full record

ArticleKidney international2016

Patients with primary membranous nephropathy are at high risk of cardiovascular events.

Taewoo Lee, Vimal K Derebail, Abhijit V Kshirsagar, Yunro Chung, Jason P Fine, Shannon Mahoney, Caroline J Poulton, Sophia Lionaki, Susan L Hogan, Ronald J Falk and 4 more

Open access · greenAbstract readMulticenter StudyValidation Study
In one paragraph

Article in Kidney international, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
6.2field-weighted citation impact, top 3% 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

36 citing papers in PubMed, 77 citations in OpenAlex.

  1. Rituximab or cyclosporine A for the treatment of membranous nephropathy: economic evaluation of the MENTOR trial.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024
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  15. Stroke associated with primary membranous nephropathy in a young adult: Case reportBiomedica : revista del Instituto Nacional de Salud · 2024
    Article
  16. Review
  17. Article
  18. Article
  19. Thromboembolism in nephrotic syndrome: controversies and uncertainties.Research and practice in thrombosis and haemostasis · 2023
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 4 countries.

Taewoo LeeUNC Kidney Center, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA; Department of Biomedical Sciences, Seoul National University Graduate School, Seoul, Korea.
Vimal K DerebailUNC Kidney Center, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Abhijit V KshirsagarUNC Kidney Center, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Yunro ChungBiostatistics Department, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Jason P FineBiostatistics Department, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Shannon MahoneyUNC Kidney Center, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Caroline J PoultonUNC Kidney Center, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Sophia LionakiLaiko Hospital, Athens, Greece.
Susan L HoganUNC Kidney Center, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Ronald J FalkUNC Kidney Center, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Daniel C CattranDivision of Nephrology, Department of Medicine, University of Toronto, and Toronto Glomerulonephritis Registry, University Health Network, Toronto, Ontario, Canada.
Michelle HladunewichDivision of Nephrology, Department of Medicine, University of Toronto, and Toronto Glomerulonephritis Registry, University Health Network, Toronto, Ontario, Canada.
Heather N ReichDivision of Nephrology, Department of Medicine, University of Toronto, and Toronto Glomerulonephritis Registry, University Health Network, Toronto, Ontario, Canada.
Patrick H NachmanUNC Kidney Center, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. Electronic address: patrick_nachman@med.unc.edu.
University of North Carolina at Chapel Hill · USUniversity Health Network · CALaiko General Hospital of Athens · GR

Funding

Training Program in Clinical & Translationa Research in Human Glomerular DiseaseU54DK083912 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GIPSON, DEBBIE S · 2009 to 2023
$20.3M
NIDDK NIH HHS U54 DK083912
6 · The paper itself

Abstract

Here we conducted a retrospective study to examine the risk of cardiovascular events (CVEs) relative to that of end-stage renal disease (ESRD) in patients with primary membranous nephropathy, in a discovery cohort of 404 patients. The cumulative incidence of CVEs was estimated in the setting of the competing risk of ESRD with risk factors for CVEs assessed by multivariable survival analysis. The observed cumulative incidences of CVEs were 4.4%, 5.4%, 8.2%, and 8.8% at 1, 2, 3, and 5 years respectively in the primary membranous nephropathy cohort. In the first 2 years after diagnosis, the risk for CVEs was similar to that of ESRD in the entire cohort, but exceeded it among patients with preserved renal function. Accounting for traditional risk factors and renal function, the severity of nephrosis at the time of the event (hazard ratio 2.1, 95% confidence interval 1.1 to 4.3) was a significant independent risk factor of CVEs. The incidence and risk factors of CVEs were affirmed in an external validation cohort of 557 patients with primary membranous nephropathy. Thus early in the course of disease, patients with primary membranous nephropathy have an increased risk of CVEs commensurate to, or exceeding that of ESRD. Hence, reduction of CVEs should be considered as a therapeutic outcome measure and focus of intervention in primary membranous nephropathy.

Indexed as

AdultAgedCardiovascular DiseasesFemaleGlomerulonephritis, MembranousHumansIncidenceKidneyKidney Failure, ChronicMaleMiddle AgedMultivariate AnalysisNorth CarolinaOntarioPrognosisProportional Hazards Modelscardiovascular diseaseglomerulonephritismembranous nephropathy

Identifiers

PMID26924046
PMCPMC6787915
OpenAlexW2279621490

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.