Evidence map›Paper›PMID 28764885›Full record

ArticleClinical biochemistry2017

Plasma oxalate in relation to eGFR in patients with primary hyperoxaluria, enteric hyperoxaluria and urinary stone disease.

Majuran Perinpam, Felicity T Enders, Kristin C Mara, Lisa E Vaughan, Ramila A Mehta, Nickolay Voskoboev, Dawn S Milliner, John C Lieske

Abstract read
In one paragraph

Article in Clinical biochemistry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

38 citing papers in PubMed, 59 citations in OpenAlex.

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  12. A clinical screening algorithm for primary hyperoxaluria type 1 in adults on dialysis.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024
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  13. Review
  14. Plasma oxalate and glycolate concentrations in dialysis patients with and without primary hyperoxaluria type 1.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2023
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  20. Estimated GFR Slope Across CKD Stages in Primary Hyperoxaluria Type 1.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2022
    Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Majuran PerinpamDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, United States.
Felicity T EndersDivision of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, United States.
Kristin C MaraDivision of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, United States.
Lisa E VaughanDivision of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, United States.
Ramila A MehtaDivision of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, United States.
Nickolay VoskoboevDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, United States.
Dawn S MillinerDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, United States.
John C LieskeDivision of Nephrology and Hypertension, Mayo Clinic, Rochester, MN, United States; Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, United States. Electronic address: Lieske.John@mayo.edu.
Mayo Clinic · USMayo Clinic in Arizona · US

Funding

Primary HyperoxaluriaU54DK083908 · NIDDK · MAYO CLINIC ROCHESTER · PI MILLINER, DAWN SCHMAUTZ · 2009 to 2018
$12.3M
VISUALIZATION AND PATHOPHYSIOLOGY OF RENAL STONE PRECURSOR LESIONSU54DK100227 · NIDDK · MAYO CLINIC ROCHESTER · PI LIESKE, JOHN C · 2013 to 2017
$6.3M
NIDDK NIH HHS U54 DK083908NIDDK NIH HHS U54 DK100227
6 · The paper itself

Abstract

backgroundSince plasma oxalate (POx) concentrations increase at lower glomerular filtration rate (GFR) levels, even among those without enteric (EH) or primary hyperoxaluria (PH), the appropriate thresholds for considering a disorder of oxalate metabolism are poorly defined. The current study was completed to establish relationships between POx, GFR, and urine oxalate excretion (UOx) among patients with PH, EH, and routine urinary stone disease (USD).

methodsThe most recent POx measurement on all Mayo Clinic patients between 2005 and 2015 were electronically pulled from the Lab Information System together with the closest serum creatinine within 14days and 24h urine study within 60days. After exclusion of patients not in steady state at the time of blood draw, 270 patients were available for study. Records were reviewed for clinical diagnoses to categorize patients as PH, EH, or USD. Waste plasma for Pox was also obtained from controls without USD undergoing clinical GFR testing.

resultsIn all 3 groups POx increased as eGFR fell. For any given eGFR, POx was highest in the PH group and lowest in the USD and control groups (p<0.0001). POx was also influenced by UOx excretion (reflecting total body oxalate burden, absorption from diet and endogenous production). Generalized estimating equations of POx vs eGFR revealed higher average POx levels in PH compared to EH,USD or control, and for EH compared to USD or control. GEE prediction models were created that use POx, UOx, age, and serum creatinine to estimate the probability of a PH diagnosis.

conclusionsNew models were developed to help interpret POx when considering PH in clinical practice even when it was not previously suspected and/or eGFR is reduced.

Indexed as

AdultCalcium OxalateFemaleGlomerular Filtration RateHumansHyperoxaluriaHyperoxaluria, PrimaryKidney DiseasesKidney Failure, ChronicMaleMetabolic DiseasesMiddle AgedOxalatesUrinary CalculiCalcium OxalateOxalatesCalcium oxalateEnteric hyperoxaluriaGlomerular filtration ratePlasma oxalatePrimary hyperoxaluria

Identifiers

PMID28764885
PMCPMC5705406
OpenAlexW2739615766

What OpenQuestion holds

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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.