Evidence map›Paper›PMID 31767021›Full record

Observational studyJournal of translational medicine2019

Renal involvement and metabolic alterations in adults patients affected by cystic fibrosis.

Silvia Lai, Sandro Mazzaferro, Anna Paola Mitterhofer, Enea Bonci, Paolo Giangreco Marotta, Francesco Pelligra, Manuel Murciano, Camilla Celani, Patrizia Troiani, Giuseppe Cimino and 1 more

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Journal of translational medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06595420 (Kidney Function in People With Cystic Fibrosis in the Era of HEMT), 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
–field-weighted citation impact
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.

NCT06595420 recruitingnot on this mapstarted 2025, after this paper: background citation

Kidney Function in People With Cystic Fibrosis in the Era of HEMT

TypeobservationalSponsorUniversity of VirginiaRan2025 to 2027Enrolled260ConditionsCystic Fibrosis (CF), Chronic Kidney Disease(CKD), Acute Kidney Injury
3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. Lung-kidney axis in cystic fibrosis: Early urinary markers of kidney injury correlate with neutrophil activation and worse lung function.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2025
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Renal Function in Patients with Cystic Fibrosis: A Single-Center Study.International journal of environmental research and public health · 2022
    Article
  12. Urinary tract infections in cystic fibrosis patients.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2022
    Article
  13. A new era for people with cystic fibrosis.European journal of pediatrics · 2021
    Review
  14. Article
  15. Review
  16. Review
  17. 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

11 authors.

Silvia LaiDepartment of Translational and Precision Medicine, Nephrology and Dialysis Unit, "Sapienza" University of Rome, Viale dell'Università 37, 00185, Rome, Italy. silvia.lai@uniroma1.it.
Sandro MazzaferroDepartment of Translational and Precision Medicine, Nephrology and Dialysis Unit, "Sapienza" University of Rome, Viale dell'Università 37, 00185, Rome, Italy.
Anna Paola MitterhoferDepartment of Translational and Precision Medicine, Nephrology and Dialysis Unit, "Sapienza" University of Rome, Viale dell'Università 37, 00185, Rome, Italy.
Enea BonciDepartment of Experimental Medicine, "Sapienza" University of Rome, Rome, Italy.
Paolo Giangreco MarottaDepartment of Translational and Precision Medicine, Nephrology and Dialysis Unit, "Sapienza" University of Rome, Viale dell'Università 37, 00185, Rome, Italy.
Francesco PelligraDepartment of Translational and Precision Medicine, Nephrology and Dialysis Unit, "Sapienza" University of Rome, Viale dell'Università 37, 00185, Rome, Italy.
Manuel MurcianoDepartment of Public Health and Infectious Diseases, Special Unit of Cystic Fibrosis, "Sapienza" University of Rome, Rome, Italy.
Camilla CelaniDepartment of Specialist Pediatric, Rheumatology Unit, Bambino Gesù Children's Hospital, Rome, Italy.
Patrizia TroianiDepartment of Public Health and Infectious Diseases, Special Unit of Cystic Fibrosis, "Sapienza" University of Rome, Rome, Italy.
Giuseppe CiminoDepartment of Public Health and Infectious Diseases, Special Unit of Cystic Fibrosis, "Sapienza" University of Rome, Rome, Italy.
Paolo PalangeDepartment of Public Health and Infectious Diseases, Special Unit of Cystic Fibrosis, "Sapienza" University of Rome, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCystic fibrosis (CF) is one of the most frequent genetic diseases and the median survival of these patients has improved in the last few decades, therefore it becomes necessary to evaluate the long-term complications as renal and cardiovascular risk factors. AIM OF THE STUDY: To evaluate the incidence, the manifestations of renal disease and the possible association with metabolic and endothelial dysfunction markers in the CF population. MATERIALS AND

methodsWe performed a cross-sectional, observational study on 226 CF patients. Clinical and laboratory instrumental parameters (metabolic, inflammatory and endothelial dysfunction markers) were evaluated.

resultsWe showed 65 patients with chronic kidney disease (CKD) and 158 patients with a reduced value of forced expiratory volume in 1 s (FEV1), of which 58 patients with a severe reduction of FEV1. Moreover 28 patients had undergone lung transplantation and them had a significant lower estimated Glomerular Filtration Rate (eGFR) with respect to the non-transplanted patients (p < 0.001). We reported also a significant association between lower eGFR value and serum triglycerides, total cholesterol and low-density lipoproteins (LDL) (p = 0.005, p < 0.001, p = 0.040; respectively), with a significant negative correlation between eGFR and serum triglycerides (r = - 0.28; p < 0.01). Moreover we found a significant association between lower eGFR value and serum uric acid (SUA) (p = 0.005), while we did not found an association with 25-hydroxy-vitamin-D value, serum glucose and hemoglobin A1c levels.

conclusionsOur study showed a high prevalence of CKD in CF patients. Moreover we showed an increase of endothelial dysfunction and metabolic indexes in patients with reduced renal function, as SUA, serum triglycerides and LDL, suggesting the need for an early and complete screening of the main metabolic indexes to reduce cardiovascular risk and progression of renal damage, in particular in patients with lung transplant.

Indexed as

AdultCystic FibrosisFemaleForced Expiratory VolumeGlomerular Filtration RateHumansKidneyLung TransplantationMaleTriglyceridesTriglyceridesCardiovascular diseaseChronic kidney diseaseCystic fibrosisEndothelial dysfunction

Identifiers

PMID31767021
PMCPMC6878680

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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.