Evidence map›Paper›PMID 27737895›Full record

ArticleClinical chemistry2017

High Glycated Albumin and Mortality in Persons with Diabetes Mellitus on Hemodialysis.

Christina W Chen, Christiane Drechsler, Pirianthini Suntharalingam, S Ananth Karumanchi, Christoph Wanner, Anders H Berg

Open access · bronzeAbstract read
In one paragraph

Article in Clinical chemistry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 7% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Glycated Albumin and Adverse Clinical Outcomes in Patients With CKD: A Prospective Cohort Study.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Impact of Liver Cirrhosis on Incidence of Dialysis Among Patients with Type 2 Diabetes.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2020
    Article
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  16. Observational
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  18. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Christina W ChenDivision of Nephrology and Center for Vascular Biology Research, Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA.
Christiane DrechslerDivision of Nephrology, Department of Internal Medicine 1, University Hospital Würzburg and Comprehensive Heart Failure Center, Würzburg, Germany.
Pirianthini SuntharalingamDepartment of Pathology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA.
S Ananth KarumanchiDivision of Nephrology and Center for Vascular Biology Research, Department of Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA.
Christoph WannerDivision of Nephrology, Department of Internal Medicine 1, University Hospital Würzburg and Comprehensive Heart Failure Center, Würzburg, Germany.
Anders H BergDepartment of Pathology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA. ahberg@bidmc.harvard.edu.
Harvard University · USUniversitätsklinikum Würzburg · DEBeth Israel Deaconess Medical Center · US

Funding

RESEARCH TRAINING IN NEPHROLOGYT32DK007199 · NIDDK · BETH ISRAEL DEACONESS MEDICAL CENTER · PI POLLAK, MARTIN R. · 1986 to 2022
$6.0M
The role of carbamylation in uremia associated heart diseaseK08HL121801 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI BERG, ANDERS HAYDEN · 2014 to 2017
$588k
NHLBI NIH HHS K08 HL121801NIDDK NIH HHS T32 DK007199
6 · The paper itself

Abstract

backgroundMonitoring of glycemic control with hemoglobin A

methodsThe German Diabetes and Dialysis Study (4D) investigated effects of atorvastatin on survival in 1255 patients with diabetes mellitus receiving hemodialysis. We measured GA during months 0, 6, and 12. Cox proportional hazards analysis was used to measure associations between GA and A1c and all-cause mortality.

resultsPatients with high baseline GA (fourth quartile) had a 42% higher 4-year mortality compared to those in the first quartile (HR 1.42; 95% CI, 1.09-1.85, P = 0.009). Repeated measurements of GA during year one also demonstrated that individuals in the top quartile for GA (analyzed as a time-varying covariate) had a 39% higher 4-year mortality (HR 1.39; 95% CI, 1.05-1.85, P = 0.022). The associations between high A1c and mortality using similar analyses were less consistent; mortality in individuals with baseline A1c values in the 3rd quartile was increased compared to 1st quartile (HR 1.36; 95% CI, 1.04-1.77, P = 0.023), but risk was not significantly increased in the 2nd or 4th quartiles, and there was a less consistent association between time-varying A1c values and mortality.

conclusionsHigh GA measurements are consistently associated with increased mortality in patients with diabetes mellitus on hemodialysis.

Indexed as

Renal DialysisAdolescentAdultAgedAged, 80 and overDiabetes MellitusFemaleGlycated Serum AlbuminGlycation End Products, AdvancedHumansMaleMiddle AgedProportional Hazards ModelsRetrospective StudiesSerum AlbuminSurvival RateGlycated Serum AlbuminGlycation End Products, AdvancedSerum Albumin

Identifiers

PMID27737895
PMCPMC5484581
OpenAlexW2530541894

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.