Evidence map›Paper›PMID 32366231›Full record

Observational studyBMC nephrology2020

The predictive role of serum calprotectin on mortality in hemodialysis patients with high phosphoremia.

Tomoko Kanki, Takashige Kuwabara, Jun Morinaga, Hirotaka Fukami, Shuro Umemoto, Daisuke Fujimoto, Teruhiko Mizumoto, Manabu Hayata, Yutaka Kakizoe, Yuichiro Izumi and 4 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC nephrology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 35% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. 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

14 authors at 3 institutions in 1 country.

Tomoko KankiDepartment of Nephrology, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, Japan.
Takashige KuwabaraDepartment of Nephrology, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, Japan. ktakasea@kumamoto-u.ac.jp.
Jun MorinagaDepartment of Nephrology, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, Japan. morijun@kumamoto-u.ac.jp.
Hirotaka FukamiDepartment of Nephrology, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, Japan.
Shuro UmemotoDepartment of Nephrology, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, Japan.
Daisuke FujimotoDepartment of Nephrology, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, Japan.
Teruhiko MizumotoDepartment of Nephrology, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, Japan.
Manabu HayataDepartment of Nephrology, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, Japan.
Yutaka KakizoeDepartment of Nephrology, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, Japan.
Yuichiro IzumiDepartment of Nephrology, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, Japan.
Saeko TajiriMedical Corporation, Jinseikai, 2-3-10 Toshima-nishi, Higashi-ku, Kumamoto, Japan.
Tetsuya TajiriMedical Corporation, Jinseikai, 2-3-10 Toshima-nishi, Higashi-ku, Kumamoto, Japan.
Kenichiro KitamuraThird Department of Internal Medicine, Faculty of Medicine, University of Yamanashi, 1110 Shimokato, Chuo, Yamanashi, Japan.
Masashi MukoyamaDepartment of Nephrology, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Chuo-ku, Kumamoto, Japan.
Kumamoto University · JPKishokai Medical Corporation · JPUniversity of Yamanashi Hospital · JP

Funding

Japanese Association of Dialysis Physicians 2019-23Japan Kidney Foundation JFKB19-21Japan Society for the Promotion of Science 17K09703Japan Society for the Promotion of Science 17K09706Japan Society for the Promotion of Science 19K08728Strategic Grant from Center for Metabolic Regulation of Healthy Aging, Kumamoto University Faculty of Life Sciences 009-0909005001011Takeda Medical Research Foundation 09700220
6 · The paper itself

Abstract

backgroundThe inflammatory mediator calprotectin (CPT, myeloid-related protein 8/14) is known as an endogenous ligand contributing to pathophysiology in inflammatory diseases. Serum CPT reportedly became a potential biomarker in these conditions, though there is no report predicting the prognosis in hemodialysis patients. The aim of this study is to investigate the predictive role of serum CPT on mortality in hemodialysis patients.

methodsWe conducted a multicenter, observational cohort study of 388 Japanese subjects undergoing hemodialysis. Serum CPT were measured using an ELISA. The potential associations between serum CPT and clinical variables were cross-sectionally examined. Multivariate Cox regression was used to estimate the association between serum CPT, high-sensitivity C reactive protein (hs-CRP), white blood cell (WBC) count and mortality. Median follow-up was 6.6 years.

resultsThe median CPT level was 6108 ng/ml (median in healthy subjects, 2800) at baseline. Serum CPT positively correlated with WBC count (ρ = 0.54, P < 0.001) and hs-CRP values (ρ = 0.35, P < 0.001). In multivariate analysis, hs-CRP was an independent predictor of all-cause mortality after adjusting confounding factors (middle vs. low: hazard ratio [HR] 2.09, 95% confidence interval [CI] 1.23-3.66; high vs. low: 2.47, 1.40-4.47). In the analysis by stratum of phosphate levels, elevated CPT levels were significantly associated with all-cause mortality in the highest tertile (18.1; 3.15-345.9) among the high-phosphate group, but not among the low-phosphate group.

conclusionsSerum CPT would become a potential predictive marker on mortality in hemodialysis patients with high-phosphate levels.

Indexed as

AgedBiomarkersChronic DiseaseC-Reactive ProteinFemaleFollow-Up StudiesHumansInflammationKaplan-Meier EstimateKidney Failure, ChronicLeukocyte CountLeukocyte L1 Antigen ComplexMaleMiddle AgedPhosphatesPredictive Value of TestsBiomarkersC-Reactive ProteinLeukocyte L1 Antigen ComplexPhosphatesChronic inflammationHemodialysis patientsPhosphatePrognostic biomarkerSerum calprotectin

Identifiers

PMID32366231
PMCPMC7197146
OpenAlexW3023087434

What OpenQuestion holds

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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.