Evidence map›Paper›PMID 33649427›Full record

ArticleScientific reports2021

Retinal microvascular signs and risk of diabetic kidney disease in asian and white populations.

Simon Nusinovici, Charumathi Sabanayagam, Kristine E Lee, Liang Zhang, Carol Y Cheung, E Shyong Tai, Gavin S W Tan, Ching Yu Cheng, Barbara E K Klein, Tien Yin Wong

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

12 citing papers in PubMed, 22 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 5 institutions in 3 countries.

Simon NusinoviciSingapore Eye Research Institute, Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore, 168751, Singapore.
Charumathi SabanayagamSingapore Eye Research Institute, Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore, 168751, Singapore.
Kristine E LeeDepartment of Ophthalmology and Visual Sciences, University of Wisconsin Medical School, Madison, WI, USA.
Liang ZhangSingapore Eye Research Institute, Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore, 168751, Singapore.
Carol Y CheungSingapore Eye Research Institute, Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore, 168751, Singapore.
E Shyong TaiDepartment of Medicine, National University Health System, National University of Singapore, Singapore, Singapore.
Gavin S W TanSingapore Eye Research Institute, Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore, 168751, Singapore.
Ching Yu ChengSingapore Eye Research Institute, Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore, 168751, Singapore.
Barbara E K KleinDepartment of Ophthalmology and Visual Sciences, University of Wisconsin Medical School, Madison, WI, USA.
Tien Yin WongSingapore Eye Research Institute, Singapore National Eye Centre, 11 Third Hospital Avenue, Singapore, 168751, Singapore. wong.tien.yin@singhealth.com.sg.
Singapore Eye Research Institute · SGSingapore National Eye Center · SGNational University Health System · SGNational University of Singapore · SGUniversity of Wisconsin–Madison · US

Funding

EPIDEMIOLOGICAL STUDY OF DIABETIC RETINOPATHYR01EY003083 · NEI · UNIVERSITY OF WISCONSIN MADISON · PI KLEIN, RONALD · 1985 to 1997
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6 · The paper itself

Abstract

The objective was to examine prospectively the association between retinal microvascular signs and development of diabetic kidney disease (DKD) in Asian and White populations. We analysed two population-based cohorts, composing of 1,221 Asians (SEED) and 703 White (WESDR) adults with diabetes. Retinal microvascular signs at baseline included vascular caliber (arteriolar-CRAE, and venular-CRVE) and diabetic retinopathy (DR). Incident cases of DKD were identified after ~ 6-year. Incident cases were defined based on eGFR in SEED and proteinuria or history of renal dialysis in WESDR. The incidence of DKD were 11.8% in SEED and 14.0% in WESDR. Wider CRAE in SEED (OR = 1.58 [1.02, 2.45]) and wider CRVE (OR = 1.69 [1.02, 2.80)) in WESDR were associated with increased risk of DKD. Presence of DR was associated with an increased risk of DKD in both cohorts (SEED: OR = 1.91 [1.21, 3.01] in SEED, WESDR: OR = 1.99 [1.18, 3.35]). Adding DR and retinal vascular calibers in the model beyond traditional risk factors led to an improvement of predictive performance of DKD risk between 1.1 and 2.4%; and improved classification (NRI 3 between 9%). Microvascular changes in the retina are longitudinally associated with risk of DKD.

Indexed as

AgedAsian PeopleCohort StudiesDiabetes MellitusDiabetic NephropathiesDiabetic RetinopathyFemaleHumansIncidenceMaleMiddle AgedRetinaRetinal VesselsRisk FactorsWhite People

Identifiers

PMID33649427
PMCPMC7921402
OpenAlexW3134113216

What OpenQuestion holds

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Registered trials

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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.