Evidence map›Paper›PMID 34562197›Full record

ArticleInternational urology and nephrology2022

Development and validation of a simple equation to evaluate dietary protein intake using the blood urea nitrogen/serum creatinine ratio in patients with stage 3 chronic kidney disease.

Yanhui Wang, Zujiao Chen, Jing Li, Zhen Li, Jianteng Xie, Duan Wang, Sheng Li, Yifan Zhang, Tiantian Liang, Hokhim Yau and 5 more

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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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.9field-weighted citation impact, top 29% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

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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

15 authors at 3 institutions in 1 country.

Yanhui Wang *The Second School of Clinical Medicine, Southern Medical University, Guangzhou, 510515, China.
Zujiao Chen *The Second School of Clinical Medicine, Southern Medical University, Guangzhou, 510515, China.
Jing Li *The Second School of Clinical Medicine, Southern Medical University, Guangzhou, 510515, China.
Zhen LiDivision of Clinical Nutrition, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, China.
Jianteng XieDivision of Nephrology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 106 Zhongshan Er Road, Main Building, Room 1436, 510080, GD, China.
Duan WangDivision of Clinical Nutrition, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, China.
Sheng LiDivision of Nephrology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 106 Zhongshan Er Road, Main Building, Room 1436, 510080, GD, China.
Yifan ZhangThe Second School of Clinical Medicine, Southern Medical University, Guangzhou, 510515, China.
Tiantian LiangThe Second School of Clinical Medicine, Southern Medical University, Guangzhou, 510515, China.
Hokhim YauThe Second School of Clinical Medicine, Southern Medical University, Guangzhou, 510515, China.
Chunfang QiDivision of Nephrology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 106 Zhongshan Er Road, Main Building, Room 1436, 510080, GD, China.
Qiuling LiShantou University Medical College, Shantou, 515041, China.
Shaochun LinShantou University Medical College, Shantou, 515041, China.
Shaogui ZhangThe Second School of Clinical Medicine, Southern Medical University, Guangzhou, 510515, China.
Wenjian WangThe Second School of Clinical Medicine, Southern Medical University, Guangzhou, 510515, China. wwjph@126.com.ORCID http://orcid.org/0000-0001-8690-5895
Guangdong Academy of Medical Sciences · CNShantou University · CNWenzhou Medical University · CN

Funding

High-level Hospital Construction Project of Guangdong Province DFJH201908National Natural Science Foundation of China 81470974
6 · The paper itself

Abstract

purposeThe aim of this research was to develop a simple equation to evaluate dietary protein intake (DPI) in patients with stage 3 chronic kidney disease (CKD) using the blood urea nitrogen (BUN)/serum creatinine (SCr) ratio (BUN/SCr).

methodsIn a prospective cohort of 136 inpatients with stage 3 CKD from 2 centres, the estimated dietary protein intake (DPI) was calculated using Maroni's formula after the patients implemented a 7 day protein-restricted diet. We developed estimation equations based on BUN/SCr and the spot urinary urea nitrogen (UUN)/urinary creatinine (UCr) ratio (UUN/UCr) in combination with sex and body mass index (BMI). These equations were then internally and externally validated.

resultsThe following candidate parameters were derived from univariate regression analysis for 5 established models: sex, BMI, BUN/SCr, UUN and UUN/UCr. Sex and BMI were included in all models after variable evaluation using multiple regression analysis. UUN, UUN/UCr and BUN/SCr were included in model 3, model 4 and model 5, respectively. Both internal and external validation indicated that model 5 resulted in the lowest values for bias and root mean square error and the highest P

conclusionThe DPI equation developed using BUN/SCr, sex and BMI may be used to estimate protein intake for patients with stage 3 CKD.

trial registrationChinese Clinical Trial Registry Center (ChiCTR-ROC-17011363). Registered on 11 May 2017, Retrospectively registered, http://www.chictr.org.cn/index.aspx .

Indexed as

Dietary ProteinsRenal Insufficiency, ChronicBlood Urea NitrogenCreatinineFemaleHumansMaleProspective StudiesUreaCreatinineDietary ProteinsUreaBUN/SCrChronic kidney diseaseDietary protein intakeUUN/UCr

Identifiers

PMID34562197
OpenAlexW3111014007

What OpenQuestion holds

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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.