Evidence map›Paper›PMID 27134912›Full record

ArticleJournal of clinical and diagnostic research : JCDR2016

Diabetic Kidney Disease and Hypertension: A True Love Story.

Anand Verma, Sony Vyas, Abhishek Agarwal, Shahid Abbas, Devi Prasad Agarwal, Ravindra Kumar

Abstract read
In one paragraph

Article in Journal of clinical and diagnostic research : JCDR, 2016. 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
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1 · What the graph read from it

What it found

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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.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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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

6 authors.

Anand VermaAssociate Professor, Department of Medicine, Sri Aurobindo Medical College and PG Institute , Indore, Madhya Pradesh, India .
Sony VyasJunior Resident, Department of Medicine, Sri Aurobindo Medical College and PG Institute , Indore, Madhya Pradesh, India .
Abhishek AgarwalJunior Resident, Department of Medicine, Sri Aurobindo Medical College and PG Institute , Indore, Madhya Pradesh, India .
Shahid AbbasProfessor, Department of Medicine, Sri Aurobindo Medical College and PG Institute , Indore, Madhya Pradesh, India .
Devi Prasad AgarwalSenior Consultant, Department of Medicine, Madhuraj Nursing Home , Kanpur, Uttar Pradesh, India .
Ravindra KumarScientist and Head, Central Research Laboratory, Sri Aurobindo Medical College and PG Institute , Indore, Madhya Pradesh, India .

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDiabetes Mellitus (DM) remains one of the commonest causes of structural and functional kidney abnormalities leading to End Stage Renal Disease (ESRD). The next most common cause is hypertension. It is utmost important to investigate the association between diabetic nephropathy and hypertension because it is a major causal factor of end-stage kidney failure in Type 2 Diabetes Mellitus (T2DM).

aimThe aim of the present study was to investigate the association between albuminuria, hypertension and estimated glomerular filtration rate (eGFR) in a prospective cohort of T2DM patients in a developing country. MATERIALS AND

methodsA total of 824 patients were enrolled from a tertiary healthcare center in central India. This study was performed in three groups: normal controls (232), type 2 diabetics without nephropathy (185) and type 2 diabetics with nephropathy (407). Diabetic nephropathy was clinically defined by the presence of persistent proteinuria of > 500mg/day in a diabetic patient in the absence of clinical or laboratory evidence of other kidney or urinary tract disease. Hypertension was categorized based on JNC 7 classification. Detailed clinical history was obtained from all subjects. Student's t-test was applied to see the difference in mean values of quantitative data in two groups. Chi-Square test was applied to see the difference in frequency of discrete variables in two groups.

resultsA 66.3% diabetic nephropathy patients and 51.9% type 2 diabetics without nephropathy were found hypertensive in present study; In contrast only 14.7% controls had hypertension. No association of hypertension was found with age and gender in either group. Serum creatinine and eGFR was found significantly different in hypertensive diabetic nephropathy patients than normotensive (p=0.002 and <0.0001 respectively).

conclusionOur study found that hypertension was an independent risk factor for the Diabetic Kidney Disease (DKD). Along with this, a proportional increase in the level of serum creatinine and eGFR was seen with an incidence of hypertension in diabetic nephropathy.

Indexed as

DiabetesDiabetic nephropathyProteinuria

Identifiers

PMID27134912
PMCPMC4843298

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