Evidence map›Paper›PMID 30455333›Full record

ArticleDiabetes care2019

Variations in Risk of End-Stage Renal Disease and Risk of Mortality in an International Study of Patients With Type 1 Diabetes and Advanced Nephropathy.

Jan Skupien, Adam M Smiles, Erkka Valo, Tarunveer S Ahluwalia, Beata Gyorgy, Niina Sandholm, Stephanie Croall, Maria Lajer, Kevin McDonnell, Carol Forsblom and 14 more

Open access · bronzeAbstract read
In one paragraph

Article in Diabetes care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Article
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  6. Review
  7. Article
  8. Article
  9. Observational
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  11. Article
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  14. Role of sex hormones in diabetic nephropathy.Frontiers in endocrinology · 2023
    Review
  15. Article
  16. Associations of Plasma Biomarkers of Inflammation, Fibrosis, and Kidney Tubular Injury With Progression of Diabetic Kidney Disease: A Cohort Study.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2022
    Article
  17. Article
  18. Association of Coding Variants in Hydroxysteroid 17-beta Dehydrogenase 14 (Journal of the American Society of Nephrology : JASN · 2021
    Article
  19. Review
  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

24 authors at 11 institutions in 6 countries.

Jan SkupienDepartment of Metabolic Diseases, Jagiellonian University Medical College, Krakow, Poland jan.skupien@uj.edu.pl andrzej.krolewski@joslin.harvard.edu.
Adam M SmilesResearch Division, Joslin Diabetes Center, Boston, MA.
Erkka ValoFolkhälsan Institute of Genetics, Folkhälsan Research Center; Abdominal Center, Nephrology, University of Helsinki and Helsinki University Hospital; and Research Programs Unit, Diabetes and Obesity, University of Helsinki, Helsinki, Finland.
Tarunveer S AhluwaliaSteno Diabetes Center Copenhagen, Copenhagen, Denmark.
Beata GyorgySorbonne Université, Université Pierre-et-Marie-Curie (UPMC) Paris 06 INSERM UMR_S 1166, and Department of Genomics and Pathophysiology of Cardiovascular Diseases, Institute of Cardiometabolism and Nutrition, Paris, France.
Niina SandholmFolkhälsan Institute of Genetics, Folkhälsan Research Center; Abdominal Center, Nephrology, University of Helsinki and Helsinki University Hospital; and Research Programs Unit, Diabetes and Obesity, University of Helsinki, Helsinki, Finland.ORCID 0000-0003-4322-6942
Stephanie CroallResearch Division, Joslin Diabetes Center, Boston, MA.
Maria LajerSteno Diabetes Center Copenhagen, Copenhagen, Denmark.
Kevin McDonnellResearch Division, Joslin Diabetes Center, Boston, MA.
Carol ForsblomFolkhälsan Institute of Genetics, Folkhälsan Research Center; Abdominal Center, Nephrology, University of Helsinki and Helsinki University Hospital; and Research Programs Unit, Diabetes and Obesity, University of Helsinki, Helsinki, Finland.
Valma HarjutsaloFolkhälsan Institute of Genetics, Folkhälsan Research Center; Abdominal Center, Nephrology, University of Helsinki and Helsinki University Hospital; and Research Programs Unit, Diabetes and Obesity, University of Helsinki, Helsinki, Finland.ORCID 0000-0003-3568-9779
Michel MarreDiabetes Department, Hôpital Bichat-Claude Bernard, Assistance Publique des Hôpitaux de Paris, Université Denis Diderot Paris 7 and INSERM U1138, Paris, France.
Andrzej T GaleckiInstitute of Gerontology, University of Michigan Medical School, Ann Arbor, MI.
David-Alexandre TregouetSorbonne Université, Université Pierre-et-Marie-Curie (UPMC) Paris 06 INSERM UMR_S 1166, and Department of Genomics and Pathophysiology of Cardiovascular Diseases, Institute of Cardiometabolism and Nutrition, Paris, France.
Chun Yi WuInstitute of Gerontology, University of Michigan Medical School, Ann Arbor, MI.
Josyf C MychaleckyjCenter for Public Health Genomics, University of Virginia, Charlottesville, VA.
Helen NickersonJDRF International, New York, NY.
Marlon PragnellJDRF International, New York, NY.
Stephen S RichCenter for Public Health Genomics, University of Virginia, Charlottesville, VA.
Marcus G PezzolesiDivision of Nephrology and Hypertension, University of Utah, Salt Lake City, UT.ORCID 0000-0002-4093-3783
Samy HadjadjINSERM CIC 1402 and U 1082, and Department of Endocrinology and Diabetology, CHU Poitiers, Poitiers, France.ORCID 0000-0001-7110-6994
Peter RossingSteno Diabetes Center Copenhagen, Copenhagen, Denmark.
Per-Henrik GroopFolkhälsan Institute of Genetics, Folkhälsan Research Center; Abdominal Center, Nephrology, University of Helsinki and Helsinki University Hospital; and Research Programs Unit, Diabetes and Obesity, University of Helsinki, Helsinki, Finland.ORCID 0000-0003-4055-6954
Andrzej S KrolewskiResearch Division, Joslin Diabetes Center, Boston, MA jan.skupien@uj.edu.pl andrzej.krolewski@joslin.harvard.edu.ORCID 0000-0002-1705-2953
University of Helsinki · FIJoslin Diabetes Center · USInserm · FRBreakthrough T1D · USSteno Diabetes Centers · DKUniversity of Michigan · USUniversity of Virginia · USJagiellonian University · PLUniversité Claude Bernard Lyon 1 · FRUniversity of Copenhagen · DKUniversity of Utah · US

Funding

SPECIAL ASSAY COREP30DK036836 · NIDDK · JOSLIN DIABETES CENTER · PI JEAN E. SCHAFFER · 1986 to 2026
$50.5M
Research Education CoreP30AG024824 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Neil Alexander · 2004 to 2026
$29.2M
Tumor necrosis factor superfamily of ligands and receptors in progressive renal decline in diabetesR01DK041526 · NIDDK · JOSLIN DIABETES CENTER · PI KROLEWSKI, ANDRZEJ S · 1990 to 2018
$7.8M
NIA NIH HHS P30 AG024824NIDDK NIH HHS P30 DK036836NIDDK NIH HHS R01 DK041526
6 · The paper itself

Abstract

objectivePatients with type 1 diabetes and diabetic nephropathy are targets for intervention to reduce high risk of end-stage renal disease (ESRD) and deaths. This study compares risks of these outcomes in four international cohorts. RESEARCH DESIGN AND

methodsIn the 1990s and early 2000s, Caucasian patients with type 1 diabetes with persistent macroalbuminuria in chronic kidney disease stages 1-3 were identified in the Joslin Clinic (U.S., 432), Finnish Diabetic Nephropathy Study (FinnDiane) (Finland, 486), Steno Diabetes Center Copenhagen (Denmark, 368), and INSERM (France, 232) and were followed for 3-18 years with annual creatinine measurements to ascertain ESRD and deaths unrelated to ESRD.

resultsDuring 15,685 patient-years, 505 ESRD cases (rate 32/1,000 patient-years) and 228 deaths unrelated to ESRD (rate 14/1,000 patient-years) occurred. Risk of ESRD was associated with male sex; younger age; lower estimated glomerular filtration rate (eGFR); higher albumin/creatinine ratio, HbA

conclusionsDespite almost universal renoprotective treatment, progression to ESRD and mortality in patients with type 1 diabetes with advanced nephropathy are still very high and differ among countries. Finding causes of these differences may help reduce risk of these outcomes.

Indexed as

AdultAlbuminuriaBlood PressureCholesterolCreatinineDenmarkDiabetes Mellitus, Type 1Diabetic NephropathiesDisease ProgressionFemaleFinlandFollow-Up StudiesFranceGlomerular Filtration RateGlycated HemoglobinHumansCholesterolCreatinineGlycated Hemoglobin

Identifiers

PMID30455333
PMCPMC6300701
OpenAlexW2900768544

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.