Evidence map›Paper›PMID 34169193›Full record

ArticleKidney international reports2021

Longitudinal Bone Loss Occurs at the Radius in CKD.

Pierre-Emmanuel Cailleaux, Agnes Ostertag, Marie Metzger, Bénédicte Stengel, Julie Boucquemont, Pascal Houillier, Martin Flamant, Pablo Ureña-Torres, Martine Cohen-Solal, NephroTest Study group

Abstract read
In one paragraph

Article in Kidney international reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

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  10. Treatment of secondary hyperparathyroidism in non-dialysis CKD: an appraisal 2022s.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2023
    Article
  11. Review
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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.

Pierre-Emmanuel CailleauxUniversité de Paris, INSERM U1132, Bioscar, Paris, France.
Agnes OstertagUniversité de Paris, INSERM U1132, Bioscar, Paris, France.
Marie MetzgerParis-Sud University, UVSQ, CESP, Inserm U1018, Clinical Epidemiology Team, Villejuif, France.
Bénédicte StengelParis-Sud University, UVSQ, CESP, Inserm U1018, Clinical Epidemiology Team, Villejuif, France.
Julie BoucquemontParis-Sud University, UVSQ, CESP, Inserm U1018, Clinical Epidemiology Team, Villejuif, France.
Pascal HouillierAssistance Publique-Hôpitaux de Paris, Paris, France.
Martin FlamantAssistance Publique-Hôpitaux de Paris, Paris, France.
Pablo Ureña-TorresDepartment of Nephrology and Dialysis, AURA, Paris, France.
Martine Cohen-SolalUniversité de Paris, INSERM U1132, Bioscar, Paris, France.
NephroTest Study group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChronic kidney disease (CKD) exposes to an increased incidence of fragility fractures. International guidelines recommend performing bone mineral density (BMD) if the results will impact treatment decisions. It remains unknown where bone loss occurs and what would preclude the longitudinal loss in patients with CKD. Here, we aimed to investigate factors influencing BMD and to analyze the longitudinal BMD changes.

methodsIn the NephroTest cohort, we measured BMD at the femoral neck, total hip, lumbar spine, and proximal radius, together with circulating biomarkers and standardized measured glomerular filtration rate (mGFR) by

resultsAt baseline, cross-sectional analysis showed a significantly lower BMD at femoral neck and total hip and a significant higher serum parathyroid hormone (PTH) along with CKD stages. Baseline age, gender, tobacco, low body mass index (BMI), and high PTH levels were significantly associated with low BMD. Longitudinal analysis during the mean 4.3 years revealed a significant bone loss at the radius only. BMD changes at the femoral neck were associated with BMI, but not CKD stages or basal PTH levels.

conclusionsCKD is associated with low BMD and high PTH in the cross-sectional analysis. Longitudinal bone loss occurred at the proximal radius after 4.3 years.

Indexed as

bone mineral densitychronic kidney disease–mineral bone disordersfractureosteoporosisparathyroid hormone

Identifiers

PMID34169193
PMCPMC8207310

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