Evidence map›Paper›PMID 29356934›Full record

Observational studyInternational urology and nephrology2018

Elevated levels of serum sclerostin are linked to adverse cardiovascular outcomes in peritoneal dialysis patients.

Li Gong, Dongxia Zheng, Jiangzi Yuan, Liou Cao, Zhaohui Ni, Wei Fang

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in International urology and nephrology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% 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, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Role of Sclerostin in Cardiovascular System.International journal of molecular sciences · 2025
    Review
  3. Review
  4. Article
  5. Exploring the Role of Sclerostin as a Biomarker of Cardiovascular Disease and Mortality: A Scoping Review.International journal of environmental research and public health · 2022
    Article
  6. Circulating Sclerostin Levels Are Positively Related to Coronary Artery Disease Severity and Related Risk Factors.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2022
    Article
  7. Article
  8. Review
  9. Article
  10. Observational
  11. Sclerostin: a new biomarker of CKD-MBD.International urology and nephrology · 2020
    Review
  12. Review
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

6 authors at 1 institution in 1 country.

Li GongDepartment of Nephrology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, 1630 Dongfang Road, Shanghai, 200127, People's Republic of China.
Dongxia ZhengDepartment of Nephrology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, 1630 Dongfang Road, Shanghai, 200127, People's Republic of China.
Jiangzi YuanDepartment of Nephrology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, 1630 Dongfang Road, Shanghai, 200127, People's Republic of China.
Liou CaoDepartment of Nephrology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, 1630 Dongfang Road, Shanghai, 200127, People's Republic of China.
Zhaohui NiDepartment of Nephrology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, 1630 Dongfang Road, Shanghai, 200127, People's Republic of China.
Wei FangDepartment of Nephrology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, 1630 Dongfang Road, Shanghai, 200127, People's Republic of China. fangwei_sh@126.com.
Shanghai Jiao Tong University · CN

Funding

National Nature Science Foundation of China 81370864National Nature Science Foundation of China 81670691Shanghai Municipal Education Commission-Gaofeng Clinical Medicine Grant 20152211
6 · The paper itself

Abstract

purposeTo investigate the correlation between elevated serum sclerostin levels and chronic kidney disease outcomes for patients receiving peritoneal dialysis (PD).

methodsWe performed a prospective observational study in stable PD patients. Serum sclerostin levels were determined via enzyme immunoassay, and median levels of sclerostin were used to divide patients into high and low sclerostin groups. New-onset cardiovascular events (CVEs) and cardiovascular mortality were evaluated during a 6-year follow-up period.

resultsNinety-eight patients [mean age 52.5 ± 10.9 years, 49% males, 21.4% diabetic, median dialysis vintage 40.7 (range 17.9-72.2) months] were recruited. Compared with those in the low sclerostin group, patients in the high sclerostin group demonstrated higher levels of total-cholesterol, NT-proBNP, and osteoprotegerin (all P < 0.05). During the 6-year study period, 25 CVEs and 17 cardiovascular deaths occurred in the high sclerostin group, whereas 11 CVEs and four cardiovascular deaths occurred in the low sclerostin group. A Cox regression analysis determined that high sclerostin levels significantly increased the risk for CVEs (HR 2.475, 95% CI 1.116-5.489, P = 0.026) and cardiovascular death (HR 3.484, 95% CI1.134-10.706, P = 0.029), after multiple adjustments were made.

conclusionsOur data suggest that high sclerostin levels may predict the onset of CVEs and cardiovascular mortality among PD patients.

Indexed as

Peritoneal DialysisAdaptor Proteins, Signal TransducingAdultBone Morphogenetic ProteinsCardiovascular DiseasesCholesterolFemaleFollow-Up StudiesGenetic MarkersHumansMaleMiddle AgedNatriuretic Peptide, BrainOsteoprotegerinPeptide FragmentsProspective StudiesAdaptor Proteins, Signal TransducingBone Morphogenetic ProteinsCholesterolGenetic MarkersNatriuretic Peptide, BrainOsteoprotegerinPeptide Fragmentspro-brain natriuretic peptide (1-76)SOST protein, humanCardiovascular eventsChronic kidney diseaseMortalityPeritoneal dialysisSclerostin

Identifiers

PMID29356934
OpenAlexW2789864254

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.