Evidence map›Paper›PMID 31119518›Full record

ReviewInternational urology and nephrology2019

A comprehensive review on apolipoproteins as nontraditional cardiovascular risk factors in end-stage renal disease: current evidence and perspectives.

Cristiana Vlad, Alexandru Burlacu, Laura Florea, Bogdan Artene, Silvia Badarau, Andreea Covic, Carina Ureche, Dragos Scripcariu, Liliana Foia, Adrian Covic

Abstract readReview
PubMed Publisher
In one paragraph

Review in International urology and nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Observational
  4. Review
  5. Article
  6. Article
  7. 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 at 1 institution in 1 country.

Cristiana VladDepartment of Internal Medicine-Nephrology, "Grigore T. Popa" University of Medicine, Iasi, Romania.ORCID http://orcid.org/0000-0002-3424-1588
Alexandru BurlacuDepartment of Interventional Cardiology, Cardiovascular Diseases Institute, "Grigore T. Popa" University of Medicine, Iasi, Romania. alburlacu@yahoo.com.
Laura FloreaNephrology Clinic, Dialysis and Renal Transplant Center, 'C.I. Parhon' University Hospital, and "Grigore T. Popa" University of Medicine, Iasi, Romania.
Bogdan ArteneDepartment of Interventional Cardiology, Cardiovascular Diseases Institute, "Grigore T. Popa" University of Medicine, Iasi, Romania.
Silvia BadarauNephrology Clinic, Dialysis and Renal Transplant Center, 'C.I. Parhon' University Hospital, and "Grigore T. Popa" University of Medicine, Iasi, Romania.
Andreea CovicDepartment of Internal Medicine-Nephrology, "Grigore T. Popa" University of Medicine, Iasi, Romania.
Carina UrecheDepartment of Interventional Cardiology, Cardiovascular Diseases Institute, "Grigore T. Popa" University of Medicine, Iasi, Romania.
Dragos ScripcariuSurgery Department, "Grigore T. Popa" University of Medicine and Pharmacy, Iasi, Romania.
Liliana FoiaDepartment of Biochemistry, "Grigore T. Popa" University of Medicine, Iasi, Romania.
Adrian CovicNephrology Clinic, Dialysis and Renal Transplant Center, 'C.I. Parhon' University Hospital, and "Grigore T. Popa" University of Medicine, Iasi, Romania.
Grigore T. Popa University of Medicine and Pharmacy · RO

Funding

European Regional Development Fund MySMIS 107124: Funding Contract 2/Axa 1/31.07.2017/ 107124 SMIMinistery of Research and Innovation, CNCS - UEFISCDI contract number 167/2017Ministery of Research and Innovation, CNCS - UEFISCDI PN-III-P4-ID-PCE-2016-0908Ministery of Research and Innovation, CNCS - UEFISCDI within PNCDI III
6 · The paper itself

Abstract

purposeNontraditional cardiovascular risk factors such as lipoprotein(a) (Lp(a)), the genetic polymorphisms of apolipoprotein(a), apolipoprotein E (ApoE), and apolipoprotein B (ApoB) increase the prevalence of atherosclerosis in end-stage renal disease (ESRD) through quantitative and qualitative alterations. Given the high burden of cardiovascular fatal events in ESRD, this review aims to gather studies depicting apolipoproteins' changes in ESRD, to describe current evidence and to explore potential lipid-lowering therapies.

methodsWe searched the electronic database of PubMed, SCOPUS, EBSCO, and Cochrane CENTRAL for studies evaluating apolipoproteins in ESRD. Randomized controlled trials, observational studies (including case-control, prospective, or retrospective cohort), and reviews/meta-analysis were included if reference was made to apolipoproteins and cardiovascular consequences in ESRD.

results21 studies met the inclusion criteria. We found a significant correlation between Lp(a) plasma concentrations and atherosclerosis. Lp(a) levels were independent risk factors for atherothrombosis and cardiovascular mortality. LMW apo(a) phenotype proved to be the best predictor for coronary events in ESRD. Single nucleotide polymorphisms in ApoE gene affected the expression and function of the protein, increasing the risk of cardiovascular events. ApoB had a significant correlation with the value of carotid intima-media thickness and vascular stiffness.

conclusionsThe picture of "lipid milieu" in ESRD has not been clearly described. Novel studies show that specific apolipoproteins suffer modifications in uremic patients, being correlated with cardiovascular events. Probably in the next years, the treatment of dyslipidemia in ESRD will not merely target LDL or total cholesterol, but specific isoforms of apolipoproteins which seem to become the central part of the problem.

Indexed as

Cardiovascular DiseasesKidney Failure, ChronicApolipoproteinsComorbidityHumansRisk FactorsApolipoproteinsApo BApo EApolipoproteinsDialysisDyslipidemiaEnd-stage renal diseaseLipoprotein (a)Trials

Identifiers

PMID31119518
OpenAlexW2945147330

What OpenQuestion holds

Textmetadata
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.