Evidence map›Paper›PMID 28075529›Full record

ArticleJournal of diabetes investigation2017

Diabetes, hypertension, obesity, and long-term risk of renal disease mortality: Racial and socioeconomic differences.

Maryam Moghani Lankarani, Shervin Assari

Open access · goldAbstract read
In one paragraph

Article in Journal of diabetes investigation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.5field-weighted citation impact, top 8% 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

15 citing papers in PubMed, 27 citations in OpenAlex.

  1. Review
  2. A Review of Racial Differences and Disparities in ECG.International journal of environmental research and public health · 2025
    Review
  3. Article
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  8. Educational Attainment Better Reduces Disability for Non-Hispanic than Hispanic Americans.European journal of investigation in health, psychology and education · 2020
    Article
  9. Understanding America: Unequal Economic Returns of Years of Schooling in Whites and Blacks.World journal of educational research (Los Angeles, Calif.) · 2020
    Article
  10. Baseline Obesity Increases 25-Year Risk of Mortality due to Cerebrovascular Disease: Role of Race.International journal of environmental research and public health · 2019
    Article
  11. Article
  12. Article
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  14. Article
  15. 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

2 authors at 2 institutions in 2 countries.

Maryam Moghani LankaraniMedicine and Health Promotion Institute, Tehran, Iran.
Shervin AssariDepartment of Psychiatry, University of Michigan, Ann Arbor, Michigan, USA.ORCID http://orcid.org/0000-0002-5054-6250
Korea Health Promotion Institute · KRUniversity of Michigan · US

Funding

Pilot and Feasibility (P and F) ProgramP30DK089503 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Joyce Lee · 2010 to 2026
$20.3M
UNDERSTANDING SOCIAL DISPARITIES IN HEALTH AND AGINGR01AG018418 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BURGARD, SARAH A. · 2000 to 2015
$6.3M
NIA NIH HHS R01 AG018418NIDDK NIH HHS P30 DK089503
6 · The paper itself

Abstract

AIMS/

introductionDiabetes, hypertension, and obesity increase the risk of chronic kidney disease and associated mortality. Race and socioeconomic status (SES) differences in the effects of these risk factors are, however, still unknown. The current study aimed to investigate whether or not race and SES alter the effects of diabetes, hypertension, and obesity on mortality due to renal disease. MATERIALS AND

methodsData came from the Americans' Changing Lives Study, 1986-2011, a nationally representative prospective cohort of adults with 25 years of follow up. The study included 3,361 adults aged 25 years and older who were followed for up to 25 years. The outcome was death from renal disease. Diabetes, hypertension, and obesity were the main predictors. Race and SES (education, income, and employment) were moderators. Health behaviors and health status at baseline were covariates. We used Cox proportional hazards models for data analysis.

resultsIn separate models, diabetes, hypertension, and obesity at baseline were associated with a higher risk of death from renal disease. From our SES indicators, education and income interacted with diabetes, hypertension, and obesity on death from renal disease. In a consistent pattern, diabetes, hypertension, and obesity showed stronger effects on the risk of death from renal disease among high-SES groups compared with low-SES individuals. Race and employment did not alter the effects of diabetes, hypertension and obesity on the risk of death from renal disease.

conclusionsSocial groups differ in how diabetes, hypertension, and obesity influence health outcomes over long-term periods. Elimination of disparities in renal disease mortality in the USA requires understanding of the complex and non-linear effects of socioeconomic and medical risk factors on health outcomes. Multidisciplinary programs and policies are required to reduce social inequality in renal disease burden caused by diabetes, hypertension, and obesity.

Indexed as

Cohort StudiesDiabetic NephropathiesFemaleHumansHypertensionKidney DiseasesMaleMiddle AgedObesitySocioeconomic FactorsUnited StatesDiabetesRenal diseasesSocial class

Identifiers

PMID28075529
PMCPMC5497055
OpenAlexW2575753079

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.