Evidence map›Paper›PMID 32381583›Full record

ArticleClinical journal of the American Society of Nephrology : CJASN2020

Plasma Endothelin-1 and Risk of Death and Hospitalization in Patients Undergoing Maintenance Hemodialysis.

Ping Li, Insa M Schmidt, Venkata Sabbisetti, Maria Clarissa Tio, Alexander R Opotowsky, Sushrut S Waikar

Open access · bronzeAbstract read
In one paragraph

Article in Clinical journal of the American Society of Nephrology : CJASN, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

17 citing papers in PubMed, 22 citations in OpenAlex.

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  17. Gut dysbiosis and mortality in hemodialysis patients.NPJ biofilms and microbiomes · 2021
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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

6 authors at 3 institutions in 2 countries.

Ping LiRenal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Insa M SchmidtRenal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Venkata SabbisettiRenal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Maria Clarissa TioRenal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Alexander R OpotowskyDepartment of Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
Sushrut S WaikarRenal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Boston University · USBrigham and Women's Hospital · USHarvard University · US

Funding

Urinary Biomarkers of Chronic Kidney Disease Pathology and ProgressionU01DK085660 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI BONVENTRE, JOSEPH VINCENT, WAIKAR, SUSHRUT S. · 2009 to 2019
$5.3M
Novel Human Biomarkers of Kidney FibrosisU01DK104308 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI HUMPHREYS, BENJAMIN D., WAIKAR, SUSHRUT S. · 2014 to 2018
$2.0M
Oxalate and the Progression and Complications of CKDR01DK103784 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI WAIKAR, SUSHRUT S. · 2015 to 2018
$1.6M
Harvard Chronic Kidney Disease Research Biopsy CenterUG3DK114915 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI ROSAS, SYLVIA E, WAIKAR, SUSHRUT S. · 2017 to 2018
$713k
NIDDK NIH HHS R01 DK103784NIDDK NIH HHS U01 DK085660NIDDK NIH HHS U01 DK104308NIDDK NIH HHS UG3 DK114915
6 · The paper itself

Abstract

BACKGROUND AND

objectivesEndothelin-1 is a potent endothelium-derived vasoconstrictor peptide implicated in the pathogenesis of hypertension, congestive heart failure, and inflammation, all of which are critical pathophysiologic features of CKD. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: To test the hypothesis that plasma endothelin-1 levels are associated with increased risks of mortality and hospitalization in patients with chronic kidney failure, we measured plasma endothelin-1 levels in a prospective cohort of 794 individuals receiving maintenance hemodialysis. The primary outcomes were time to death and time to hospitalization.

resultsThe median plasma endothelin-1 level was 2.02 (interquartile range, 1.57-2.71) pg/ml. During a median follow-up period of 28 (interquartile range, 21-29) months, 253 individuals (32%) died and 643 individuals (81%) were hospitalized at least once. In multivariable models adjusted for demographic, clinical, and laboratory variables, individuals in the highest quartile of plasma endothelin-1 had a 2.44-fold higher risk of death (hazard ratio, 2.44; 95% confidence interval, 1.61 to 3.70) and a 1.54-fold higher risk of hospitalization (hazard ratio, 1.54; 95% confidence interval, 1.19 to 1.99) compared with individuals in the lowest quartile. The Harrell

conclusionsHigher plasma endothelin-1 is associated with adverse clinical events in patients receiving hemodialysis independent of previously described risk factors. PODCAST: This article contains a podcast at https://www.asn-online.org/media/podcast/CJASN/2020_05_15_CJN11130919.mp3.

Indexed as

AgedEndothelin-1FemaleFollow-Up StudiesHospitalizationHumansKidney Failure, ChronicMaleMiddle AgedProspective StudiesRenal DialysisRisk FactorsTime FactorsEndothelin-1cardiovascular diseaseChronicCohort StudiesdialysisEndothelin-1Endothelinsendotheliumheart failurehemodialysishospitalizationhypertensionInflammationKidney FailuremortalityProspective StudiesRenal Insufficiencyrisk factorsVasoconstrictor Agents

Identifiers

PMID32381583
PMCPMC7274287
OpenAlexW3023199095

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.