Evidence map›Paper›PMID 34315328›Full record

ArticleRenal failure2021

Predictors of coronary artery calcification and its association with cardiovascular events in patients with chronic kidney disease.

Xue-Rong Wang, Liang- Yuan, Rui- Shi, Huan- Li, De-Guang Wang, Yong-Gui Wu

Open access · goldAbstract read
In one paragraph

Article in Renal failure, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
3.9field-weighted citation impact, top 5% 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

29 citing papers in PubMed, 36 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Xue-Rong WangDepartment of Nephrology, The Second Hospital of Anhui Medical University, Hefei, PR China.
Liang- YuanDepartment of Nephrology, The Second Hospital of Anhui Medical University, Hefei, PR China.
Rui- ShiDepartment of Nephrology, The Second Hospital of Anhui Medical University, Hefei, PR China.
Huan- LiDepartment of Radiology, The Second Hospital of Anhui Medical University, Hefei, PR China.
De-Guang WangDepartment of Nephrology, The Second Hospital of Anhui Medical University, Hefei, PR China.
Yong-Gui WuDepartment of Nephrology, The First Affiliated Hospital of Anhui Medical University, Hefei, PR China.
Anhui Medical University · CNSecond Hospital of Anhui Medical University · CNFirst Affiliated Hospital of Anhui Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the predictors of coronary artery calcification (CAC) and its association with cardiovascular events (CVE) in patients with stage 3-5 chronic kidney disease (CKD).

methodTwo hundred ninety CKD patients in our nephrology department were enrolled from 2018 to May 2019. The levels of matrix Gla protein (MGP) and interleukin 6 (IL-6) were measured

resultsThe prevalence of CAC was up to 57.93%. We found that age, diabetes mellitus, hyperphosphatemia, dialysis duration, and the neutrophil-lymphocyte ratio (NLR) were positively associated with CAC in all patients. In 131 patients, we demonstrated that higher IL-6 and lower MGP levels were associated with CAC. A Cox proportional hazard model demonstrated that moderate to severe CAC was correlated with an increased risk for CVE [Hazard Ratio (HR): 7.250; 95% confidence interval (CI): 3.192-16.470], and a higher MGP level was associated with a reduced risk for CVE (HR: 0.340; 95% CI: 0.124-0.933).

conclusionsThe prevalence of CAC in patients with CKD is a significant issue. Older age, hyperphosphatemia, dialysis duration, diabetes mellitus, IL-6, and the NLR are associated with CAC. In addition, higher MGP levels represent protective factor for CAC. Moderate to severe CAC, and lower MGP levels are associated with an increased risk for CVE.

Indexed as

AgedCalcium-Binding ProteinsCase-Control StudiesCoronary Artery DiseaseExtracellular Matrix ProteinsFemaleHumansInterleukin-6Kidney Failure, ChronicLogistic ModelsMaleMatrix Gla ProteinMiddle AgedPredictive Value of TestsRenal DialysisRisk FactorsCalcium-Binding ProteinsExtracellular Matrix ProteinsInterleukin-6Matrix Gla Proteincardiovascular eventsChronic kidney diseasecoronary artery calcificationmatrix Gla proteinneutrophil-lymphocyte ratio

Identifiers

PMID34315328
PMCPMC8330733
OpenAlexW3186008955

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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.