Evidence map›Paper›PMID 34706669›Full record

ArticleBMC nephrology2021

Growth differentiation factor-15 and incident chronic kidney disease: a population-based cohort study.

Xue Bao, Biao Xu, Yan Borné, Marju Orho-Melander, Olle Melander, Jan Nilsson, Anders Christensson, Gunnar Engström

Open access · goldAbstract read
In one paragraph

Article in BMC nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

15 citing papers in PubMed, 18 citations in OpenAlex.

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  7. Intermuscular Adipose Tissue in CKD: A Window into Muscle Quality and Health?Clinical journal of the American Society of Nephrology : CJASN · 2025
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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

8 authors at 2 institutions in 2 countries.

Xue BaoDepartment of Cardiology, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, No. 321 Zhongshan Road, Nanjing, 210008, China.
Biao XuDepartment of Cardiology, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, No. 321 Zhongshan Road, Nanjing, 210008, China. xubiao62@nju.edu.cn.
Yan BornéDepartment of Clinical Sciences, Lund University, CRC 60:13, Jan Waldenströms gata 35, 205 02, Malmö, Sweden.
Marju Orho-MelanderDepartment of Clinical Sciences, Lund University, CRC 60:13, Jan Waldenströms gata 35, 205 02, Malmö, Sweden.
Olle MelanderDepartment of Clinical Sciences, Lund University, CRC 60:13, Jan Waldenströms gata 35, 205 02, Malmö, Sweden.
Jan NilssonDepartment of Clinical Sciences, Lund University, CRC 60:13, Jan Waldenströms gata 35, 205 02, Malmö, Sweden.
Anders ChristenssonDepartment of Clinical Sciences, Lund University, CRC 60:13, Jan Waldenströms gata 35, 205 02, Malmö, Sweden.
Gunnar EngströmDepartment of Clinical Sciences, Lund University, CRC 60:13, Jan Waldenströms gata 35, 205 02, Malmö, Sweden. gunnar.engstrom@med.lu.se.
Lund University · SENanjing Drum Tower Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe relationship between growth differentiation factor 15 (GDF-15) and the development of chronic kidney disease (CKD) is still unclear. We sought to examine whether plasma GDF-15 was related to incident CKD and kidney function decline using a large prospective cohort study.

methods4318 participants of the Malmö Diet and Cancer Study-Cardiovascular Cohort were examined in 1991-1994. Incidence of CKD was followed prospectively by linkage with national patient registers. Estimated glomerular filtration rate (eGFR) was available for all participants at baseline, and was re-measured in a subgroup of 2744 subjects after 16.6 ± 1.49 years. Incidence of CKD was examined in relation to GDF-15 using Cox regression analysis. Logistic regression was used to examine the association of GDF-15 with eGFR change and eGFR-based CKD. Models were carefully corrected for potential confounders including baseline eGFR, N-terminal pro-B-type natriuretic peptide, and competing risk from death.

results165 patients developed CKD after 19.2 ± 4.04 years of follow-up. The adjusted hazard ratio (95% confidence interval, CI) for CKD in 4th versus 1st quartile of GDF-15 was 2.37 (1.33, 4.24) (p for trend < 0.01). Each per 1 standard deviation increase in GDF-15 was associated with a decline in eGFR of - 0.97 mL/min/1.73 m

conclusionsGDF-15 predicted incidence of CKD and eGFR decline in the general population, independent of a wide range of potential risk factors and competing risk of death.

Indexed as

AgedCohort StudiesFemaleGrowth Differentiation Factor 15HumansIncidenceMaleMiddle AgedProspective StudiesRenal Insufficiency, ChronicGDF15 protein, humanGrowth Differentiation Factor 15Chronic kidney diseaseCohort studyCompeting riskEstimated glomerular filtration rateGrowth differentiation factor 15

Identifiers

PMID34706669
PMCPMC8554962
OpenAlexW3156169583

What OpenQuestion holds

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LicenceCC BY
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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.