Evidence map›Paper›PMID 27071541›Full record

ArticleScientific reports2016

PTH-dependence of the effectiveness of cinacalcet in hemodialysis patients with secondary hyperparathyroidism.

Tadao Akizawa, Noriaki Kurita, Masahide Mizobuchi, Masafumi Fukagawa, Yoshihiro Onishi, Takuhiro Yamaguchi, Alan R Ellis, Shingo Fukuma, M Alan Brookhart, Takeshi Hasegawa and 2 more

Open access · goldAbstract readControlled Clinical Trial
In one paragraph

Article in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
7.6field-weighted citation impact, top 2% 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

26 citing papers in PubMed, 58 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Real-world effectiveness of burosumab vs oral phosphate and active vitamin D in adults with X-linked hypophosphatemia.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2025
    Observational
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Observational
  13. Review
  14. Introduction to clinical research based on modern epidemiology.Clinical and experimental nephrology · 2020
    Review
  15. Evocalcet: A New Oral Calcimimetic for Dialysis Patients With Secondary Hyperparathyroidism.Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy · 2020
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Calcimimetics versus parathyroidectomy: What is preferable?International urology and nephrology · 2018
    Review
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

12 authors at 8 institutions in 3 countries.

Tadao AkizawaDivision of Nephrology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan.
Noriaki KuritaDepartment of Innovative Research and Education for Clinicians and Trainees (DiRECT), Fukushima Medical University Hospital, Fukushima, Japan.
Masahide MizobuchiDivision of Nephrology, Department of Medicine, Showa University School of Medicine, Tokyo, Japan.
Masafumi FukagawaDivision of Nephrology, Endocrinology and Metabolism, Tokai University School of Medicine, Isehara, Japan.
Yoshihiro OnishiInstitute for Health Outcomes and Process Evaluation Research (iHope International), Kyoto, Japan.
Takuhiro YamaguchiInstitute for Health Outcomes and Process Evaluation Research (iHope International), Kyoto, Japan.
Alan R EllisCecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Tokyo, Japan.
Shingo FukumaInstitute for Health Outcomes and Process Evaluation Research (iHope International), Kyoto, Japan.
M Alan BrookhartCecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Tokyo, Japan.
Takeshi HasegawaDepartment of Innovative Research and Education for Clinicians and Trainees (DiRECT), Fukushima Medical University Hospital, Fukushima, Japan.
Kiyoshi KurokawaNational Graduate Institute for Policy Studies, Tokyo, Japan.
Shunichi FukuharaCenter for Innovative Research for Communities and Clinical Excellence (CIRC2LE), Fukushima Medical University, Fukushima, Japan.
Kyoto University · JPShowa University · JPUniversity of North Carolina at Chapel Hill · USFukushima Medical University · JPKyoto University Hospital · JPNational Graduate Institute for Policy Studies · JPTohoku University · JPTokai University · JP

Funding

Propensity Scores and Preventive Drug Use in the ElderlyR01AG023178 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI STURMER, TIL · 2005 to 2014
$2.7M
A retrospective cohort study of the safety of testosterone therapy in older menR01AG042845 · NIA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BROOKHART, MAURICE ALAN · 2012 to 2013
$476k
Patterns of use, comparative effectiveness, and safety of rotavirus vaccinesR21HD080214 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BROOKHART, MAURICE ALAN · 2014 to 2015
$413k
NIA NIH HHS R01 AG023178NIA NIH HHS R01 AG042845NICHD NIH HHS R21 HD080214
6 · The paper itself

Abstract

Cinacalcet lowers parathyroid hormone levels. Whether it can prolong survival of people with chronic kidney disease (CKD) complicated by secondary hyperparathyroidism (SHPT) remains controversial, in part because a recent randomized trial excluded patients with iPTH <300 pg/ml. We examined cinacalcet's effects at different iPTH levels. This was a prospective case-cohort and cohort study involving 8229 patients with CKD stage 5D requiring maintenance hemodialysis who had SHPT. We studied relationships between cinacalcet initiation and important clinical outcomes. To avoid confounding by treatment selection, we used marginal structural models, adjusting for time-dependent confounders. Over a mean of 33 months, cinacalcet was more effective in patients with more severe SHPT. In patients with iPTH ≥ 500 pg/ml, the reduction in the risk of death from any cause was about 50% (Incidence Rate Ratio [IRR] = 0.49; 95% Confidence Interval [95% CI]: 0.29-0.82). For a composite of cardiovascular hospitalization and mortality, the association was not statistically significant, but the IRR was 0.67 (95% CI: 0.43-1.06). These findings indicate that decisions about using cinacalcet should take into account the severity of SHPT.

Indexed as

Renal DialysisAgedCalcimimetic AgentsCinacalcetFemaleHumansHyperparathyroidism, SecondaryMaleMiddle AgedParathyroid HormoneRenal Insufficiency, ChronicCalcimimetic AgentsCinacalcetParathyroid Hormone

Identifiers

PMID27071541
PMCPMC4829837
OpenAlexW2337161027

What OpenQuestion holds

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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.