Evidence map›Paper›PMID 27355475›Full record

ArticlePloS one2016

Stroke and Risks of Development and Progression of Kidney Diseases and End-Stage Renal Disease: A Nationwide Population-Based Cohort Study.

Chia-Lin Wu, Chun-Chieh Tsai, Chew-Teng Kor, Der-Cherng Tarng, Ie-Bin Lian, Tao-Hsiang Yang, Ping-Fang Chiu, Chia-Chu Chang

Open access · goldAbstract read
In one paragraph

Article in PloS one, 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
5.6field-weighted citation impact, top 4% 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, 37 citations in OpenAlex.

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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

8 authors at 4 institutions in 1 country.

Chia-Lin WuDivision of Nephrology, Department of Internal Medicine, Changhua Christian Hospital, Changhua, Taiwan.
Chun-Chieh TsaiDivision of Nephrology, Department of Internal Medicine, Changhua Christian Hospital, Changhua, Taiwan.
Chew-Teng KorInternal Medicine Research Center, Changhua Christian Hospital, Changhua, Taiwan.
Der-Cherng TarngInstitute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan.
Ie-Bin LianGraduate Institute of Statistics and Information Science, National Changhua University of Education, Changhua, Taiwan.
Tao-Hsiang YangEnvironmental and Precision Medicine Laboratory, Changhua Christian Hospital, Changhua, Taiwan.
Ping-Fang ChiuDivision of Nephrology, Department of Internal Medicine, Changhua Christian Hospital, Changhua, Taiwan.
Chia-Chu ChangDivision of Nephrology, Department of Internal Medicine, Changhua Christian Hospital, Changhua, Taiwan.
Changhua Christian Hospital · TWChung Shan Medical University · TWNational Changhua University of Education · TWNational Yang Ming University Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is little information about the association between stroke and kidney diseases. We aimed to investigate the impact of stroke on long-term renal outcomes.

methodsIn this large population-based retrospective cohort study, we identified 100,353 subjects registered in the National Health Insurance Research Database of Taiwan from January 1, 2000, through December 31, 2012, including 33,451 stroke patients and 66,902 age-, sex- and Charlson's comorbidity index score-matched controls.

resultsThe incidence rate of chronic kidney disease (CKD) was higher in the stroke than in the control cohort (17.5 vs. 9.06 per 1000 person-years). After multivariate adjustment, the risk of developing CKD was significantly higher in patients with stroke (adjusted hazard ratio [aHR] 1.43, 95% confidence interval [CI] 1.36-1.50, P<0.001). Subgroup analysis showed that stroke patients <50 years (aHR 1.61, P<0.001) and those with concomitant diabetes mellitus (aHR 2.12, P<0.001), hyperlipidemia (aHR 1.53, P<0.001) or gout (aHR 1.84, P<0.001) were at higher risk of incident CKD. Additionally, the risks of progression to advanced CKD and end-stage renal disease (ESRD) were significantly higher for stroke patients (aHRs, 1.22 and 1.30; P = 0.04 and P = 0.008, respectively), independent of age, sex, comorbidities and long-term medications.

conclusionsStroke is associated with higher risks for incident CKD, decline in renal function and ESRD. Younger stroke patients, as well as those with concomitant diabetes mellitus, hyperlipidemia or gout are at greater risk for kidney diseases.

Indexed as

AdultAgedComorbidityDatabases, FactualDisease ProgressionFemaleFollow-Up StudiesHumansIncidenceKidney DiseasesKidney Failure, ChronicMaleMiddle AgedPrevalenceProportional Hazards ModelsRetrospective Studies

Identifiers

PMID27355475
PMCPMC4927175
OpenAlexW2467293880

What OpenQuestion holds

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LicenceCC BY
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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.