Evidence map›Paper›PMID 34089300›Full record

SynthesisJournal of clinical hypertension (Greenwich, Conn.)2021

Urine albumin-to-creatinine ratio within the normal range and risk of hypertension in the general population: A meta-analysis.

Fei Ren, Mingzhu Li, Hua Xu, Xiaowei Qin, Yanling Teng

Open access · diamondAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Journal of clinical hypertension (Greenwich, Conn.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 8% 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, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. 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

5 authors at 2 institutions in 1 country.

Fei RenDepartment of Heart Function Test, The First People's Hospital of Lianyungang, Lianyungang, China.
Mingzhu LiDepartment of Cardiology, The First People's Hospital of Lianyungang, Lianyungang, China.
Hua XuDepartment of Rehabilitation Medicine, Geriatric Hospital of Nanjing Medical University, Nanjing, China.
Xiaowei QinDepartment of Heart Function Test, The First People's Hospital of Lianyungang, Lianyungang, China.
Yanling TengDepartment of Heart Function Test, The First People's Hospital of Lianyungang, Lianyungang, China.ORCID 0000-0001-8293-6272
The First People’s Hospital of Lianyungang · CNNanjing Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inconsistent findings on the association between urine albumin-to-creatinine ratio (UACR) and risk of hypertension have been reported. This meta-analysis sought to evaluate the association between the elevated level of UACR within the normal range and incident hypertension in the general population. We comprehensively searched PubMed and Embase databases until July 31, 2020. All longitudinal observational studies that assessed the association of elevated baseline level of UACR within the normal range with incident hypertension in the general population were included. The predictive value was estimated by pooling risk ratio (RR) with 95% confidence intervals (CI) for the highest versus the lowest category of UACR level. Nine articles (10 studies) involving 27 771 individuals were identified and analyzed. When compared with the lowest category of UACR, individuals with the highest UACR had a 1.75-fold (RR 1.75; 95% CI 1.47-2.09; p < .001) higher risk of hypertension in a random effect model. Gender-specific analysis indicated that the impact of UACR on the development of hypertension seemed to be stronger in women (RR 2.47; 95% CI 1.10-5.55; p = .029) than in men (RR 1.88; 95% CI 1.35-2.61; p < .001). An increased UACR within the normal range is independently associated with a higher risk of hypertension in the general population. Baseline UACR can be served as a predictor of incident hypertension in the general population.

Indexed as

HypertensionAlbuminsAlbuminuriaCreatinineFemaleHumansMaleReference ValuesAlbuminsCreatininegeneral populationhypertensionmeta-analysisurine albumin-to-creatinine ratio

Identifiers

PMID34089300
PMCPMC8678728
OpenAlexW3164135179

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.