Evidence map›Paper›PMID 30866180›Full record

ArticleKidney research and clinical practice2019

Risk of cancer in pre-dialysis chronic kidney disease: A nationwide population-based study with a matched control group.

Sehoon Park, Soojin Lee, Yaerim Kim, Yeonhee Lee, Min Woo Kang, Kyungdo Han, Seoung Seok Han, Hajeong Lee, Jung Pyo Lee, Kwon Wook Joo and 3 more

Open access · diamondAbstract read
In one paragraph

Article in Kidney research and clinical practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Chronic kidney disease and risk of kidney or urothelial malignancy: systematic review and meta-analysis.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. The 'other' big complication: how chronic kidney disease impacts on cancer risks and outcomes.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2023
    Review
  14. Review
  15. Article
  16. Article
  17. Observational
  18. Chronic Kidney Disease and Cancer: Inter-Relationships and Mechanisms.Frontiers in cell and developmental biology · 2022
    Review
  19. Article
  20. 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

13 authors at 2 institutions in 1 country.

Sehoon ParkDepartment of Biomedical Sciences, Seoul National University College of Medicine, Seoul, Korea.
Soojin LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Yaerim KimDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Yeonhee LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Min Woo KangDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Kyungdo HanDepartment of Medical Statistics, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Seoung Seok HanDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Hajeong LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Jung Pyo LeeDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
Kwon Wook JooDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
Chun Soo LimDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
Yon Su KimDepartment of Biomedical Sciences, Seoul National University College of Medicine, Seoul, Korea.
Dong Ki KimDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Korea.ORCID http://orcid.org/0000-0002-5195-7852
Seoul National University · KRCatholic University of Korea · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCancer risk and epidemiology in pre-dialysis chronic kidney disease (CKD) warrant further investigation in a large-scale cohort.

methodsWe performed a nationwide population-based study using the national health insurance database of Korea. We screened records from 18,936,885 individuals who received a national health examination ≥ 2 times from 2009 to 2016. Pre-dialysis CKD was identified based on serum creatinine and dipstick albuminuria results. Individuals with preexisting cancer history, renal replacement therapy, or transient CKD were excluded. A control group without evidence of kidney function impairment and matched for age, sex, low-income status, and smoking history was included. Risk of cancers, as identified in the claims database, was investigated using a multivariable Cox regression model including matched variables and other unmatched clinical characteristics as covariates.

resultsA total of 471,758 people with pre-dialysis CKD and the same number of matched controls were included. Urinary (adjusted hazard ratio [HR], 1.97; 95% confidence interval [95% CI], 1.82-2.13) and hematopoietic (adjusted HR, 1.53; 95% CI, 1.38-1.68) malignancy risk was increased in pre-dialysis CKD and all CKD stages. However, the risk of digestive cancer was lower in the pre-dialysis CKD group (adjusted HR, 0.89; 95% CI, 0.87-0.92). The risk of digestive, respiratory, thyroid, and prostate malignancy demonstrated a non-linear association with CKD stage, with stage 1 or stage 4/5 CKD without dialysis demonstrating relatively lower risk.

conclusionCancer risk varied in pre-dialysis CKD compared to controls, and the association between cancer risk and CKD stage varied depending on the cancer type.

Indexed as

CancerChronic kidney diseaseComorbidityEpidemiologyNeoplasms

Identifiers

PMID30866180
PMCPMC6481964
OpenAlexW2921009080

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.