Evidence map›Paper›PMID 29284721›Full record

ArticleBMJ open2017

Migraine and subsequent chronic kidney disease risk: a nationwide population-based cohort study.

Shuo-Chun Weng, Chia-Lin Wu, Chew-Teng Kor, Ping-Fang Chiu, Ming-Ju Wu, Chia-Chu Chang, Der-Cherng Tarng

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 3% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Risk of End-Stage Kidney Disease and Topiramate Use.Kidney international reports · 2025
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. 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

7 authors at 2 institutions in 1 country.

Shuo-Chun WengInstitute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan.
Chia-Lin WuInstitute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan.
Chew-Teng KorInternal Medicine Research Center, Changhua Christian Hospital, Changhua, Taiwan.
Ping-Fang ChiuDepartment of Internal Medicine, Division of Nephrology, Changhua Christian Hospital, Changhua, Taiwan.
Ming-Ju WuInstitute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan.
Chia-Chu ChangDepartment of Internal Medicine, Division of Nephrology, Changhua Christian Hospital, Changhua, Taiwan.ORCID 0000-0003-3172-8507
Der-Cherng TarngInstitute of Clinical Medicine, National Yang-Ming University, Taipei, Taiwan.
National Yang Ming Chiao Tung University · TWChanghua Christian Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe compared the incidence and risk of chronic kidney disease (CKD) between subjects with new-onset migraine and matched controls without migraine in this large-scale retrospective cohort study.

designPopulation-based cohort study.

setting8880 subjects with migraine and 503 070 subjects without migraine were enrolled between January 1, 2000 and December 31, 2013, all diagnosed to be without kidney disease. All the participants were registered in the National Health Insurance Research Database.

participantsFinally, data from 7156 subjects with migraine and 7156 propensity-score-matched control subjects were analysed. PRIMARY OUTCOME MEASURE: We used Cox proportional hazards regression to estimate adjusted HRs for incident CKD; subgroup analyses were performed to assess the interactive effects of migraine with demographics, comorbidities and long-term medications.

resultsThe incidence of CKD was higher in the migraine group than in the control group. The risk of developing CKD was significantly higher in subjects with migraine than without migraine (P=0.031). Subjects with migraine aged <65 years (age 40-64 (adjusted HR (aHR) 1.35; 95% CI 1.05 to 1.73); age <40 (aHR 1.55; 95% CI 1.02 to 2.36)), with ≥1 comorbid diseases (1-2 diseases (aHR 1.30; 95% CI 1.01 to 1.68); ≥3 diseases (aHR 1.45; 95% CI 1.01 to 2.07)), and not receiving anti-migraine agents (aHR 1.26; 95% CI 1.04 to 1.54) were at a higher risk of developing CKD compared with the control subjects. The interaction between migraine and comorbidities was not significant; age, male gender and long-term use of non-steroidal anti-inflammatory drugs (NSAIDs) were independent risk factors for CKD in subjects with migraine.

conclusionMigraine may be an independent risk factor for CKD. Young subjects with migraine, and those with comorbid conditions or without medical control, are likely to be at higher risk for CKD. Ageing, male sex and NSAIDs tend to have an association with CKD in subjects with migraine.

Indexed as

AdultAgedAge DistributionAnti-Inflammatory Agents, Non-SteroidalCase-Control StudiesComorbidityFemaleHumansIncidenceKaplan-Meier EstimateMaleMiddle AgedMigraine DisordersPropensity ScoreProportional Hazards ModelsRenal Insufficiency, ChronicAnti-Inflammatory Agents, Non-Steroidalanti-migraine agentschronic kidney diseasemigrainenational health insurance research databasepropensity score

Identifiers

PMID29284721
PMCPMC5770945
OpenAlexW2777198448

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.