Evidence map›Paper›PMID 34134634›Full record

ArticleBMC nephrology2021

Von Willebrand factor, ADAMTS13 and mortality in dialysis patients.

Gurbey Ocak, Mark Roest, Marianne C Verhaar, Maarten B Rookmaaker, Peter J Blankestijn, Willem Jan W Bos, Rob Fijnheer, Nathalie C Péquériaux, Friedo W Dekker

Open access · goldAbstract read
In one paragraph

Article in BMC nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.7field-weighted citation impact, top 32% 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

8 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. The Highs and Lows of ADAMTS13 Activity.Journal of clinical medicine · 2024
    Review
  5. Review
  6. Review
  7. Article
  8. The Relevance of Thrombo-Inflammatory Biomarkers and Their Relationship with Circulating Glycosaminoglycans in End-Stage Renal Disease Patients.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

9 authors at 6 institutions in 1 country.

Gurbey OcakDepartment of Internal Medicine, Sint Antonius Hospital, Nieuwegein, the Netherlands. G.Ocak@antoniusziekenhuis.nl.
Mark RoestSynapse Research Institute, Cardiovascular Research Institute, Maastricht, the Netherlands.
Marianne C VerhaarDepartment of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht, the Netherlands.
Maarten B RookmaakerDepartment of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht, the Netherlands.
Peter J BlankestijnDepartment of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht, the Netherlands.
Willem Jan W BosDepartment of Internal Medicine, Sint Antonius Hospital, Nieuwegein, the Netherlands.
Rob FijnheerDepartment of Internal Medicine, Meander Medical Center, Amersfoort, the Netherlands.
Nathalie C PéquériauxDepartment of Clinical Chemistry and Hematology, Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands.
Friedo W DekkerDepartment of Clinical Epidemiology, Leiden University Medical Center, Leiden, the Netherlands.
University Medical Center Utrecht · NLSt. Antonius Ziekenhuis · NLJeroen Bosch Ziekenhuis · NLLeiden University Medical Center · NLMeander Medisch Centrum · NLSynapse (Netherlands) · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVon Willebrand Factor (VWF) multimers are cleaved into smaller and less coagulant forms by the metalloprotease ADAMTS13. The aim of this study was to investigate the association between VWF and ADAMTS13 and mortality in dialysis patients.

methodsWe prospectively followed 956 dialysis patients. VWF levels and ADAMTS13 activity were measured. Cox proportional hazard analyses were used to calculate hazard ratios (HRs) with 95 % confidence intervals (CIs) to investigate the association between quartiles of VWF levels and ADAMTS13 activity and all-cause mortality. HRs were adjusted for age, sex, body mass index, cardiovascular disease, dialysis modality, primary kidney disease, use of antithrombotic medication, systolic blood pressure, albumin, C-reactive protein and residual GFR.

resultsOf the 956 dialysis patients, 288 dialysis patients died within three years (mortality rate 151 per 1000 person-years). The highest quartile of VWF as compared with lower levels of VWF was associated with a 1.4-fold (95 %CI 1.1-1.8) increased mortality risk after adjustment. The lowest quartile of ADAMTS13 activity as compared with other quartiles was associated with a 1.3-fold (95 %CI 1.0-1.7) increased mortality risk after adjustment. The combination of the highest VWF quartile and lowest ADAMTS13 quartile was associated with a 2.0-fold (95 %CI 1.3-3.0) increased mortality risk as compared with the combination of the lowest VWF quartile and highest ADAMTS13 quartile.

conclusionsHigh VWF levels and low ADAMTS13 activity were associated with increased mortality risks in dialysis patients.

Indexed as

Renal DialysisADAMTS13 ProteinAgedCardiovascular DiseasesCause of DeathFemaleHumansKidney Failure, ChronicMaleMiddle AgedProportional Hazards ModelsProspective StudiesRisk Factorsvon Willebrand FactorADAMTS13 ProteinADAMTS13 protein, humanvon Willebrand FactorADAMTS13DialysisEpidemiologyMortalityVon Willebrand Factor

Identifiers

PMID34134634
PMCPMC8207579
OpenAlexW3172899608

What OpenQuestion holds

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LicenceCC BY
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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.