Evidence map›Paper›PMID 29989014›Full record

ArticleKidney international reports2018

Changes With Lanthanum Carbonate, Calcium Acetate, and Phosphorus Restriction in CKD: A Randomized Controlled Trial.

Csaba P Kovesdy, Jun Ling Lu, Barry M Wall, Geeta Gyamlani, Adnan Naseer, Angela Wallick, Zhongji Han, Fridtjof Thomas, L Darryl Quarles, Nabil Jarmukli

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Kidney international reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01357317 (Changes in Biochemical and Vascular Parameters w/Lanthanum Carbonate & Calcium Acetate Therapy Compared to Dietary Intervention in Pts w/Stage 3 & 4 Chronic Kidney Disease & Abnormal Phosphorus Homeostasis), which is not on this map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
1.3field-weighted citation impact, top 23% 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.

NCT01357317 phase3unknown statusnot on this map

Changes in Biochemical and Vascular Parameters w/Lanthanum Carbonate & Calcium Acetate Therapy Compared to Dietary Intervention in Pts w/Stage 3 & 4 Chronic Kidney Disease & Abnormal Phosphorus Homeostasis: a Randomized Controlled Trial

TypeinterventionalSponsorSalem Veterans Affairs Medical CenterRan2011 to 2014Enrolled120ConditionsChronic Kidney DiseaseArmsDiet counseling, Phosphorus binder
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Observational
  11. Review
  12. State-of-the-Art Management of Hyperphosphatemia in Patients With CKD: An NKF-KDOQI Controversies Perspective.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2021
    Article
  13. Review
  14. Review
  15. Phosphate, the forgotten mineral in hypertension.Current opinion in nephrology and hypertension · 2019
    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

10 authors at 3 institutions in 1 country.

Csaba P KovesdyNephrology Section, Memphis Veterans Affairs Medical Center, Memphis, Tennessee, USA.
Jun Ling LuDivision of Nephrology, University of Tennessee Health Science Center, Memphis, Tennessee, USA.
Barry M WallNephrology Section, Memphis Veterans Affairs Medical Center, Memphis, Tennessee, USA.
Geeta GyamlaniNephrology Section, Memphis Veterans Affairs Medical Center, Memphis, Tennessee, USA.
Adnan NaseerNephrology Section, Memphis Veterans Affairs Medical Center, Memphis, Tennessee, USA.
Angela WallickNephrology Section, Memphis Veterans Affairs Medical Center, Memphis, Tennessee, USA.
Zhongji HanDivision of Nephrology, University of Tennessee Health Science Center, Memphis, Tennessee, USA.
Fridtjof ThomasDivision of Nephrology, University of Tennessee Health Science Center, Memphis, Tennessee, USA.
L Darryl QuarlesDivision of Nephrology, University of Tennessee Health Science Center, Memphis, Tennessee, USA.
Nabil JarmukliSalem Veterans Affairs Medical Center, Salem, Virginia, USA.
University of Tennessee Health Science Center · USMemphis VA Medical Center · USSalem VA Medical Center · US

Funding

Regulation and Function of FGF23R01AR045955 · NIAMS · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI QUARLES, L DARRYL · 1999 to 2016
$4.8M
NIAMS NIH HHS R01 AR045955
6 · The paper itself

Abstract

introductionAbnormal phosphorus homeostasis develops early in chronic kidney disease (CKD). It is unclear if its correction results in improved clinical outcomes in non-dialysis dependent CKD.

methodsWe conducted a randomized controlled, parallel design clinical trial in 120 patients with estimated glomerular filtration rate 15 to 59 ml/min per 1.73 m

resultsBaseline characteristics were similar in the 3 groups. A total of 107 patients (89%) completed 12 months of follow-up. Differences were not significant at month 12 (vs. baseline) for any of the outcomes except bALP (median [25th, 75th] percentile at month 12 versus baseline: 13.8 [10.6, 17.6] vs. 15.8 [12.1, 21.1],

conclusionA 1-year intervention to limit phosphorus absorption using dietary restriction or 2 different phosphorus binders resulted in decreased bALP suggesting improved bone turnover, but no other significant changes in biochemical or vascular parameters in patients with CKD stage 3/4. (ClinicalTrials.gov: NCT01357317).

Indexed as

bone-specific alkaline phosphataseclinical trialcoronary calciumFGF23parathyroid hormonepulse wave velocityserum phosphorus

Identifiers

PMID29989014
PMCPMC6035139
OpenAlexW2792146755

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.