Evidence map›Paper›PMID 31587136›Full record

ArticleJournal of nephrology2020

Anemia and clinical outcomes in patients with non-dialysis dependent or dialysis dependent severe chronic kidney disease: a Danish population-based study.

Gunnar Toft, Uffe Heide-Jørgensen, Heleen van Haalen, Glen James, Katarina Hedman, Henrik Birn, Christian F Christiansen, Reimar W Thomsen

Open access · hybridAbstract read
In one paragraph

Article in Journal of nephrology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
5.6field-weighted citation impact, top 4% 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

46 citing papers in PubMed, 79 citations in OpenAlex.

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  17. Hypoxia-inducible factor prolyl hydroxylase inhibitors for anaemia in chronic kidney disease: a clinical practice document by the European Renal Best Practice board of the European Renal Association.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024
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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

8 authors at 4 institutions in 3 countries.

Gunnar ToftDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark. gunnar.toft@clin.au.dk.ORCID http://orcid.org/0000-0002-7542-6853
Uffe Heide-JørgensenDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.
Heleen van HaalenAstraZeneca, Gothenburg, Sweden.
Glen JamesAstraZeneca, Cambridge, UK.
Katarina HedmanAstraZeneca, Gothenburg, Sweden.
Henrik BirnDepartment of Renal Medicine, Aarhus University Hospital, Aarhus, Denmark.
Christian F ChristiansenDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.
Reimar W ThomsenDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.
Aarhus University Hospital · DKAstraZeneca (Sweden) · SEAarhus University · DKAstraZeneca (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRoutine clinical evidence is limited on clinical outcomes associated with anemia in patients with severe chronic kidney disease (CKD).

methodsWe linked population-based medical databases to identify individuals with severe CKD (eGFR < 30 mL/min/1.73 m

resultsWe identified 16,972 CKD patients contributing with a total of 28,510 anemia patient profiles, of which 3594 had dialysis dependent (DD) and 24,916 had non-dialysis dependent (NDD) severe CKD. Overall, 14% had no anemia, 35% grade 1 anemia, 44% grade 2 anemia and 17% grade 3+ anemia. Compared to patients with no anemia, adjusted hazard ratios (HRs) for NDD patients with grade 3+ anemia were elevated for incident dialysis (1.91, 95% CI 1.61-2.26), any acute hospitalization (1.74, 95% CI 1.57-1.93), all-cause death (1.82, 95% CI 1.70-1.94), and MACE (1.14, 95% CI 1.02-1.26). Similar HRs were observed among DD patients.

conclusionsAmong NDD or DD patients with severe CKD, presence and severity of anemia were associated with increased risks of incident dialysis for NDD patients and with acute hospitalizations, death and MACE for all patients.

Indexed as

Renal DialysisAgedAged, 80 and overAnemiaCardiovascular DiseasesCohort StudiesDatabases, FactualDenmarkFemaleGlomerular Filtration RateHospitalizationHumansMaleMiddle AgedRenal Insufficiency, ChronicAnemiaCardiovascular eventsChronic kidney diseaseDialysisMortality

Identifiers

PMID31587136
PMCPMC7007417
OpenAlexW2977297734

What OpenQuestion holds

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LicenceCC BY
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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.