Evidence map›Paper›PMID 33092438›Full record

ArticleJournal of the American Heart Association2020

Low High-Sensitivity C-Reactive Protein Level in Korean Patients With Chronic Kidney Disease and Its Predictive Significance for Cardiovascular Events, Mortality, and Adverse Kidney Outcomes: Results From KNOW-CKD.

Changhyun Lee, Keun Hyung Park, Young Su Joo, Ki Heon Nam, Tae-Ik Chang, Ea Wha Kang, Joongyub Lee, Yun Kyu Oh, Ji Yong Jung, Curie Ahn and 5 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01630486 (KoreaN Cohort Study for Outcome in Patients With Chronic Kidney Disease), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.0field-weighted citation impact, top 7% 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.

NCT01630486 unknown statusnot on this map

KoreaN Cohort Study for Outcome in Patients With Chronic Kidney Disease

TypeobservationalSponsorSeoul National University HospitalRan2011 to 2022Enrolled2,238ConditionsChronic Kidney Disease
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 24 citations in OpenAlex.

  1. Cardiovascular Disease in CKD: Ethnic and Regional Differences in Risk and Phenotype.Clinical journal of the American Society of Nephrology : CJASN · 2026
    Review
  2. Article
  3. Ethnic Disparities in CKD Progression: A Comparative Study of CRIC and KNOW-CKD Cohorts.Clinical journal of the American Society of Nephrology : CJASN · 2026
    Article
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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

15 authors at 7 institutions in 1 country.

Changhyun LeeDivision of Integrated Medicine Department of Internal Medicine National Health Insurance Service Medical CenterIlsan Hospital Goyang-si Gyeonggi-do Korea.
Keun Hyung ParkDepartment of Internal Medicine College of Medicine Institute of Kidney Disease Research Yonsei University College of Medicine Seoul Korea.
Young Su JooDivision of Nephrology Department of Internal Medicine Myongji Hospital Goyang-si Gyeonggi-do Republic of Korea.
Ki Heon NamDepartment of Internal Medicine College of Medicine Institute of Kidney Disease Research Yonsei University College of Medicine Seoul Korea.
Tae-Ik ChangDivision of Nephrology Department of Internal Medicine National Health Insurance Service Medical CenterIlsan Hospital Goyang-si Gyeonggi-do Korea.
Ea Wha KangDivision of Nephrology Department of Internal Medicine National Health Insurance Service Medical CenterIlsan Hospital Goyang-si Gyeonggi-do Korea.
Joongyub LeeDepartment of Prevention and Management Inha University HospitalInha University School of Medicine Incheon Republic of Korea.
Yun Kyu OhDepartment of Internal Medicine Seoul National University Boramae Medical Center Seoul Korea.
Ji Yong JungDepartment of Internal Medicine Gachon University School of Medicine Incheon Korea.
Curie AhnDepartment of Internal Medicine Seoul National University Seoul Republic of Korea.
Kyu-Beck LeeDepartment of Internal Medicine Kangbuk Samsung HospitalSungkyunkwan University School of Medicine Seoul Korea.
Jung Tak ParkDepartment of Internal Medicine College of Medicine Institute of Kidney Disease Research Yonsei University College of Medicine Seoul Korea.
Tae-Hyun YooDepartment of Internal Medicine College of Medicine Institute of Kidney Disease Research Yonsei University College of Medicine Seoul Korea.
Shin-Wook KangDepartment of Internal Medicine College of Medicine Institute of Kidney Disease Research Yonsei University College of Medicine Seoul Korea.
Seung Hyeok HanDepartment of Internal Medicine College of Medicine Institute of Kidney Disease Research Yonsei University College of Medicine Seoul Korea.
Yonsei University · KRNational Health Insurance Service · KRSeoul National University · KRGachon University · KRInha University Hospital · KRKangbuk Samsung Hospital · KRMyongji Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Inflammation levels are lower in East Asians than in Western people. We studied the association between high-sensitivity hs-CRP (C-reactive protein) and adverse outcomes in Korean patients with chronic kidney disease. Methods and Results We included 2018 participants from the KNOW-CKD (Korean Cohort Study for Outcome in Patients With Chronic Kidney Disease) between April 2011 and February 2016. The primary outcome was a composite of extended major cardiovascular events (eMACE) or all-cause mortality. The secondary end points were separate outcomes of eMACE, all-cause death, and adverse kidney outcome. We also evaluated predictive ability of hs-CRP for the primary outcome. The median hs-CRP level was 0.60 mg/L. During the mean follow-up of 3.9 years, there were 125 (6.2%) eMACEs and 80 (4.0%) deaths. In multivariable Cox analysis after adjustment of confounders, there was a graded association of hs-CRP with the primary outcome. The hazard ratios for hs-CRPs of 1.0 to 2.99 and ≥3.0 mg/L were 1.33 (95% CI, 0.87-2.03) and 2.08 (95% CI, 1.30-3.33) compared with the hs-CRP of <1.0 mg/L. In secondary outcomes, this association was consistent for eMACE and all-cause death; however, hs-CRP was not associated with adverse kidney outcomes. Finally, prediction models failed to show improvement of predictive performance of hs-CRP compared with conventional factors. Conclusions In Korean patients with chronic kidney disease, the hs-CRP level was low and significantly associated with higher risks of eMACEs and mortality. However, hs-CRP did not associate with adverse kidney outcome, and the predictive performance of hs-CRP was not strong. Registration URL: http://www.clinicaltrials.gov; Unique identifier: NCT01630486.

Indexed as

Asian PeopleAdultAgedBiomarkersCardiovascular DiseasesCohort StudiesC-Reactive ProteinFemaleHumansMaleMiddle AgedPredictive Value of TestsProportional Hazards ModelsRenal Insufficiency, ChronicRepublic of KoreaSurvival RateBiomarkersC-Reactive Proteincardiovascular eventschronic kidney diseasehs‐CRPkidney outcomemortality

Identifiers

PMID33092438
PMCPMC7763415
OpenAlexW3094103497

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.