Evidence map›Paper›PMID 29757410›Full record

ArticleNephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association2019

Chronic kidney disease and peripheral nerve function in the Health, Aging and Body Composition Study.

Ranjani N Moorthi, Simit Doshi, Linda F Fried, Sharon M Moe, Mark J Sarnak, Suzanne Satterfield, Ann V Schwartz, Michael Shlipak, Brittney S Lange-Maia, Tamara B Harris and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

18 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
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  8. Multiparametric quantitative magnetic resonance imaging of skeletal muscle in CKD.American journal of physiology. Renal physiology · 2025
    Article
  9. Observational
  10. Review
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  14. Construction and validation of a nomogram for predicting the risk of secondary peripheral neuropathy in patients with advanced lung cancer.Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2022
    Article
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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

12 authors at 10 institutions in 1 country.

Ranjani N MoorthiDepartment of Medicine, Division of Nephrology, Indiana University School of Medicine, Indianapolis, IN, USA.
Simit DoshiDepartment of Medicine, Division of Nephrology, Indiana University School of Medicine, Indianapolis, IN, USA.
Linda F FriedRenal Section, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania, USA.
Sharon M MoeDepartment of Medicine, Division of Nephrology, Indiana University School of Medicine, Indianapolis, IN, USA.
Mark J SarnakDepartment of Medicine, Division of Nephrology, Tufts Medical Center, Boston, MA, USA.
Suzanne SatterfieldDepartment of Preventive Medicine, University of Tennessee Health Science Center, Memphis, TN, USA.
Ann V SchwartzDepartment of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA.
Michael ShlipakDivision of Nephrology, Department of Medicine, San Francisco VA Medical Center, San Francisco, CA; Kidney Health Research Collaborative, San Francisco VA Medical Center and University of California, San Francisco, CA, USA.
Brittney S Lange-MaiaDepartment of Preventive Medicine and Center for Community Health Equity, Rush University Medical Center, Chicago, IL, USA.
Tamara B HarrisIntramural Research Program, Laboratory of Epidemiology, and Population Sciences, National Institute on Aging, National Institutes of Health, Laboratory of Epidemiology, Demography, and Biometry, Bethesda, MD, USA.
Anne B NewmanDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, PA, USA.
Elsa S StrotmeyerDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, PA, USA.
Indiana University – Purdue University Indianapolis · USUniversity of Pittsburgh · USNational Institute on Aging · USRichard L. Roudebush VA Medical Center · USRush University Medical Center · USSan Francisco VA Medical Center · USTufts Medical Center · USUniversity of California, San Francisco · USUniversity of Tennessee Health Science Center · USVA Pittsburgh Healthcare System · US

Funding

VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
The Aging Kidney: Chronic Injury, Impaired Functions and Clinical OutcomesR01AG027002 · NIA · TUFTS MEDICAL CENTER · PI PARIKH, SAMIR M, SARNAK, MARK J · 2005 to 2022
$7.3M
Peripheral Nerve Function Decline in an Aged CohortR01AG028050 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI STROTMEYER, ELSA S. · 2007 to 2015
$3.5M
End of Life in the Very OldR01NR012459 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ALBERT, STEVEN M, LUNNEY, JUNE R · 2011 to 2015
$2.7M
Longitudinal Assessment of Skeletal Muscle Physiology in Dialysis PatientsK23DK102824 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI MOORTHI, RANJANI N. · 2015 to 2019
$892k
NIA NIH HHS P30 AG024827NIA NIH HHS R01 AG027002NIA NIH HHS R01 AG028050NIDDK NIH HHS K23 DK102824NINR NIH HHS R01 NR012459
6 · The paper itself

Abstract

backgroundChronic kidney disease (CKD) is associated with poor mobility. Peripheral nerve function alterations play a significant role in low mobility. We tested the hypothesis that early CKD is associated with altered sensory, motor and autonomic nerve function.

methodsParticipants in the Health, Aging and Body Composition cohort who had kidney function measures in Year 3 (1999-2000) and nerve function measurements at Year 4 (2000-01) were analyzed (n = 2290). Sensory (vibration threshold, monofilament insensitivity to light and standard touch), motor [compound motor action potentials (CMAPs), nerve conduction velocities (NCVs)] and autonomic (heart rate response and recovery after a 400-m walk test) nerve function as well as participant characteristics were compared across cystatin C- and creatinine-based estimated glomerular filtration rate categorized as ≤60 (CKD) or >60 mL/min/1.73 m2 (non-CKD). The association between CKD and nerve function was examined with logistic regression adjusted for covariates.

resultsParticipants with CKD (n = 476) were older (77 ± 3 versus 75 ± 3 years; P < 0.05) and had a higher prevalence of diabetes (20.6% versus 13.1%; P < 0.001). CKD was associated with higher odds for vibration detection threshold {odds ratio [OR] 1.7 [95% confidence interval (CI) 1.1-2.7]} and light touch insensitivity [OR 1.4 (95% CI 1.1-1.7)]. CMAPs and NCVs were not significantly different between CKD and non-CKD patients. In adjusted analyses, participants with CKD had higher odds of an abnormal heart rate response [OR 1.6 (95% CI 1.1-2.2)] and poor heart rate recovery [OR 1.5 (95% CI 1.1-2.0)].

conclusionsCKD is associated with changes in sensory and autonomic nerve function, even after adjustment for demographics and comorbidities, including diabetes. Longitudinal studies in CKD are needed to determine the contribution of nerve impairments to clinically important outcomes.

Indexed as

Body CompositionGlomerular Filtration RateAgedAge FactorsCohort StudiesCreatinineCystatin CFemaleHumansMalePeripheral NervesRenal Insufficiency, ChronicCreatinineCST3 protein, humanCystatin Cchronic kidney diseasemotorperipheral nervesensory

Identifiers

PMID29757410
PMCPMC6452189
OpenAlexW2800967926

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.