Evidence map›Paper›PMID 30797615›Full record

Observational studyAmerican journal of kidney diseases : the official journal of the National Kidney Foundation2019

Progressive Decline in Estimated GFR in Patients With Sickle Cell Disease: An Observational Cohort Study.

Vimal K Derebail, Emily J Ciccone, Qingning Zhou, R Rosina Kilgore, Jianwen Cai, Kenneth I Ataga

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in American journal of kidney diseases : the official journal of the National Kidney Foundation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
4.1field-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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Review
  4. Observational
  5. Article
  6. CKD in Migrants: From Epidemiology to Challenges.Kidney international reports · 2026
    Review
  7. Review
  8. Observational
  9. Management of Kidney Disease with Sickle Cell Disease.Journal of the American Society of Nephrology : JASN · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Novel clinical care models for patients with sickle cell disease.Hematology. American Society of Hematology. Education Program · 2024
    Review
  14. Article
  15. Article
  16. Sickle Cell Disease and CKD: An Update.American journal of nephrology · 2024
    Review
  17. Article
  18. Article
  19. Article
  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

6 authors at 4 institutions in 1 country.

Vimal K DerebailUNC Kidney Center, Division of Nephrology and Hypertension, University of North Carolina at Charlotte, Charlotte, NC. Electronic address: vimal_derebail@med.unc.edu.
Emily J CicconeDepartment of Medicine, University of North Carolina at Charlotte, Charlotte, NC.
Qingning ZhouDepartment of Mathematics and Statistics, University of North Carolina at Charlotte, Charlotte, NC.
R Rosina KilgoreDepartment of Medicine, Brody School of Medicine, East Carolina University, Greenville, NC.
Jianwen CaiDepartment of Biostatistics, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Kenneth I AtagaCenter for Sickle Cell Disease, University of Tennessee Health Science Center, Memphis, TN. Electronic address: kataga@uthsc.edu.
University of North Carolina at Charlotte · USEast Carolina University · USUniversity of North Carolina at Chapel Hill · USUniversity of Tennessee Health Science Center · US

Funding

Re-Entry Supplement: Investigation of Oral Microbial Enzymes for the Detection and Treatment of Periodontal DiseaseUL1TR002489 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, SHAHEEN, NICHOLAS J · 2018 to 2022
$48.6M
North Carolina Translational & Clinical Sciences Institute (NC TraCS)UL1TR001111 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, CAREY, TIMOTHY S · 2013 to 2017
$43.9M
Targeted Anticoagulant Therapy for Sickle Cell DiseaseU01HL117659 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KEY, NIGEL S., MACKMAN, NIGEL · 2013 to 2017
$7.6M
Endothelial Dysfunction in the Pathogenesis of Sickle Cell NephropathyR01HL111659 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ARCHER, DAVID R, ATAGA, KENNETH I · 2012 to 2016
$2.3M
FDA HHS R01 FD006030NCATS NIH HHS UL1 TR001111NCATS NIH HHS UL1 TR002489NHLBI NIH HHS R01 HL111659NHLBI NIH HHS U01 HL117659
6 · The paper itself

Abstract

RATIONALE &

objectiveProgression of chronic kidney disease (CKD) in sickle cell disease (SCD) and its risk factors remain poorly defined. We identified characteristics associated with CKD as well as decline in estimated glomerular filtration rate (eGFR) and presence of proteinuria over time in adults with SCD. STUDY

designRetrospective observational study. SETTING &

participantsPatients with SCD 18 years or older in a single center from 2004 to 2013. PREDICTORS: Baseline clinical and laboratory measures, comorbid conditions, SCD-related complications, relevant treatments, and severity of genotypes defined as severe (homozygous SCD [HbSS]/sickle-β OUTCOMES: Presence at baseline of CKD, defined here as eGFR<90mL/min/1.73m ANALYTICAL APPROACH: Logistic regression for baseline CKD. Linear mixed-effects model for eGFR decline and generalized linear mixed-effects model for proteinuria during the study period evaluating for interaction with time. Stratified by genotype severity.

resultsAmong 427 patients, 331 had 2 or more measurements of creatinine. During a median follow-up of 4.01 (interquartile range, 1.66-7.19) years, annual eGFR decline was 2.05mL/min/1.73m LIMITATIONS: Retrospective observational study, limited direct measures of albuminuria.

conclusionsPatients with SCD exhibit rapid decline in eGFR over time. Decline in eGFR is associated with markers of disease severity and associated comorbid conditions.

Indexed as

Anemia, Sickle CellGlomerular Filtration RateKidney TransplantationRenal DialysisRenal Insufficiency, ChronicAdultAge FactorsCreatinineDisease ProgressionFemaleHumansMaleProteinuriaRetrospective StudiesRisk AssessmentRisk FactorsCreatininechronic kidney disease (CKD)eGFR declineestimated glomerular filtration rate (eGFR)genotypehyperfiltrationproteinuriaSickle cell diseasesickle hemoglobinthalassemia

Identifiers

PMID30797615
PMCPMC9449709
OpenAlexW2915559991

What OpenQuestion holds

Textmetadata
LicenceTDM
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.