Evidence map›Paper›PMID 30037726›Full record

Trial reportAmerican journal of kidney diseases : the official journal of the National Kidney Foundation2019

Albuminuria and Allograft Failure, Cardiovascular Disease Events, and All-Cause Death in Stable Kidney Transplant Recipients: A Cohort Analysis of the FAVORIT Trial.

Daniel E Weiner, Meyeon Park, Hocine Tighiouart, Alin A Joseph, Myra A Carpenter, Nitender Goyal, Andrew A House, Chi-Yuan Hsu, Joachim H Ix, Paul F Jacques and 9 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in American journal of kidney diseases : the official journal of the National Kidney Foundation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.3field-weighted citation impact, top 5% 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

22 citing papers in PubMed, 35 citations in OpenAlex.

  1. Trial
  2. Article
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  7. Review
  8. Surrogate Endpoints for Late Kidney Transplantation Failure.Transplant international : official journal of the European Society for Organ Transplantation · 2022
    Article
  9. Allograft Function as Endpoint for Clinical Trials in Kidney Transplantation.Transplant international : official journal of the European Society for Organ Transplantation · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
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  20. 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

19 authors at 13 institutions in 2 countries.

Daniel E WeinerDivision of Nephrology, Tufts Medical Center, Boston, MA. Electronic address: dweiner@tuftsmedicalcenter.org.
Meyeon ParkDivision of Nephrology, University of California, San Francisco, San Francisco, CA.
Hocine TighiouartDivision of Nephrology, Tufts Medical Center, Boston, MA.
Alin A JosephDivision of Nephrology, Tufts Medical Center, Boston, MA.
Myra A CarpenterCollaborative Studies Coordinating Center, University of North Carolina, Chapel Hill, NC.
Nitender GoyalDivision of Nephrology, Tufts Medical Center, Boston, MA.
Andrew A HouseDivision of Nephrology, London Health Sciences Centre, London, Ontario, Canada.
Chi-Yuan HsuDivision of Nephrology, University of California, San Francisco, San Francisco, CA.
Joachim H IxDivision of Nephrology-Hypertension, University of California, San Diego, San Diego, CA.
Paul F JacquesHuman Nutrition Research Center on Aging, Tufts University, Boston, MA.
Clifton E KewDivision of Nephrology, University of Alabama, Birmingham, AL.
S Joseph KimDivision of Nephrology and the Kidney Transplant Program, Toronto General Hospital, Toronto, Ontario, Canada.
John W KusekNational Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD.
Todd E PesaventoDivision of Nephrology, Ohio State University, Columbus, OH.
Marc A PfefferCardiovascular Division, Brigham and Women's Hospital, Boston, MA.
Stephen R SmithDivision of Nephrology, Duke University, Durham, NC.
Matthew R WeirDivision of Nephrology, University of Maryland, Baltimore, MD.
Andrew S LeveyDivision of Nephrology, Tufts Medical Center, Boston, MA.
Andrew G BostomDivision of Hypertension and Kidney Diseases, Rhode Island Hospital, Providence, RI.
Tufts Medical Center · USUniversity of California, San Francisco · USBrigham and Women's Hospital · USDuke University · USLondon Health Sciences Centre · CANational Institute of Diabetes and Digestive and Kidney Diseases · USPediatric Nephrology of Alabama · USRhode Island Hospital · USThe Ohio State University · USToronto General Hospital · CATufts University · USUniversity of California, San Diego · USUniversity of Maryland, Baltimore · US

Funding

Tufts Clinical and Translational Science Institute (Pilot Supplement)UL1TR002544 · NCATS · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2018 to 2022
$50.2M
Folic Acid for Vascular Outcome Reduction in Transplantation (FAVORIT) TrialU01DK061700 · NIDDK · TUFTS MEDICAL CENTER · PI LEVEY, ANDREW S · 2001 to 2011
$29.0M
Epidemiology, Clinical Trials and Outcomes Research In NephrologyT32DK007777 · NIDDK · TUFTS MEDICAL CENTER · PI SARNAK, MARK J · 1999 to 2020
$4.1M
NCATS NIH HHS UL1 TR002544NIDDK NIH HHS T32 DK007777NIDDK NIH HHS U01 DK061700
6 · The paper itself

Abstract

RATIONALE &

objectiveCardiovascular disease (CVD) is common and overall graft survival is suboptimal among kidney transplant recipients. Although albuminuria is a known risk factor for adverse outcomes among persons with native chronic kidney disease, the relationship of albuminuria with cardiovascular and kidney outcomes in transplant recipients is uncertain. STUDY

designPost hoc longitudinal cohort analysis of the Folic Acid for Vascular Outcomes Reduction in Transplantation (FAVORIT) Trial. SETTING &

participantsStable kidney transplant recipients with elevated homocysteine levels from 30 sites in the United States, Canada, and Brazil. PREDICTOR: Urine albumin-creatinine ratio (ACR) at randomization. OUTCOMES: Allograft failure, CVD, and all-cause death. ANALYTICAL APPROACH: Multivariable Cox models adjusted for age; sex; race; randomized treatment allocation; country; systolic and diastolic blood pressure; history of CVD, diabetes, and hypertension; smoking; cholesterol; body mass index; estimated glomerular filtration rate (eGFR); donor type; transplant vintage; medications; and immunosuppression.

resultsAmong 3,511 participants with complete data, median ACR was 24 (Q1-Q3, 9-98) mg/g, mean eGFR was 49±18 (standard deviation) mL/min/1.73m LIMITATIONS: No data for rejection; single ACR assessment.

conclusionsIn a large population of stable kidney transplant recipients, elevated baseline ACR is independently associated with allograft failure, CVD, and death. Future studies are needed to evaluate whether reducing albuminuria improves these outcomes.

Indexed as

Kidney TransplantationAlbuminuriaCardiovascular DiseasesCause of DeathCohort StudiesCreatinineDouble-Blind MethodFemaleGraft SurvivalHumansLongitudinal StudiesMaleMiddle AgedPostoperative ComplicationsRisk AssessmentTreatment OutcomeCreatinineAlbuminuriaallograft failurebiomarkercardiovascular disease (CVD)deathend-stage renal disease (ESRD)graft survivalkidney failurekidney transplant outcomesprotein excretionrenal transplantationurinary albumin-creatinine ratio (UACR)

Identifiers

PMID30037726
PMCPMC6309643
OpenAlexW2883128693

What OpenQuestion holds

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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.