Evidence map›Paper›PMID 30514308›Full record

ArticleBMC nephrology2018

Association of kidney disease measures with risk of renal function worsening in patients with type 1 diabetes.

Antonio Mirijello, Francesca Viazzi, Paola Fioretto, Carlo Giorda, Antonio Ceriello, Giuspina T Russo, Pietro Guida, Roberto Pontremoli, Salvatore De Cosmo, AMD ANNALS Study Group

Abstract readMulticenter Study
In one paragraph

Article in BMC nephrology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

10 authors.

Antonio MirijelloDepartment of Medical Sciences, Scientific Institute "Casa Sollievo della Sofferenza", IRCCS Casa Sollievo della Sofferenza, v.le Cappuccini, 71013, San Giovanni Rotondo, FG, Italy. antonio.mirijello@gmail.com.ORCID 0000-0003-3932-3803
Francesca ViazziDepartment of Internal Medicine, University of Genoa and Policlinico San Martino, Genova, Italy.
Paola FiorettoDepartment of Medicine, University of Padova, Padova, Italy.
Carlo GiordaDiabetes and Metabolism Unit ASL Turin 5, Chieri, Italy.
Antonio CerielloInstitut d'Investigacions Biomèdiques August Pii Sunyer (IDIBAPS) and Centro de Investigación Biomédicaen Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Barcelona, Spain.
Giuspina T RussoDepartment of Clinical and Experimental Medicine, University of Messina, Messina, Italy.
Pietro GuidaAssociazione Medici Diabetologi, Rome, Italy.
Roberto PontremoliDepartment of Internal Medicine, University of Genoa and Policlinico San Martino, Genova, Italy.
Salvatore De CosmoDepartment of Medical Sciences, Scientific Institute "Casa Sollievo della Sofferenza", IRCCS Casa Sollievo della Sofferenza, v.le Cappuccini, 71013, San Giovanni Rotondo, FG, Italy. a.mirijello@operapadrepio.it.
AMD ANNALS Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlbuminuria has been classically considered a marker of kidney damage progression in diabetic patients and it is routinely assessed to monitor kidney function. However, the role of a mild GFR reduction on the development of stage ≥3 CKD has been less explored in type 1 diabetes mellitus (T1DM) patients. Aim of the present study was to evaluate the prognostic role of kidney disease measures, namely albuminuria and reduced GFR, on the development of stage ≥3 CKD in a large cohort of patients affected by T1DM.

methodsA total of 4284 patients affected by T1DM followed-up at 76 diabetes centers participating to the Italian Association of Clinical Diabetologists (Associazione Medici Diabetologi, AMD) initiative constitutes the study population. Urinary albumin excretion (ACR) and estimated GFR (eGFR) were retrieved and analyzed. The incidence of stage ≥3 CKD (eGFR < 60 mL/min/1.73 m2) or eGFR reduction > 30% from baseline was evaluated.

resultsThe mean estimated GFR was 98 ± 17 mL/min/1.73m

conclusionsAlbuminuria and eGFR reduction represent independent risk factors for incident stage ≥3 CKD in T1DM patients. The simultaneous occurrence of reduced eGFR and albuminuria have a synergistic effect on renal function worsening.

Indexed as

Disease ProgressionAdultAlbuminuriaDiabetes Mellitus, Type 1FemaleFollow-Up StudiesGlomerular Filtration RateHumansItalyKidneyMaleMiddle AgedRisk FactorsAlbuminuriaDiabetic kidney diseaseGFR

Identifiers

PMID30514308
PMCPMC6280443

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