Evidence map›Paper›PMID 30338443›Full record

SynthesisCurrent environmental health reports2018

Toxic Metals and Chronic Kidney Disease: a Systematic Review of Recent Literature.

Emily C Moody, Steven G Coca, Alison P Sanders

Abstract readSystematic Review
In one paragraph

Synthesis in Current environmental health reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Chelation treatment in a novel sub-toxic multi-metal model in rats.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2026
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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

3 authors.

Emily C MoodyDepartment of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Steven G CocaDepartment of Nephrology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Alison P SandersDepartment of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA. alison.sanders@mssm.edu.

Funding

Training Program in Environmental EpidemiologyT32ES007069 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI LADEN, FRANCINE · 1985 to 2024
$13.9M
Research Training Program in Pediatric ExposomicsT32HD049311 · NICHD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KECIA Nicole CARROLL, Robert O Wright · 2007 to 2026
$7.4M
Children's Exposure to Metals, MicroRNAs and Biomarkers of Renal HealthR00ES027508 · NIEHS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SANDERS, ALISON P · 2018 to 2020
$738k
Children's Exposure to Metals, MicroRNAs and Biomarkers of Renal HealthK99ES027508 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI SANDERS, ALISON P · 2017 to 2017
$104k
NICHD NIH HHS T32 HD049311NIEHS NIH HHS K99 ES027508NIEHS NIH HHS R00 ES027508NIEHS NIH HHS T32 ES007069
6 · The paper itself

Abstract

purpose of reviewArsenic (As), cadmium (Cd), and lead (Pb) are ubiquitous toxicants with evidence of adverse kidney impacts at high exposure levels. There is less evidence whether environmental exposure to As, Cd, or Pb plays a role in development of chronic kidney disease (CKD). We conducted a systematic review to summarize the recent epidemiologic literature examining the relationship between As, Cd, or Pb with CKD. RECENT

findingsWe included peer-reviewed studies published in English between January 2013 and April 2018 for As and Cd, and all dates prior to April 2018 for Pb. We imposed temporality requirements for both the definition of CKD (as per NKF-KDOQI guidelines) and environmental exposures prior to disease diagnosis. Our assessment included cohort, case-control or cross-sectional study designs that satisfied 5 inclusion criteria. We included a total of eight articles of which three, two, and four studies examined the effects of As, Cd, or Pb, respectively. Studies of As exposure consistently reported positive association with CKD incidence; studies of Pb exposure were mixed. We found little evidence of association between Cd exposure and CKD. Additional well-designed prospective cohort studies are needed and we present recommendations for future studies.

Indexed as

ArsenicCadmiumCase-Control StudiesCross-Sectional StudiesDose-Response Relationship, DrugEnvironmental ExposureEnvironmental PollutantsFemaleHumansLeadProspective StudiesRenal Insufficiency, ChronicArsenicCadmiumEnvironmental PollutantsLeadArsenicCadmiumChronic kidney diseaseGlomerular filtration rateLead

Identifiers

PMID30338443
PMCPMC6590508

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.