Evidence map›Paper›PMID 30168082›Full record

ArticleJournal of nephrology2019

Lipoprotein-associated phospholipase A2 predicts cardiovascular events in dialyzed patients.

Andreana De Mauri, Matteo Vidali, Doriana Chiarinotti, Giorgio Bellomo, Roberta Rolla

Abstract read
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In one paragraph

Article in Journal of nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

9 citing papers in PubMed, 20 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

5 authors at 2 institutions in 1 country.

Andreana De MauriNephrology and Dialysis Unit, "Maggiore della Carità" University Hospital, Corso Mazzini 18, 28100, Novara, Italy. andreanademauri@libero.it.
Matteo VidaliClinical Chemistry Laboratory, "Maggiore della Carità" University Hospital, Novara, Italy.
Doriana ChiarinottiNephrology and Dialysis Unit, "Maggiore della Carità" University Hospital, Corso Mazzini 18, 28100, Novara, Italy.
Giorgio BellomoDepartment of Health Sciences, Amedeo Avogadro University of Eastern Piedmont, Novara, Italy.
Roberta RollaDepartment of Health Sciences, Amedeo Avogadro University of Eastern Piedmont, Novara, Italy.
Azienda Ospedaliero Universitaria Maggiore della Carita · ITUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro” · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLipoprotein-associated phospholipase A

methodsWe enrolled 102 dialyzed patients, 63% male, age 71 years (59-78), 35% with diabetes, 54% hypertension, 40% coronary artery disease and 31% peripheral vascular disease. They were investigated for Lp-PLA2 (cut-off < 194 nmol/min/ml), lipoprotein profile and the occurrence of acute CV events and death in the subsequent 3 years of follow-up.

resultsThe median (interquartile ranges) levels of Lp-PLA2, total-, HDL-, LDL-cholesterol and ApoB/ApoA lipoprotein ratio were 184.5 (156.5-214.5) nmol/min/ml, 158 (127-191) mg/dl, 41 (33-51) mg/dl, 79 (63-102) mg/dl and 0.72 (0.58-0.89), respectively. In 42% of patients, Lp-PLA2 was > 194 nmol/min/ml and total- and LDL-cholesterol were higher, as well as CV morbidity and mortality. During follow-up, 51% of patients developed at least one CV event; the median survival time was 36 months, with a total and CV mortality of 42 and 29%, respectively. At multivariate Cox regression, Lp-PLA2 > 194 nmol/min/ml (HR = 2.98, p = 0.005), age (HR = 1.03, p = 0.029), diabetes (HR = 2.86, p = 0.002) and hypertension (HR = 2.93, p = 0.002) were independently associated with time to CV events.

conclusionsLp-PLA2 activity is elevated among dialyzed patients and is an independent risk factor for acute CV events in a mean follow-up of 3 years.

Indexed as

1-Alkyl-2-acetylglycerophosphocholine EsteraseAgedBiomarkersCardiovascular DiseasesFemaleHumansKidney DiseasesMaleMiddle AgedPrognosisRenal DialysisRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsUp-Regulation1-Alkyl-2-acetylglycerophosphocholine EsteraseBiomarkersPLA2G7 protein, humanAtherosclerosisCardiovascular diseaseHemodialysisLipoprotein-associated phospholipase A2Mortality

Identifiers

PMID30168082
OpenAlexW2888875700

What OpenQuestion holds

Textmetadata
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.