Evidence map›Paper›PMID 28934189›Full record

ArticleJournal of human hypertension2017

Cystatin C as a predictor of cardiovascular outcomes in a hypertensive population.

R Garcia-Carretero, L Vigil-Medina, O Barquero-Perez, R Goya-Esteban, I Mora-Jimenez, C Soguero-Ruiz, J Ramos-Lopez

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of human hypertension, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
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  5. Evaluating the Prognostic Significance of Cystatin C Level Variations Pre- and Post-Radiofrequency Catheter Ablation in the Recurrence of Persistent Atrial Fibrillation.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2024
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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

7 authors at 2 institutions in 1 country.

R Garcia-CarreteroDepartment of Internal Medicine, Mostoles University Hospital, Madrid, Spain.ORCID 0000-0001-7532-4585
L Vigil-MedinaDepartment of Internal Medicine, Mostoles University Hospital, Madrid, Spain.
O Barquero-PerezDepartment of Signal Theory and Communications and Telematics Systems and Computing, Rey Juan Carlos University, Madrid, Spain.
R Goya-EstebanDepartment of Signal Theory and Communications and Telematics Systems and Computing, Rey Juan Carlos University, Madrid, Spain.
I Mora-JimenezDepartment of Signal Theory and Communications and Telematics Systems and Computing, Rey Juan Carlos University, Madrid, Spain.
C Soguero-RuizDepartment of Signal Theory and Communications and Telematics Systems and Computing, Rey Juan Carlos University, Madrid, Spain.
J Ramos-LopezDepartment of Signal Theory and Communications and Telematics Systems and Computing, Rey Juan Carlos University, Madrid, Spain.
Universidad Rey Juan Carlos · ESHospital Universitario de Móstoles · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Calculating the estimated glomerular filtration rate (eGFR) using creatinine-based equations may underestimate cardiovascular risk. Cystatin C-based eGFR may be a stronger prognostic biomarker than creatinine-based eGFR when assessing cardiovascular outcomes and mortality. Our aim was to determine whether levels of serum cystatin C, as an estimator of GFR, had a higher predictive value than creatinine-based eGFR for incident cardiovascular disease among hypertensive patients. We retrospectively analyzed the records of 2016 hypertensive patients from the Hypertension Unit at Mostoles University Hospital between 2006 and 2016. We calculated the eGFR using 3 CKD-EPI equations. The outcomes we included in our study were cardiovascular death, non-cardiovascular death, stroke, incident heart failure, and myocardial infarction. We used the Cox regression hazard model to estimate the hazard ratio. Our analysis found that, in terms of cardiovascular morbidity and mortality, both cystatin C-based eGFR (HR 2.88, 95% CI 1.86-4.47, P<0.0001) showed a higher prognostic value than creatinine-based eGFR (HR 2.83, 95% CI 1.73-4.63, P<0.0001). In terms of all-cause mortality, cystatin C-based eGFR (HR 4.24, 95% CI 2.38-7.53, P<0.0001) showed a higher prognostic value than creatinine-based eGFR (HR 2.77, 95% CI 1.43-5.36, P<0.0001). Our findings suggest that both cystatin C-based eGFRs may be stronger predictors of all-cause mortality and cardiovascular events in our hypertensive cohort when compared to creatinine-based eGFR, and may improve the risk assessment in certain populations.

Indexed as

Glomerular Filtration RateAdultAgedCreatinineCystatin CFemaleHumansHypertensionMaleMiddle AgedRetrospective StudiesRisk AssessmentSpainCreatinineCystatin C

Identifiers

PMID28934189
OpenAlexW2759978817

What OpenQuestion holds

Textmetadata
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.