Evidence map›Paper›PMID 33498192›Full record

ArticleJournal of clinical medicine2021

Predictive Value of Measures of Vascular Calcification Burden and Progression for Risk of Death in Incident to Dialysis Patients.

Antonio Bellasi, Luca Di Lullo, Domenico Russo, Roberto Ciarcia, Michele Magnocavallo, Carlo Lavalle, Carlo Ratti, Maria Fusaro, Mario Cozzolino, Biagio Raffaele Di Iorio

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00710788 (Interventional, Multicenter, Prospective, Randomized Trial to Slow Down the Progression of Cardiovascular Calcifications to Reduce QTd in Incident Dialysis Patients), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.0field-weighted citation impact, top 14% 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.

NCT00710788 nacompletednot on this map

Interventional, Multicenter, Prospective, Randomized Trial to Slow Down the Progression of Cardiovascular Calcifications to Reduce QTd in Incident Dialysis Patients

TypeinterventionalSponsorAzienda Sanitaria ASL Avellino 2Ran2007 to 2011Enrolled360ConditionsCardiovascular MortalityArmssevelamer phosphate-binders, Calcium Carbonate
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 20 citations in OpenAlex.

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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

10 authors at 8 institutions in 1 country.

Antonio BellasiDepartment of Research, Innovation and Brand Reputation, ASST Papa Giovanni XXIII, 24127 Bergamo, Italy.ORCID 0000-0001-7830-1645
Luca Di LulloDepartment of Nephrology and Dialysis, Ospedale Parodi, Delfino, 00034 Colleferro, Italy.
Domenico RussoDepartment of Nephrology, School of Medicine, University "Federico II", 80125 Napoli, Italy.
Roberto CiarciaDepartments of Vetecerinary Medicine and Animal Productions, University of Naples Federico II, 80137 Naples, Italy.ORCID 0000-0003-4121-4905
Michele MagnocavalloDepartment of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Policlinico Universitario Umberto I, Sapienza University of Rome, 00185 Roma, Italy.ORCID 0000-0001-9883-0114
Carlo LavalleDepartment of Clinical, Internal, Anesthesiology and Cardiovascular Sciences, Policlinico Universitario Umberto I, Sapienza University of Rome, 00185 Roma, Italy.
Carlo RattiDepartment of Cardiology, Ospedale Ramazzini, 41012 Carpi, Italy.ORCID 0000-0002-1065-2972
Maria FusaroNational Research Council (CNR)-Institute of Clinical Physiology (IFC), 56124 Pisa, Italy.ORCID 0000-0001-9478-4851
Mario CozzolinoRenal Division, Department of Health Sciences, ASST Santi Paolo e Carlo, University of Milan, 20142 Milan, Italy.ORCID 0000-0002-8494-6252
Biagio Raffaele Di IorioNefrology and Dialysis, AORN "San Giuseppe Moscati", 83100 Avellino, Italy.ORCID 0000-0003-2779-4181
Policlinico Umberto I · ITAzienda Ospedaliera S.Giuseppe Moscati · ITFederico II University Hospital · ITIstituto Ramazzini · ITOspedale Papa Giovanni XXIII · ITUniversity of Milan · ITUniversity of Naples Federico II · ITUniversity of Padua · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVascular calcification (VC) is a marker of cardiovascular (CV) disease and various methods allow for presence and extension assessment in different arterial districts. Nevertheless, it is currently unclear which one of these methods for VC evaluation best predict outcome and if this piece of information adds to the predictive value of traditional CV risk factors in patients receiving hemodialysis (HD).

methodsdata of 184 of the 466 patients followed in the Independent study (NCT00710788) were post hoc examined to assess the association three concurrent measures of vascular calcification and all-cause survival. Specifically, coronary artery calcification (CAC) was determined by the Agatston and the volume score while abdominal aorta calcification was determined by plain X-ray of the lumbar spine (Kauppila score (KS)). Survival and regression models as well as metrics of risk recalculation were used to test the association of VC and outcome beyond the Framingham risk score.

resultsMiddle-age (62.6(15.8) years) men (51%) and women (49%) starting HD were analyzed. Over 36 (median 36; interquartile range: 8-36) months of follow-up 69 patients expired. Each measure of VC (CAC or KS) predicted all-cause mortality independently factors commonly associated with all-cause survival (

conclusionsOverall, presence and extension of VC, irrespective of the arterial site, predict risk of all-cause of death in patients starting hemodialysis. Of note, both CAC and KS increase risk stratification beyond traditional CV risk factors. However, future efforts are needed to assess whether a risk-based approach encompassing VC screening to guide HD patient management improves survival.

Indexed as

aorta calcificationcoronary artery calcificationhemodialysisrisk predictionvascular calcification

Identifiers

PMID33498192
PMCPMC7863918
OpenAlexW3121241119

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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.