Evidence map›Paper›PMID 31668448›Full record

ArticleMayo Clinic proceedings2019

Estimated Glomerular Filtration Rate, Activation of Cardiac Biomarkers and Long-Term Cardiovascular Outcomes: A Population-Based Cohort.

Shravya Vinnakota, Christopher G Scott, Richard J Rodeheffer, Horng H Chen

Open access · greenAbstract read
In one paragraph

Article in Mayo Clinic proceedings, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 27% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Cardiac Troponins in Kidney Disease.European cardiology · 2025
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Shravya VinnakotaDepartment of Internal Medicine, Mayo Clinic, Rochester, MN.
Christopher G ScottDivision of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN.
Richard J RodehefferDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN.
Horng H ChenDepartment of Cardiovascular Diseases, Mayo Clinic, Rochester, MN. Electronic address: Chen.horng@mayo.edu.
Mayo Clinic in Arizona · USMayo Clinic · US

Funding

Recruitment and Phenotyping CoreP01HL076611 · NHLBI · MAYO CLINIC ROCHESTER · PI BURNETT, JOHN C · 2005 to 2015
$19.6M
Human Cardiorenal SyndromeR01HL084155 · NHLBI · MAYO CLINIC ROCHESTER · PI HORNG H CHEN · 2009 to 2026
$5.5M
Preclinical Diastolic Dysfunction in Type 2 DiabetesR01HL136440 · NHLBI · MAYO CLINIC ROCHESTER · PI CHEN, HORNG H · 2018 to 2021
$2.8M
NHLBI NIH HHS P01 HL076611NHLBI NIH HHS R01 HL084155NHLBI NIH HHS R01 HL136440
6 · The paper itself

Abstract

objectiveTo classify subjects in a general population per their renal function and characterize the cardiac biomarker levels, left ventricular function and cardiovascular outcomes over a 10.2 year follow-up period (interquartile range, 5.1-11.4 years).

methodsThis was a retrospective review of a population-based random sample of residents aged ≥45 years. Data were collected between January 1, 1997, and December 31, 2000. One thousand nine hundred eighty-one individuals were classified based on estimated glomerular filtration rate (eGFR) into group I (>90 mL/min/1.73 m

resultsEight hundred nineteen patients were classified as group I, 1036 as group II, and 126 of 1981 (6.4%) as group III or CKD. Subjects in group III were older and had a higher incidence of hypertension, diabetes, and MI at baseline. Over a 10.2-year follow-up period, CKD was associated with an increased risk of MI (hazard ratio, 1.95; 95% CI, 1.2-3.14; P=.006) and composite cardiovascular outcomes including MI, congestive heart failure, stroke, and all-cause mortality (hazard ratio, 1.38; 95% CI, 1.05-1.83 ;P=.02). Subjects with NT-proBNP or hs-TnT in the third tertile were at greater risk of cardiovascular events without significant interactions between eGFR and levels of NT-proBNP and hs-TnT.

conclusionSubjects with CKD had significantly elevated cardiac biomarkers and were at an increased risk of MI and adverse cardiovascular events. This warrants future studies to investigate whether these cardiac biomarkers could identify high-risk CKD patients for aggressive management of cardiovascular risk factors.

Indexed as

AgedBiomarkersCardiovascular DiseasesCohort StudiesFemaleGlomerular Filtration RateHumansMaleMiddle AgedNatriuretic Peptide, BrainPeptide FragmentsRenal Insufficiency, ChronicRetrospective StudiesRisk FactorsBiomarkersNatriuretic Peptide, BrainPeptide Fragments

Identifiers

PMID31668448
PMCPMC6959123
OpenAlexW2981527850

What OpenQuestion holds

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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.