Evidence map›Paper›PMID 34258671›Full record

ArticleInternational urology and nephrology2022

Malnutrition inflammation score (MIS) is stronger predictor of mortality in hemodialysis patients than waist-to-hip ratio (WHR)-4-year follow-up.

Vladimir Prelevic, Tanja Antunovic, Danilo Radunovic, Najdana Gligorovic-Barhanovic, Branka Gledovic, Marina Ratkovic, Nikolina Basic Jukic

Abstract readComparative Study
PubMed Publisher
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 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
–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

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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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

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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

7 authors.

Vladimir PrelevicClinic for Nephrology, Clinical Center of Montenegro, Ljubljanska bb, 81000, Podgorica, Montenegro. vladimir.scopheurope@gmail.com.ORCID http://orcid.org/0000-0002-5219-5116
Tanja AntunovicCenter for Laboratory Diagnostics, Clinical Center of Montenegro, Podgorica, Montenegro.
Danilo RadunovicClinic for Nephrology, Clinical Center of Montenegro, Ljubljanska bb, 81000, Podgorica, Montenegro.
Najdana Gligorovic-BarhanovicCenter for Laboratory Diagnostics, Clinical Center of Montenegro, Podgorica, Montenegro.
Branka GledovicCenter for Laboratory Diagnostics, Clinical Center of Montenegro, Podgorica, Montenegro.
Marina RatkovicClinic for Nephrology, Clinical Center of Montenegro, Ljubljanska bb, 81000, Podgorica, Montenegro.
Nikolina Basic JukicDepartment for Nephrology, Arterial Hypertension, Dialysis and Kidney Transplantation, Clinic for Internal Medicine, University Clinical Hospital Center, Zagreb, Croatia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe main purpose of this study is to correlate the significance of the malnutrition inflammation score (MIS) and the waist-to-hip ratio (WHR) in the prediction of mortality in hemodialysis patients.

methodsThe study was conducted from March 2016 to April 2020, covering 100 hemodialysis patients. Anthropometric measures (Waist circumference (WC), Hip circumference (HC), Waist-to-hip ratio (WHR), Caliper and BMI) and biomarkers of inflammation (IL6, hsCRP) and nutrition (Transfferin, Albumin) were determined and for the above-mentioned biomarkers, we monitored all-cause mortality for 4 years. The hemodialysis patients were divided in three groups based on their MIS score.

resultsIn this prospective, longitudinal study, we enrolled 100 patients (54 males and 46 females) with a median age of 58 (51-65) years. All patients were divided into three groups according to MIS score values. We performed univariate Cox regression survival analysis for a period of 4 years, and then included for multivariate survival Cox regression analysis well-defined nutritional markers: BMI, mid-arm circumference, WHR and MIS score. The MIS score was demonstrated to be the best independent predictor of 4-year mortality in our study (p < 0.001).

conclusionThe results of our study have shown that there is no significance of WHR in the prediction of mortality in hemodialysis patients, but that the MIS score is a strong, independent predictor of all-cause 4-year mortality.

Indexed as

Waist-Hip RatioAgedCorrelation of DataFemaleFollow-Up StudiesHumansInflammationLongitudinal StudiesMaleMalnutritionMiddle AgedPrognosisProspective StudiesRenal DialysisTime FactorsHemodialysis patientsMISMortalityWHR

Identifiers

PMID34258671

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