Evidence map›Paper›PMID 34244325›Full record

ArticleJournal of the American Society of Nephrology : JASN2021

Intestinal Phosphorus Absorption in Moderate CKD and Healthy Adults Determined Using a Radioisotopic Tracer.

Elizabeth R Stremke, Gretchen N Wiese, Sharon M Moe, Meryl E Wastney, Ranjani N Moorthi, Kathleen M Hill Gallant

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Journal of the American Society of Nephrology : JASN, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03108222 (Phosphorus Absorption in Healthy Adults and in Patients With Moderate Chronic Kidney Disease), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
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.

NCT03108222 unknown statusnot on this map

Phosphorus Absorption in Healthy Adults and in Patients With Moderate Chronic Kidney Disease

TypeobservationalSponsorPurdue UniversityRan2018 to 2019Enrolled20ConditionsChronic Kidney Disease Mineral and Bone DisorderArmsPhosphorus Absorption Test
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. ASN Kidney Health Guidance on Potassium and Phosphorus Food Additives.Journal of the American Society of Nephrology : JASN · 2025
    Article
  3. Article
  4. Article
  5. Review
  6. The basics of phosphate metabolism.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024
    Review
  7. Pharmacology of Mammalian NaHandbook of experimental pharmacology · 2024
    Article
  8. 'Phos'tering a Clear Message: The Evolution of Dietary Phosphorus Management in Chronic Kidney Disease.Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation · 2023
    Review
  9. Review
  10. Article
  11. Phosphate intake, hyperphosphatemia, and kidney function.Pflugers Archiv : European journal of physiology · 2022
    Review
  12. Article
  13. Review
  14. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Elizabeth R StremkeDepartment of Nutrition Science, Purdue University, West Lafayette, Indiana.
Gretchen N WieseDepartment of Nutrition Science, Purdue University, West Lafayette, Indiana.
Sharon M MoeDivision of Nephrology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana.
Meryl E WastneyDepartment of Nutrition Science, Purdue University, West Lafayette, Indiana.
Ranjani N MoorthiDivision of Nephrology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana.
Kathleen M Hill GallantDepartment of Nutrition Science, Purdue University, West Lafayette, Indiana.
Purdue University West Lafayette · USIndiana University School of MedicineIndiana University – Purdue University Indianapolis · US

Funding

Quality Assurance and Quality Control Project Management: Improving Submissions and Study Conduct in the Human Subjects Research Prior Approval ProcessUL1TR002529 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI MOE, SHARON M, WIEHE, SARAH ELIZABETH · 2018 to 2022
$27.2M
Cardiovascular Disease Epidemiology &Prevention TrngT32HL007779 · NHLBI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI PAMELA L. Lutsey, JAMES S PANKOW · 1994 to 2026
$9.3M
Resource CoreP30AR072581 · NIAMS · INDIANA UNIVERSITY INDIANAPOLIS · PI Erik Allen Imel · 2017 to 2026
$8.3M
NRSA Training CoreTL1TR002531 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI FOTI, DANIEL JUSTIN, HURLEY, THOMAS D. · 2018 to 2022
$2.5M
Pathogenesis of compromised bone quality and mechanics in chronic kidney disease.R01DK110871 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI ALLEN, MATTHEW R, MOE, SHARON M · 2016 to 2019
$1.8M
Longitudinal Assessment of Skeletal Muscle Physiology in Dialysis PatientsK23DK102824 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI MOORTHI, RANJANI N. · 2015 to 2019
$892k
Phosphorus Absorption and Balance in Normal Physiology and Chronic Kidney DiseaseK01DK102864 · NIDDK · UNIVERSITY OF MINNESOTA · PI GALLANT, KATHLEEN M HILL · 2015 to 2019
$692k
The Mechanism of Uremia Induced Vascular CalcificationI01BX001471 · VA · RLR VA MEDICAL CENTER · PI MOE, SHARON M · 2012 to 2020
–
BLRD VA I01 BX001471NCATS NIH HHS TL1 TR002531NCATS NIH HHS UL1 TR002529NHLBI NIH HHS T32 HL007779NIAMS NIH HHS P30 AR072581NIDDK NIH HHS K01 DK102864NIDDK NIH HHS K23 DK102824NIDDK NIH HHS R01 DK110871
6 · The paper itself

Abstract

backgroundReducing intestinal phosphorus absorption is a cornerstone in CKD-MBD management. Yet, knowledge gaps include how CKD pathophysiology affects intestinal phosphorus absorption.

methodsPatients with CKD and healthy adults matched for age, sex, and race were enrolled in this 8-day controlled diet study: the first 6 days outpatient and the final 2 days inpatient. Oral and intravenous doses of

resultsIn total,

conclusionsIntestinal phosphorus absorption with typical dietary intake did not differ in patients with moderate CKD compared with controls, despite lower serum 1,25D levels. In this setting, a relationship between 24-hour uP and fractional or absolute intestinal absorption was not evident. Further investigation is needed to determine what factors influence intestinal phosphorus absorption in CKD and the apparent lack of compensation by the intestine to limit phosphorus absorption in the face of declining kidney function and reduced 1,25D. Whether this is evident across a range of dietary phosphorus intakes, as well as CKD severity, also needs to be determined. CLINICAL TRIAL REGISTRY NAME AND REGISTRATION NUMBER: Phosphorus Absorption in Healthy Adults and in Patients with Moderate Chronic Kidney Disease, NCT03108222.

Indexed as

Intestinal AbsorptionAdultAgedCase-Control StudiesFemaleFibroblast Growth Factor-23Fibroblast Growth FactorsGlomerular Filtration RateHumansMaleMiddle AgedParathyroid HormonePhosphorusPhosphorus RadioisotopesRadioactive TracersRenal Insufficiency, Chronic1,25-dihydroxyvitamin DFGF23 protein, humanFibroblast Growth Factor-23Fibroblast Growth FactorsParathyroid HormonePhosphorusPhosphorus-33Phosphorus RadioisotopesRadioactive TracersVitamin Dchronic kidney diseaseCKD-MBDintestinal absorptionnutritionphosphorus

Identifiers

PMID34244325
PMCPMC8455256
OpenAlexW3181827536

What OpenQuestion holds

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Registered trials

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.