Evidence map›Paper›PMID 34224064›Full record

ArticleInternational urology and nephrology2022

Evaluation of cardiovascular events and progression to end-stage renal disease in patients with dyslipidemia and chronic kidney disease from the North-Eastern area of Romania.

Cristiana-Elena Vlad, Liliana Foia, Mariana Pavel-Tanasa, Vasilica Toma, Laura Florea, Luminita Voroneanu, Mugurel Apetrii, Gianina Dodi, Adrian Covic

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In one paragraph

Article in International urology and nephrology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 21% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Review
  6. 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 1 institution in 1 country.

Cristiana-Elena Vlad *Department of Nephrology-Internal Medicine, "Dr. C. I. Parhon" Clinical Hospital Iasi, Iasi, Romania.
Liliana Foia"Grigore T. Popa" University of Medicine and Pharmacy, Iasi, Romania. lilifoia@yahoo.co.uk.ORCID http://orcid.org/0000-0002-7558-0711
Mariana Pavel-Tanasa *"Grigore T. Popa" University of Medicine and Pharmacy, Iasi, Romania.
Vasilica Toma"Grigore T. Popa" University of Medicine and Pharmacy, Iasi, Romania.
Laura Florea *Department of Nephrology-Internal Medicine, "Dr. C. I. Parhon" Clinical Hospital Iasi, Iasi, Romania.
Luminita Voroneanu"Grigore T. Popa" University of Medicine and Pharmacy, Iasi, Romania.
Mugurel Apetrii"Grigore T. Popa" University of Medicine and Pharmacy, Iasi, Romania.
Gianina Dodi"Grigore T. Popa" University of Medicine and Pharmacy, Iasi, Romania.
Adrian CovicDepartment of Nephrology-Internal Medicine, "Dr. C. I. Parhon" Clinical Hospital Iasi, Iasi, Romania.
Grigore T. Popa University of Medicine and Pharmacy · RO

Funding

CNCSIS PN-III-P4-ID-PCE-2016-0908, contract number 167/2017
6 · The paper itself

Abstract

purposeThe aim of this prospective cohort study was: to identify the association between different biomarkers [proprotein convertase subtilisin/kexin 9-PCSK9, lipoprotein(a)-Lp(a) and high-sensitivity C-reactive protein-hsCRP] and the cardiovascular events; to evaluate the relationship between the 3 biomarkers mentioned above and the renal outcomes that contributed to end-stage renal disease (ESRD).

methodsWe studied 110 patients with chronic kidney disease (CKD) stages 2 to 4. The identification of the new cardiovascular events and the renal outcomes were performed by clinical and paraclinical explorations.

results350 patients were examined and 110 (31.4%) were included in this study. The mean age was 55.6 ± 10.9 years, with a higher number of men compared to women. The CKD patients with de novo cardiovascular events and new renal outcome during the study, had significantly increased values of total cholesterol (TC), low density cholesterol lipoprotein (LDL-C) at 6 and 12 months and higher levels of Lp(a), PCSK9, hsCRP and low ankle-brachial index (ABI) and ejection fraction (EF) values compared to patients without cardiovascular and renal events. In CKD patients, PCSK9 > 220 ng/mL was a predictor of cardiovascular events, while the EF < 50% was a predictor for renal outcomes. For CKD patients with PCSK9 > 220 ng/mL and hsCRP > 3 mg/L levels, the time-interval for the new cardiovascular and renal events occurrence were significantly decreased compared to patients displaying low values of these biomarkers.

conclusionThe results of this study show that PCSK9 > 220 ng/mL was predictor for cardiovascular events, while EF < 50% was predictor for CKD progression to ESRD. PCSK9 > 220 ng/mL and hsCRP > 3 mg/L were associated with the occurrence of renal and cardiovascular events earlier.

Indexed as

AgedBiomarkersCardiovascular DiseasesDisease ProgressionDyslipidemiasFemaleHumansKidney Failure, ChronicMaleMiddle AgedProspective StudiesRenal Insufficiency, ChronicRomaniaBiomarkersAtherosclerotic cardiovascular diseaseCardiovascular eventsChronic kidney diseaseDyslipidemiaHigh‐sensitivity C‐reactive proteinLipoprotein(a)Proprotein convertase subtilisin/kexin 9Renal outcome

Identifiers

PMID34224064
OpenAlexW3178924231

What OpenQuestion holds

Textmetadata
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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.