Evidence map›Paper›PMID 34665936›Full record

ArticleJournal of diabetes investigation2022

Dyslipidemia in diabetic kidney disease classified by proteinuria and renal dysfunction: A cross-sectional study from a regional diabetes cohort.

Tsutomu Hirano, Noriyuki Satoh, Rieko Kodera, Takeshi Hirashima, Natsuko Suzuki, Ema Aoki, Taito Oshima, Mitsuru Hosoya, Masahiro Fujita, Toshiyuki Hayashi and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of diabetes investigation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% 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, 1 synthesis or guideline pooled it, 36 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

11 authors at 3 institutions in 1 country.

Tsutomu HiranoDiabetes Center, Ebina General Hospital, Ebina City, Japan.ORCID https://orcid.org/0000-0003-1859-0005
Noriyuki SatohVaccine & Diagnostics R&D Department, Denka Co., Ltd, Gosen, Japan.
Rieko KoderaDiabetes Center, Ebina General Hospital, Ebina City, Japan.
Takeshi HirashimaDiabetes Center, Ebina General Hospital, Ebina City, Japan.
Natsuko SuzukiDiabetes Center, Ebina General Hospital, Ebina City, Japan.
Ema AokiDiabetes Center, Ebina General Hospital, Ebina City, Japan.
Taito OshimaDiabetes Center, Ebina General Hospital, Ebina City, Japan.
Mitsuru HosoyaDiabetes Center, Ebina General Hospital, Ebina City, Japan.
Masahiro FujitaDiabetes Center, Ebina General Hospital, Ebina City, Japan.
Toshiyuki HayashiYurakubashi Clinic, Tokyo, Japan.
Yasuki ItoVaccine & Diagnostics R&D Department, Denka Co., Ltd, Gosen, Japan.
Ebina General Hospital · JPDenka (Japan) · JPOsaka Nishi Clinic · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS/

introductionDiabetic kidney disease (DKD) exacerbates dyslipidemia and increases the incidence of atherosclerotic cardiovascular disease. DKD is a concept that includes typical diabetic nephropathy and an atypical phenotype without proteinuria. We investigated dyslipidemia in different DKD phenotypes that have not been fully studied. MATERIALS AND

methodsFasting plasma was obtained from 1,073 diabetes patients enrolled in the regional diabetes cohort (ViNA cohort). Non-proteinuric and proteinuric DKD were defined as an estimated glomerular filtration rate <60 mL/min/1.73 m

resultsThe proportion of atherosclerotic cardiovascular disease patients was higher in non-proteinuric DKD and even higher in proteinuric DKD than in non-DKD. Increased estimated glomerular filtration rate grade and albuminuric stage were independently correlated with higher TG, TG-rich lipoprotein cholesterol and apolipoprotein CIII. Therefore, proteinuric DKD had the highest of these levels. Small dense LDL cholesterol and LDL-TG were higher in the proteinuria without renal dysfunction group in the lipid-lowering drug-free subset. Lipoprotein(a) was higher in DKD regardless of proteinuria.

conclusionsProteinuria was associated with an atherogenic subspecies of LDL, whereas renal dysfunction was associated with increased lipoprotein(a). Proteinuria and renal dysfunction independently exacerbated TG-rich lipoprotein-related dyslipidemia. This is in good agreement with the results of large-scale clinical studies in which proteinuria and renal dysfunction synergistically increased the risk of atherosclerotic cardiovascular disease in populations with diabetes.

Indexed as

Cardiovascular DiseasesDiabetes Mellitus, Type 2Diabetic NephropathiesDyslipidemiasCholesterol, LDLCross-Sectional StudiesFemaleHumansLipoprotein(a)MaleProteinuriaCholesterol, LDLLipoprotein(a)Diabetic kidney diseaseLow-density lipoprotein triglyceridesSmall dense low-density lipoprotein cholesterol

Identifiers

PMID34665936
PMCPMC9017612
OpenAlexW3206080594

What OpenQuestion holds

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LicenceCC BY-NC
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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.