Evidence map›Paper›PMID 30516352›Full record

ArticleJournal of diabetes investigation2019

Association of renal arteriosclerosis and hypertension with renal and cardiovascular outcomes in Japanese type 2 diabetes patients with diabetic nephropathy.

Miho Shimizu, Kengo Furuichi, Tadashi Toyama, Tomoaki Funamoto, Shinji Kitajima, Akinori Hara, Yasunori Iwata, Norihiko Sakai, Toshinari Takamura, Kiyoki Kitagawa and 5 more

Open access · goldAbstract read
In one paragraph

Article in Journal of diabetes investigation, 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
1.0field-weighted citation impact, top 26% 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, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Heterogeneous afferent arteriolopathy: a key concept for understanding blood pressure-dependent renal damage.Hypertension research : official journal of the Japanese Society of Hypertension · 2024
    Review
  4. Article
  5. Observational
  6. Review
  7. Article
  8. Observational
  9. Article
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

15 authors at 5 institutions in 1 country.

Miho ShimizuDivision of Nephrology, Kanazawa University Hospital, Kanazawa, Japan.ORCID https://orcid.org/0000-0002-7737-935X
Kengo FuruichiDivision of Nephrology, Kanazawa University Hospital, Kanazawa, Japan.
Tadashi ToyamaDivision of Nephrology, Kanazawa University Hospital, Kanazawa, Japan.
Tomoaki FunamotoDivision of Nephrology, Kanazawa University Hospital, Kanazawa, Japan.
Shinji KitajimaDivision of Nephrology, Kanazawa University Hospital, Kanazawa, Japan.
Akinori HaraDivision of Nephrology, Kanazawa University Hospital, Kanazawa, Japan.
Yasunori IwataDivision of Nephrology, Kanazawa University Hospital, Kanazawa, Japan.
Norihiko SakaiDivision of Nephrology, Kanazawa University Hospital, Kanazawa, Japan.
Toshinari TakamuraDepartment of Endocrinology and Metabolism, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan.
Kiyoki KitagawaDivision of Internal Medicine, National Hospital Organization Kanazawa Medical Center, Kanazawa, Japan.
Mitsuhiro YoshimuraDivision of Internal Medicine, Noto General Hospital, Nanao, Japan.
Shuichi KanekoDepartment of System Biology, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan.
Hitoshi YokoyamaDivision of Nephrology, Kanazawa Medical University, Uchinada, Japan.
Takashi WadaDivision of Nephrology, Kanazawa University Hospital, Kanazawa, Japan.ORCID https://orcid.org/0000-0002-0123-3645
Kanazawa Study Group for Renal Diseases and Hypertension
Kanazawa University · JPKanazawa Medical Center · JPKanazawa Medical University · JPKanazawa University Hospital · JPNoto General Hospital · JP

Funding

JSPS KAKENHI 17K08979
6 · The paper itself

Abstract

AIMS/

introductionThe present retrospective study investigated the impact of renal arteriosclerosis (AS) and hypertension (HT) on long-term renal and cardiovascular outcomes in Japanese type 2 diabetes patients with biopsy-proven diabetic nephropathy. MATERIALS AND

methodsA total of 185 patients were enrolled. Patients were divided into four groups stratified by renal AS status and the presence of HT. The outcomes for this study were the first occurrence of renal events (a need for dialysis or a 30% decline in estimated glomerular filtration rate from baseline) and cardiovascular events (cardiovascular death, non-fatal myocardial infarction, coronary intervention or non-fatal stroke).

resultsThe proportion of renal AS scores ≥1 was 88.3% among patients with normal-range blood pressure (BP) and 95.4% among patients with HT. During a mean follow-up period of 7.6 years, 129 episodes of renal composite events and 55 episodes of cardiovascular events were observed. Compared with patients with no renal AS and normal-range BP, a renal AS score ≥1 increased the risk of renal composite events with a multivariable-adjusted hazard ratio of 3.21 (95% confidence interval [95% CI] 1.27-8.14) in patients with normal-range BP and 4.99 (95% CI 1.98-12.54) in patients with HT, whereas renal AS score ≥1 increased the risk of cardiovascular events with a multivariable-adjusted hazard ratio of 6.06 (95% CI 1.24-29.61) in patients with normal-range BP and 10.02 (95% CI 1.92-52.39) in patients with HT.

conclusionsRenal AS was associated with increasing risks for renal composite events and cardiovascular events in both normal-range BP and HT. The risks of renal composite events and cardiovascular events were the highest in both renal AS and HT.

Indexed as

ArteriosclerosisBiomarkersCardiovascular DiseasesDiabetes Mellitus, Type 2Diabetic NephropathiesFemaleFollow-Up StudiesHumansHypertensionIncidenceJapanMaleMiddle AgedPrognosisRetrospective StudiesBiomarkersDiabetic nephropathyHypertensionRenal arteriosclerosis

Identifiers

PMID30516352
PMCPMC6626944
OpenAlexW2903531694

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.