Evidence map›Paper›PMID 31791277›Full record

ArticleBMC nephrology2019

Abdominal aortic calcification is superior to other arteries calcification in predicting the mortality in peritoneal dialysis patients - a 8 years cohort study.

Qingyu Niu, Huiping Zhao, Bei Wu, Shihming Tsai, Jian Wu, Meng Zhang, Lixia Lu, Jie Qiao, Chuncui Men, Li Zuo and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

14 citing papers in PubMed, 18 citations in OpenAlex.

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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

11 authors at 2 institutions in 1 country.

Qingyu NiuDepartment of Nephrology, Peking University People's Hospital, Beijing, China.
Huiping ZhaoDepartment of Nephrology, Peking University People's Hospital, Beijing, China. huipingzhao2009@163.com.ORCID 0000-0002-2048-9072
Bei WuDepartment of Nephrology, Peking University People's Hospital, Beijing, China.
Shihming TsaiDepartment of Nephrology, Beijing Tsinghua Changgung Hospital, Beijing, China.
Jian WuDepartment of Radiology, Peking University People's Hospital, Beijing, China.
Meng ZhangDepartment of Radiology, Peking University People's Hospital, Beijing, China.
Lixia LuDepartment of Nephrology, Peking University People's Hospital, Beijing, China.
Jie QiaoDepartment of Nephrology, Peking University People's Hospital, Beijing, China.
Chuncui MenDepartment of Nephrology, Peking University People's Hospital, Beijing, China.
Li ZuoDepartment of Nephrology, Peking University People's Hospital, Beijing, China.
Mei WangDepartment of Nephrology, Peking University People's Hospital, Beijing, China.
Peking University · CNBeijing Tsinghua Chang Gung Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn recent years, there has been a growing concern that abdominal aortic calcification (AAC) has a predictive effect on the prognosis of patients with end-stage renal disease (ESRD). However, whether other vascular calcification (VC) can predict the occurrence of adverse events in patients, and whether it is necessary to assess the calcification of other blood vessels remains controversial. This study aimed to assess VC in different sites using X-ray films, and to investigate the predictive effects of VC at different sites on all-cause mortality and cardiovascular (CV) mortality in peritoneal dialysis (PD) patients.

methodsThe data of Radiographs (lateral abdominal plain film, frontal pelvic radiograph and both hands radiograph) were collected to evaluate the calcification of abdominal aorta, iliac artery, femoral artery, radial artery, and finger arteries. Patients' demographic data, clinical characteristics, laboratory data were recorded. The total follow-up period was 8 years, and the time and cause of death were recorded. Survival curves were estimated using Kaplan-Meier analysis. COX regression analysis was used to examine independent predictors of all-cause mortality and CV mortality.

resultsOne hundred fifty PD patients were included, a total of 79 patients (52.7%) died at the end of follow-up. After adjusting variables in the multivariate COX regression analysis, AAC was an independent predictor of all-cause mortality in PD patients (HR = 2.089, 95% CI: 1.089-4.042, P = 0.029), and was also an independent predictor of CV mortality (HR = 4.660, 95% CI: 1.852-11.725, P = 0.001). We also found that femoral artery calcification had a predictive effect on all-cause and CV mortality. But the calcification in iliac artery, radial artery, and finger arteries were not independent predictors of patients' all-cause and CV mortality in PD patients.

conclusionAAC was more common in PD patients and was an independent predictor of all-cause mortality and CV mortality. The femoral artery calcification also can predict the mortality, but the calcification of iliac artery, radial artery, and finger arteries cannot predict the mortality of PD patients.

Indexed as

Aorta, AbdominalArteriesKidney Failure, ChronicVascular CalcificationChinaFemaleHumansKaplan-Meier EstimateLong Term Adverse EffectsMaleMiddle AgedMortalityPeritoneal DialysisPrognosisRadiographyReproducibility of ResultsCardiovascularMortalityOutcomesPeritoneal DialysisVascular calcification

Identifiers

PMID31791277
PMCPMC6888938
OpenAlexW2990022544

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LicenceCC BY
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Registered trials

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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.