Evidence map›Paper›PMID 29285430›Full record

ArticleKidney research and clinical practice2017

Changes in geriatric nutritional risk index and risk of major adverse cardiac and cerebrovascular events in incident peritoneal dialysis patients.

Mi Jung Lee, Young Eun Kwon, Kyoung Sook Park, Jung Tak Park, Seung Hyeok Han, Shin-Wook Kang, Hyung Jong Kim, Tae-Hyun Yoo

Open access · diamondAbstract read
In one paragraph

Article in Kidney research and clinical practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

12 citing papers in PubMed, 20 citations in OpenAlex.

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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

8 authors at 3 institutions in 1 country.

Mi Jung LeeDepartment of Internal Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
Young Eun KwonDepartment of Internal Medicine, Myongji Hospital, Seonam University College of Medicine, Goyang, Korea.
Kyoung Sook ParkDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Jung Tak ParkDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Seung Hyeok HanDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Shin-Wook KangDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Hyung Jong KimDepartment of Internal Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
Tae-Hyun YooDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Yonsei University · KRCHA University Bundang Medical Center · KRSeonam University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGeriatric nutritional risk index (GNRI) is a validated nutritional assessment method, and lower GNRI values are closely associated with adverse clinical outcomes in dialysis patients. This study investigated the impact of changes in GNRI during the first year of dialysis on cardiovascular outcomes in incident peritoneal dialysis (PD) patients.

methodsWe reviewed medical records in 133 incident PD patients to determine GNRI at the start of PD and after 12 months. Patients were categorized into improved (delta GNRI > 0) and worsening/stationary (delta GNRI ≤ 0) groups. The primary outcome was major adverse cardiac and cerebrovascular events (MACCEs).

resultsDuring a mean follow-up of 51.1 months, the primary outcome was observed in 42 patients (31.6%). The baseline GNRI at PD initiation was not significantly associated with MACCEs (log-rank test,

conclusionBaseline GNRI was not associated with MACCEs, but patients with deteriorating or stationary nutritional status were at significantly greater risk for MACCEs, suggesting that serial monitoring of nutritional status is important to stratify cardiovascular risk in incident PD patients.

Indexed as

DialysisGeriatric nutritional risk indexMajor adverse cardiac and cerebrovascular eventsPeritoneal dialysisProtein-energy wasting

Identifiers

PMID29285430
PMCPMC5743047
OpenAlexW2777927704

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.