Evidence map›Paper›PMID 33102958›Full record

ArticleKidney international reports2020

Association of Volume Overload With Kidney Function Outcomes Among Patients With Heart Failure With Reduced Ejection Fraction.

Wendy McCallum, Hocine Tighiouart, Jeffrey M Testani, Matthew Griffin, Marvin A Konstam, James E Udelson, Mark J Sarnak

Open access · goldAbstract read
In one paragraph

Article in Kidney international reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Rates of Reversal of Volume Overload in Hospitalized Acute Heart Failure: Association With Long-term Kidney Function.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2022
    Trial
  2. Kidney Failure in Cardiogenic Shock.Circulation. Heart failure · 2026
    Review
  3. Review
  4. Updates in Cardiorenal Syndrome.The Medical clinics of North America · 2023
    Review
  5. Article
  6. 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

7 authors at 3 institutions in 1 country.

Wendy McCallumDivision of Nephrology, Tufts Medical Center, Boston, Massachusetts, USA.
Hocine TighiouartInstitute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, Massachusetts, USA.
Jeffrey M TestaniDivision of Cardiovascular Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Matthew GriffinDivision of Cardiovascular Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Marvin A KonstamDivision of Cardiology and the CardioVascular Center, Tufts Medical Center, Boston, Massachusetts, USA.
James E UdelsonDivision of Cardiology and the CardioVascular Center, Tufts Medical Center, Boston, Massachusetts, USA.
Mark J SarnakDivision of Nephrology, Tufts Medical Center, Boston, Massachusetts, USA.
Tufts Medical Center · USYale University · USTufts University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Epidemiology, Clinical Trials and Outcomes Research In NephrologyT32DK007777 · NIDDK · TUFTS MEDICAL CENTER · PI SARNAK, MARK J · 1999 to 2020
$4.1M
NCATS NIH HHS UL1 TR001863NIDDK NIH HHS T32 DK007777
6 · The paper itself

Abstract

introductionIn patients with heart failure with reduced ejection fraction (HFrEF), volume overload is associated with mortality. Few studies that have examined the relation between volume and long-term kidney function outcomes in HFrEF.

methodsUsing data from the Efficacy of Vasopressin Antagonism in Heart Failure Outcome Study With Tolvaptan (EVEREST) trial, we used multivariable Cox regression models to evaluate the association between volume overload as evaluated by B-type natriuretic peptide (BNP) and N-terminal pro B-type natriuretic peptide (NT-proBNP), and a clinical congestion score (scale of 0-12) composed of pedal edema, jugular venous distension, rales, and orthopnea with the occurrence of estimated glomerular filtration rate (eGFR) decline by >40%, and incident chronic kidney disease (CKD) stage ≥4 defined by eGFR of <30 ml/min per 1.73 m

resultsAmong 3718 patients (mean eGFR 59 ± 22 ml/min per 1.73 m

conclusionVolume overload, as indicated both by elevated natriuretic peptides and clinical signs and symptoms, is associated with increased risk for clinically important kidney function outcomes in HFrEF.

Indexed as

cardiorenal syndromecongestionheart failure with reduced ejection fractionnatriuretic peptidesvolume overload

Identifiers

PMID33102958
PMCPMC7569703
OpenAlexW3044116815

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.