Evidence map›Paper›PMID 32862262›Full record

SynthesisActa diabetologica2021

Serum glycated albumin predicts all-cause mortality in dialysis patients with diabetes mellitus: meta-analysis and systematic review of a predictive biomarker.

Sidar Copur, Dimitrie Siriopol, Baris Afsar, Melis C Comert, Gizem Uzunkopru, Alan A Sag, Alberto Ortiz, Adrian Covic, Daniel H van Raalte, David Z Cherney and 2 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Acta diabetologica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.5field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 38 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. AGEs-RAGE-KHeliyon · 2023
    Article
  12. Use of Glucose-Lowering Agents in Diabetes and CKD.Kidney international reports · 2022
    Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Integrative Role of Albumin: Evolutionary, Biochemical and Pathophysiological Aspects.Journal of evolutionary biochemistry and physiology · 2021
    Article
  18. 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

12 authors at 7 institutions in 6 countries.

Sidar CopurDepartment of Medicine, Koc University School of Medicine, Istanbul, Turkey.
Dimitrie SiriopolDepartment of Nephrology, Grigore T. Popa' University of Medicine, Iasi, Romania.
Baris AfsarDepartment of Medicine, Division of Nephrology, Suleyman Demirel University School of Medicine, Isparta, Turkey.
Melis C ComertDepartment of Medicine, Koc University School of Medicine, Istanbul, Turkey.
Gizem UzunkopruDepartment of Medicine, Koc University School of Medicine, Istanbul, Turkey.
Alan A SagDivision of Vascular and Interventional Radiology, Department of Radiology, Duke University Medical Center, Durham, NC, USA.
Alberto OrtizDialysis Unit, School of Medicine, IIS-Fundacion Jimenez Diaz, Universidad Autónoma de Madrid, Avd. Reyes Católicos 2, 28040, Madrid, Spain.
Adrian CovicDepartment of Nephrology, Grigore T. Popa' University of Medicine, Iasi, Romania.
Daniel H van RaalteDiabetes Center, Department of Internal Medicine, Amsterdam University Medical Center, Loaction VUMC, Amsterdam, The Netherlands.
David Z CherneyToronto General Hospital Research Institute, UHN, Toronto, Canada.
Peter RossingSteno Diabetes Center Copenhagen, Copenhagen Denmark and University of Copenhagen, Copenhagen, Denmark.
Mehmet KanbayDepartment of Medicine, Division of Nephrology, Koc University School of Medicine, 34010, Istanbul, Turkey. drkanbay@yahoo.com.ORCID http://orcid.org/0000-0002-1297-0675
Koç University · TRGrigore T. Popa University of Medicine and Pharmacy · RODuke Medical Center · USSüleyman Demirel University · TRUniversidad Autónoma de Madrid · ESUniversity of Copenhagen · DKUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimHbA1c, the traditional and current gold standard biomarker guiding diabetic management, has been scrutinized for low predictive value for patients with chronic kidney disease due to variables affecting erythrocyte number and turnover. Glycated albumin, the precursor to advanced glycation end products, reflects glycemic status over the preceding 2-3 week period and already outperforms HbA1c for glycemic monitoring. Our aim was to establish whether serum GA can be further used to predict mortality risk in dialysis patients with diabetes mellitus (DM)

methodsWe did systematic review of the literature in PubMed/Medline, Web of Science, Embase (Elsevier) and the Cochrane Central Register of Controlled Trials (Wiley) up to and including February 2020.

resultsThis meta-analysis included 25,932 dialysis patients across 12 studies with maximum follow-up of 11 years. Higher GA levels were associated with the risk of all-cause mortality in dialysis patients with DM (HR 1.02, 95% CI 1.01 to 1.03, P < 0.001) irrespective of the type of dialysis, whereas higher GA was not associated with cardiovascular mortality (HR 1.03, 95% CI 0.99 to 1.06, P = 0.15) and cardiovascular events (both fatal and non-fatal) (HR 1.03, 95% CI 0.97 to 1.09, P = 0.31) in dialysis patients with DM.

conclusionSerum glycated albumin predicts all-cause mortality risk in dialysis patients with DM. The endpoints of cardiovascular mortality and cardiovascular events trended similarly, but did not reach significance at the current sample size.

Indexed as

Renal Insufficiency, ChronicAgedAged, 80 and overBiomarkersBlood GlucoseCause of DeathDiabetes MellitusDiabetic AngiopathiesDiabetic NephropathiesFemaleGlycated HemoglobinGlycated Serum AlbuminGlycation End Products, AdvancedHumansMaleMiddle AgedBiomarkersBlood GlucoseGlycated HemoglobinGlycated Serum AlbuminGlycation End Products, AdvancedSerum AlbuminCardiovascular mortalityChronic kidney diseaseDiabetes mellitusDialysisGlycated albumin

Identifiers

PMID32862262
OpenAlexW3082094221

What OpenQuestion holds

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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.