Evidence map›Paper›PMID 27353425›Full record

Trial reportScientific reports2016

Urinary albumin-to-creatinine ratio is associated with endothelial dysfunction in HIV-infected patients receiving antiretroviral therapy.

Matteo Pirro, Massimo R Mannarino, Daniela Francisci, Elisabetta Schiaroli, Vanessa Bianconi, Francesco Bagaglia, Amirhossein Sahebkar, Elmo Mannarino, Franco Baldelli

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Nut Consumption and Renal Function Among Women With a History of Gestational Diabetes.Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation · 2020
    Article
  10. Article
  11. Immunology of Hypertension in People With HIV.Journal of the American Heart Association · 2020
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. 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

9 authors at 2 institutions in 3 countries.

Matteo PirroUnit of Internal Medicine, Department of Medicine, University of Perugia, Perugia, Italy.
Massimo R MannarinoUnit of Internal Medicine, Department of Medicine, University of Perugia, Perugia, Italy.
Daniela FrancisciUnit of Infectious Diseases, Department of Medicine, University of Perugia, Perugia, Italy.
Elisabetta SchiaroliUnit of Infectious Diseases, Department of Medicine, University of Perugia, Perugia, Italy.
Vanessa BianconiUnit of Internal Medicine, Department of Medicine, University of Perugia, Perugia, Italy.
Francesco BagagliaUnit of Internal Medicine, Department of Medicine, University of Perugia, Perugia, Italy.
Amirhossein SahebkarBiotechnology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Elmo MannarinoUnit of Internal Medicine, Department of Medicine, University of Perugia, Perugia, Italy.
Franco BaldelliUnit of Infectious Diseases, Department of Medicine, University of Perugia, Perugia, Italy.
University of Perugia · ITBiotechnology Research Center · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endothelial dysfunction, a marker of cardiovascular (CV) risk, is common in human immunodeficiency virus (HIV)-infected patients. Microalbuminuria is frequent in HIV-infected patients, and is a predictor of renal impairment and CV risk. We investigated the association between microalbuminuria and endothelial dysfunction among HIV-infected patients receiving highly-active antiretroviral therapy (HAART). Endothelial function, measured by brachial artery flow-mediated dilatation (bFMD), and urine albumin-to-creatinine ratio (UACR), were measured in 170 HAART-treated HIV-infected adults. The relationship between UACR and bFMD was evaluated. The prevalence of increased UACR, defined by two cut-off levels (20 mg/g and 30 mg/g), was 29% and 17%. UACR was significantly higher while bFMD was lower among patients with metabolic syndrome (MS). UACR was associated with bFMD (r = -0.31; p < 0.001). This association was stronger in MS-patients (r = -0.44; p = 0.003). UACR above 20 mg/g was associated with an increased risk (OR 2.37, 95% CI 1.15-4.89, p = 0.020) of severely impaired bFMD (bFMD ≤ 2.1%). Patients with MS and increased UACR had the lowest bFMD compared with those with none or one of the two conditions. Microalbuminuria and endothelial dysfunction are positively associated in HIV-infected patients regardless of known confounders. The coexistence of microalbuminuria and MS amplifies their deleterious influence on endothelial function.

Indexed as

HIV-1AdultAlbuminuriaAntiretroviral Therapy, Highly ActiveBrachial ArteryCreatinineEndothelium, VascularFemaleHIV InfectionsHumansMaleMiddle AgedVasodilationCreatinine

Identifiers

PMID27353425
PMCPMC4926110
OpenAlexW2468321599

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.