Evidence map›Paper›PMID 30689181›Full record

ArticleInternational urology and nephrology2019

Associations of vitamin K status with mortality and cardiovascular events in peritoneal dialysis patients.

Qingdong Xu, Huankai Guo, Shirong Cao, Qian Zhou, Jiexin Chen, Ming Su, Siying Chen, Songqin Jiang, Xiaofeng Shi, Yueqiang Wen

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in International urology and nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04900610 (Vitamin K In PEritonial DIAlysis), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.4field-weighted citation impact, top 21% 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.

NCT04900610 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Vitamin K In PEritonial DIAlysis (VIKIPEDIA)

TypeinterventionalSponsorAristotle University Of ThessalonikiRan2021 to 2022Enrolled120ConditionsVitamin K Deficiency, End Stage Renal Disease, Peritoneal Dialysis, Arterial StiffnessArmsMenaQ7 ®, Nattopharma, ASA, Hovik, Norway
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
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  4. Review
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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

10 authors at 3 institutions in 1 country.

Qingdong XuDepartment of Nephrology, Jiangmen Central Hospital, Affiliated Jiangmen Hospital of Sun Yat-sen University, Guangdong, People's Republic of China. xqd82@163.com.ORCID http://orcid.org/0000-0001-8755-7968
Huankai GuoDepartment of Nephrology, Jiangmen Central Hospital, Affiliated Jiangmen Hospital of Sun Yat-sen University, Guangdong, People's Republic of China.
Shirong CaoDepartment of Nephrology, Central Municipal Hospital of Huizhou, Guangdong, People's Republic of China.
Qian ZhouClinical Trials Unit, The First Affiliated Hospital, Sun Yat-sen University, Guangdong, People's Republic of China.
Jiexin ChenDepartment of Nephrology, Jiangmen Central Hospital, Affiliated Jiangmen Hospital of Sun Yat-sen University, Guangdong, People's Republic of China.
Ming SuDepartment of Nephrology, Jiangmen Central Hospital, Affiliated Jiangmen Hospital of Sun Yat-sen University, Guangdong, People's Republic of China.
Siying ChenDepartment of Nephrology, Jiangmen Central Hospital, Affiliated Jiangmen Hospital of Sun Yat-sen University, Guangdong, People's Republic of China.
Songqin JiangDepartment of Nephrology, Jiangmen Central Hospital, Affiliated Jiangmen Hospital of Sun Yat-sen University, Guangdong, People's Republic of China.
Xiaofeng ShiDepartment of Nephrology, Jiangmen Central Hospital, Affiliated Jiangmen Hospital of Sun Yat-sen University, Guangdong, People's Republic of China.
Yueqiang WenDepartment of Nephrology, the 2nd Affiliated Hospital of Guangzhou Medical University, Guangdong, People's Republic of China.
Sun Yat-sen University · CNHuizhou Central People's Hospital · CNSecond Affiliated Hospital of Guangzhou Medical University · CN

Funding

Medical?Scientific?Research?Foundation?of?Guangdong?Province 2015122194432203-A201563
6 · The paper itself

Abstract

purposeVitamin K deficiency, expressed by a high level of desphospho-uncarboxylated matrix GLA protein (dp-ucMGP), is highly prevalent in dialysis patients. However, the predictive ability of the vitamin K status remains unclear in continuous ambulatory peritoneal dialysis (CAPD) patients.

methods158 prevalent CAPD patients with a median level of dp-ucMGP of 1093 (752, 1485) pmol/L were enrolled. Patient outcomes including all-cause mortality and cardiovascular events (CVEs) were recorded during follow-up. Survival curves were performed using Kaplan-Meier method, and the influences of dp-ucMGP on outcomes were analyzed by Cox regression models.

resultsA total of 59 deaths and 82 new episodes of CVEs occurred during median follow-up of 31.4 ± 13.1 months (range: 3.8-48.0 months). Kaplan-Meier analysis revealed patients with higher dp-ucMGP levels (≥ 1093 pmol/L) had an increased risk for both mortality (P = 0.005) and CVEs (P < 0.001). Multivariable Cox regression confirmed that higher dp-ucMGP levels increase the mortality risk [hazard ratio (HR), 1.763; 95% CI 1.045-3.291] and CVEs (HR, 1.846; 95% CI 1.074-3.172). For every 100 pmol/L increase in serum dp-ucMGP, the adjusted HRs for mortality and CVEs were 1.054 (95% CI 1.008-1.106) and 1.034 (95% CI 1.012-1.089), respectively.

conclusionsVitamin K deficiency, as expressed by high dp-ucMGP levels, showed independently associations with mortality and CVEs in CAPD patients.

Indexed as

Peritoneal Dialysis, Continuous AmbulatoryAdultAgedCalcium-Binding ProteinsCardiovascular DiseasesExtracellular Matrix ProteinsFemaleFollow-Up StudiesHumansKaplan-Meier EstimateKidney Failure, ChronicMaleMatrix Gla ProteinMiddle AgedPredictive Value of TestsProportional Hazards ModelsCalcium-Binding ProteinsExtracellular Matrix ProteinsMatrix Gla ProteinDesphospho-uncarboxylated matrix GLA proteinMortalityPeritoneal dialysisVitamin K status

Identifiers

PMID30689181
OpenAlexW2914330598

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Registered trials

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.