Evidence map›Paper›PMID 32344501›Full record

ArticleKidney research and clinical practice2020

Reduced risk for chronic kidney disease after recovery from metabolic syndrome: A nationwide population-based study.

Sehoon Park, Soojin Lee, Yaerim Kim, Yeonhee Lee, Min Woo Kang, Kyungdo Han, Hajeong Lee, Jung Pyo Lee, Kwon Wook Joo, Chun Soo Lim and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Kidney research and clinical practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
3.9field-weighted citation impact, top 5% 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

23 citing papers in PubMed, 38 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

12 authors at 3 institutions in 1 country.

Sehoon ParkDepartment of Biomedical Sciences, Seoul National University College of Medicine, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-4221-2453
Soojin LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0001-5633-3961
Yaerim KimDepartment of Internal Medicine, Keimyung University School of Medicine, Daegu, Republic of Korea.ORCID https://orcid.org/0000-0003-1596-1528
Yeonhee LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-9216-420X
Min Woo KangDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-9411-3481
Kyungdo HanDepartment of Medical Statistics, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-6096-1263
Hajeong LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-1873-1587
Jung Pyo LeeDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-4714-1260
Kwon Wook JooDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0001-9941-7858
Chun Soo LimDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0001-9123-6542
Yon Su KimDepartment of Biomedical Sciences, Seoul National University College of Medicine, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0003-3091-2388
Dong Ki KimDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-5195-7852
Seoul National University · KRCatholic University of Korea · KRSeoul National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMetabolic syndrome (MetS) is linked to various chronic comorbidities, including chronic kidney disease (CKD). However, few large studies have addressed whether recovery from MetS is associated with reduction in the risks of such comorbidities.

methodsThis nationwide population-based study in Korea screened 10,664,268 people who received national health screening ≥ 3 times between 2012 and 2016. Those with a history of major cardiovascular events or preexisting CKD were excluded. We classified study groups into four, according to the course of MetS state, as defined by the harmonizing criteria. The main study outcome was incidental CKD (estimated glomerular filtration rate < 60 mL/min/1.73 m

resultsFour study groups included 6,315,301 subjects: 4,537,869 people without MetS, 1,034,605 with chronic MetS, 438,287 who developed MetS, and 304,540 who recovered from preexisting MetS. Those who developed MetS demonstrated higher risk of CKD (adjusted odds ratio [OR], 1.26 [1.23-1.29]) than did those who did not develop MetS. In contrast, MetS-recovery was associated with decreased risk of CKD (adjusted OR, 0.84 [0.82-0.86]) than that in people with chronic MetS. Among the MetS components, change in hypertension was associated with the largest difference in CKD risk.

conclusionReducing or preventing MetS may reduce the burden of CKD on a population-scale. Clinicians should consider the clinical importance of altering MetS status for risk of CKD.

Indexed as

Chronic kidney diseasesDiabetes mellitusDyslipidemiaHypertensionMetabolic syndromeObesity

Identifiers

PMID32344501
PMCPMC7321670
OpenAlexW3019254663

What OpenQuestion holds

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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.