Evidence map›Paper›PMID 27324680›Full record

ReviewAdvances in chronic kidney disease2016

CKD-Mineral Bone Disorder in Stage 4 and 5 CKD: What We Know Today?

Michal L Melamed, Rupinder Singh Buttar, Maria Coco

Open access · greenAbstract readReview
In one paragraph

Review in Advances in chronic kidney disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

13 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Effects of acid on bone.Kidney international · 2022
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. 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

3 authors at 1 institution in 1 country.

Michal L MelamedDepartment of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY. Electronic address: michal.melamed@einstein.yu.edu.
Rupinder Singh ButtarDepartment of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY.
Maria CocoDepartment of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY.
Montefiore Medical Center · US

Funding

Translational Research CoreP30DK020541 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI STREAMSON C CHUA · 2015 to 2026
$27.7M
Core-010UL1TR001073 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, SHAMOON, HARRY · 2013 to 2017
$21.3M
Group-based Chronic Kidney Disease CareR34DK102174 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI MELAMED, MICHAL L · 2014 to 2015
$752k
NCATS NIH HHS UL1 TR001073NIDDK NIH HHS P30 DK020541NIDDK NIH HHS R34 DK102174
6 · The paper itself

Abstract

Patients with CKD stages 4 and 5 experience biochemical derangements associated with CKD-mineral bone disorder. Some of the key abnormalities are hyperparathyroidism, hyperphosphatemia, hypocalcemia, and metabolic acidosis. We review the available treatments for these conditions and the evidence behind the treatments. We conclude that there is greater evidence for treating hyperphosphatemia than hyperparathyroidism. Treatment of metabolic acidosis in small clinical trials appears to be safe. We caution the reader about side effects associated with some of these treatments that differ in patients with CKD Stages 4 and 5 compared with patients on dialysis. The use of cinacalcet has been associated with hyperphosphatemia in patients with functioning kidneys. Activated vitamin D therapy has been associated with elevated creatinine levels, which may or may not be a reflection of true decrement in kidney function. Finally, the use of non-calcium-containing phosphate binders may be associated with improved clinical outcomes in patients; however, many more clinical trials are needed in this important area of medicine.

Indexed as

BicarbonatesChelating AgentsChronic Kidney Disease-Mineral and Bone DisorderCinacalcetDiet, Protein-RestrictedFibroblast Growth Factor-23HumansHyperparathyroidism, SecondaryKidney Failure, ChronicParathyroid HormonePhosphatesRenal Insufficiency, ChronicVitamin D1,25-dihydroxyvitamin D25-hydroxyvitamin DBicarbonatesChelating AgentsCinacalcetFGF23 protein, humanFibroblast Growth Factor-23Parathyroid HormonePhosphatesVitamin DFGF-23HyperparathyroidismHyperphosphatemiaMetabolic acidosisVascular calcification

Identifiers

PMID27324680
PMCPMC5034723
OpenAlexW2425243242

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.