Evidence map›Paper›PMID 29699917›Full record

ArticleJournal of clinical lipidology

High-density lipoprotein cholesterol and causes of death in chronic kidney disease.

Sankar D Navaneethan, Jesse D Schold, Carl P Walther, Susana Arrigain, Stacey E Jolly, Salim S Virani, Wolfgang C Winkelmayer, Joseph V Nally

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical lipidology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 32% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 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 4 institutions in 1 country.

Sankar D NavaneethanSelzman Institute for Kidney Health, Section of Nephrology, Department of Medicine, Baylor College of Medicine, Houston, TX, USA; Section of Nephrology, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA. Electronic address: Sankar.navaneethan@bcm.edu.
Jesse D ScholdDepartment of Nephrology and Hypertension, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA; Department of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, USA.
Carl P WaltherSelzman Institute for Kidney Health, Section of Nephrology, Department of Medicine, Baylor College of Medicine, Houston, TX, USA.
Susana ArrigainDepartment of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, USA.
Stacey E JollyDepartment of General Internal Medicine, Medicine Institute, Cleveland Clinic, Cleveland, OH, USA; Lerner College of Medicine, Cleveland Clinic, Cleveland, OH, USA.
Salim S ViraniThe Health Policy, Quality & Informatics Program, Michael E. DeBakey Veterans Affairs Medical Center Health Services Research and Development Center for Innovations & Section of Cardiovascular Research, Department of Medicine, Baylor College of Medicine, Houston, TX, USA.
Wolfgang C WinkelmayerSelzman Institute for Kidney Health, Section of Nephrology, Department of Medicine, Baylor College of Medicine, Houston, TX, USA.
Joseph V NallyDepartment of Nephrology and Hypertension, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA; Lerner College of Medicine, Cleveland Clinic, Cleveland, OH, USA.
Baylor College of Medicine · USCleveland Clinic · USCenter for Innovation · USCleveland Clinic Lerner College of Medicine · US

Funding

Visceral Adiposity and Physical Fitness in CKDR01DK101500 · NIDDK · CLEVELAND CLINIC LERNER COM-CWRU · PI NAVANEETHAN, SANKAR DASS · 2014 to 2018
$3.0M
NIDDK NIH HHS R01 DK101500
6 · The paper itself

Abstract

backgroundRecent data suggest a U-shaped association between high-density lipoprotein cholesterol (HDL-c) and death in chronic kidney disease (CKD). However, whether the increased mortality in patients with extreme levels is explained by specific causes of death remains unclear.

objectivesWe studied the associations between HDL-c and cause-specific deaths in CKD.

methodsWe included 38,377 patients with estimated glomerular filtration rate 15-59 mL/min/1.73 m

resultsDuring a median follow-up of 4.5 years, 9665 patients died. After adjusting for relevant covariates, in both sexes, HDL-c 31 to 40 mg/dL and ≤30 mg/dL were associated with higher risk of all-cause mortality, cardiovascular mortality, malignancy-related deaths, and noncardiovascular/nonmalignancy-related deaths. HDL-c >60 mg/dL was associated with lower all-cause (hazard ratio: 0.75, 95% confidence interval: 0.69, 0.81), cardiovascular, malignancy-related, and noncardiovascular/nonmalignancy-related deaths among women but not in men. Similar results were noted when HDL-c was examined as a continuous measure.

conclusionsIn a non-dialysis-dependent CKD population, HDL-c ≤40 mg/dL was associated with risk of higher all-cause, cardiovascular, malignant, and noncardiovascular/nonmalignant mortality in men and women. HDL >60 mg/dL was associated with lower risk of all-cause, cardiovascular, malignant, and noncardiovascular/nonmalignant mortality in women but not in men.

Indexed as

AgedAged, 80 and overCardiovascular DiseasesCause of DeathCholesterol, HDLFemaleFollow-Up StudiesGlomerular Filtration RateHumansMaleMiddle AgedNeoplasmsProportional Hazards ModelsRenal Insufficiency, ChronicRisk FactorsCholesterol, HDLCardiovascularHDL cholesterolKidney diseaseMalignancyMortality

Identifiers

PMID29699917
PMCPMC6064652
OpenAlexW2795072589

What OpenQuestion holds

Textmetadata
LicenceTDM
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.