Evidence map›Paper›PMID 28684642›Full record

ArticleJournal of the American Heart Association2017

Association of Proteinuria and Incident Atrial Fibrillation in Patients With Intact and Reduced Kidney Function.

Amber O Molnar, Anan Bader Eddeen, Robin Ducharme, Amit X Garg, Ziv Harel, Megan K McCallum, Jeffrey Perl, Ron Wald, Deborah Zimmerman, Manish M Sood

Open access · goldAbstract readComparative Study
In one paragraph

Article in Journal of the American Heart Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 9% 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, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

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  15. CJournal of the American Heart Association · 2019
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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

10 authors at 7 institutions in 1 country.

Amber O MolnarDivision of Nephrology, Department of Medicine, McMaster University, Hamilton, Ontario, Canada.
Anan Bader EddeenInstitute for Clinical Evaluative Sciences, London, Ontario, Canada.
Robin DucharmeInstitute for Clinical Evaluative Sciences, London, Ontario, Canada.
Amit X GargDivision of Nephrology, Department of Medicine, Western University, London, Ontario, Canada.
Ziv HarelNephrology, St. Michael's Hospital, University of Toronto, Ontario, Canada.
Megan K McCallumInstitute for Clinical Evaluative Sciences, London, Ontario, Canada.
Jeffrey PerlNephrology, St. Michael's Hospital, University of Toronto, Ontario, Canada.
Ron WaldNephrology, St. Michael's Hospital, University of Toronto, Ontario, Canada.
Deborah ZimmermanDivision of Nephrology, Department of Medicine, University of Ottawa, Ontario, Canada.
Manish M SoodInstitute for Clinical Evaluative Sciences, London, Ontario, Canada msood@toh.on.ca.
Institute for Clinical Evaluative Sciences · CAUniversity of Toronto · CAMcMaster University · CAOttawa Hospital · CASt. Michael's Hospital · CAUniversity of Ottawa · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly evidence suggests proteinuria is independently associated with incident atrial fibrillation (AF). We sought to investigate whether the association of proteinuria with incident AF is altered by kidney function. METHODS AND

resultsRetrospective cohort study using administrative healthcare databases in Ontario, Canada (2002-2015). A total of 736 666 patients aged ≥40 years not receiving dialysis and with no previous history of AF were included. Proteinuria was defined using the urine albumin-to-creatinine ratio (ACR) and kidney function by the estimated glomerular filtration rate (eGFR). The primary outcome was time to AF. Cox proportional models were used to determine the hazard ratio for AF censored for death, dialysis, kidney transplant, or end of follow-up. Fine and Grey models were used to determine the subdistribution hazard ratio for AF, with death as a competing event. Median follow-up was 6 years and 44 809 patients developed AF. In adjusted models, ACR and eGFR were associated with AF (

conclusionsProteinuria increases the risk of incident AF markedly in patients with intact kidney function compared with those with decreased kidney function. Screening and preventative strategies should consider proteinuria as an independent risk factor for AF.

Indexed as

Glomerular Filtration RateAdultAgedAlbuminuriaAtrial FibrillationBiomarkersChi-Square DistributionCreatinineDisease ProgressionFemaleHumansIncidenceKidneyKidney DiseasesMaleMiddle AgedBiomarkersCreatinineatrial fibrillationchronic kidney diseaserisk factor

Identifiers

PMID28684642
PMCPMC5586292
OpenAlexW2724944844

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.