Evidence map›Paper›PMID 31648433›Full record

ArticleThe Korean journal of internal medicine2020

Low parathyroid hormone level predicts infection-related mortality in incident dialysis patients: a prospective cohort study.

Yu Ah Hong, Jeong Ho Kim, Yong Kyun Kim, Yoon Kyung Chang, Cheol Whee Park, Suk Young Kim, Yon Su Kim, Shin-Wook Kang, Nam-Ho Kim, Yong-Lim Kim and 1 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in The Korean journal of internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06963853 (Evaluation of Microbial and Endocrinological Parameters in Dialysis Patients With Sepsis), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.8field-weighted citation impact, top 9% 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.

NCT06963853 recruitingnot on this mapstarted 2022, after this paper: background citation

Evaluation of Microbial and Endocrinological Parameters in Dialysis Patients With Sepsis

TypeobservationalSponsorWestern Galilee Hospital-NahariyaRan2022 to 2027Enrolled200ConditionsSepsis, HemodialysisArmsBlood cultures will be obtained from three sources: 1. The central venous catheter (CVC), 2. The dialysis machine circuit, and 3. A peripheral vein
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Low Parathyroid HormoneFrontiers in endocrinology · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Observational
  16. Article
  17. 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

11 authors at 4 institutions in 1 country.

Yu Ah HongDepartment of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Jeong Ho KimDepartment of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Yong Kyun KimDepartment of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Yoon Kyung ChangDepartment of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Cheol Whee ParkDepartment of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Suk Young KimDepartment of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Yon Su KimDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
Shin-Wook KangClinical Research Center for End Stage Renal Disease, Daegu, Korea.
Nam-Ho KimClinical Research Center for End Stage Renal Disease, Daegu, Korea.
Yong-Lim KimClinical Research Center for End Stage Renal Disease, Daegu, Korea.
Chul Woo YangDepartment of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Catholic University of Korea · KRSeoul National University · KRChonnam National University · KRYonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsParathyroid hormone (PTH) is an important factor influencing immunologic dysfunction, but the effect of PTH level on infection-related outcomes remains unclear in incident dialysis.

methodsWe evaluated a multicenter prospective cohort study of 1,771 incident dialysis patients (1,260 hemodialysis and 511 peritoneal dialysis) in Korea. Patients were divided into three groups based on serum intact PTH (iPTH) level. The primary outcomes were all-cause and infection-related mortality and multivariate Cox regression analysis was performed to evaluate the role of iPTH in all-cause and infection-related mortality.

resultsDuring the follow-up period of 27.3 months, 175 patients (9.9%) died, and infection-related death represented 20% of all-cause mortality. Both all-cause mortality and infection-related mortality rates (p < 0.001 and p = 0.003, by logrank) were markedly higher in patients with serum iPTH < 150 pg/mL than in the other groups. Multivariate Cox regression analysis revealed that patients with serum iPTH < 150 pg/mL remained at higher risk for infection-related mortality than patients in the target range of 150 ≤ iPTH < 300 pg/mL, after adjusting for confounding variables (hazard ratio [HR], 2.52; 95% confidence interval, 1.06 to 5.99; p = 0.04). The HR of infection-related mortality in patients with serum iPTH < 150 pg/mL was significantly higher in patients with low serum phosphorus, low Ca × P product, low serum alkaline phosphatase and those older than 65 years.

conclusionLow serum iPTH level is an independent predictor of infection-related mortality in incident dialysis patients.

Indexed as

Peritoneal DialysisRenal DialysisCalciumHumansParathyroid HormoneProspective StudiesRepublic of KoreaCalciumParathyroid HormoneDialysisInfectionMortalityParathyroid hormone

Identifiers

PMID31648433
PMCPMC6960040
OpenAlexW2982159276

What OpenQuestion holds

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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.