Evidence map›Paper›PMID 34819564›Full record

Observational studyScientific reports2021

Association between ADAMTS13 deficiency and cardiovascular events in chronic hemodialysis patients.

Shih-Yuan Hung, Tsun-Mei Lin, Hung-Hsiang Liou, Ching-Yang Chen, Wei-Ting Liao, Hsi-Hao Wang, Li-Chun Ho, Ching-Fang Wu, Yi-Che Lee, Min-Yu Chang

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 45% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. The Highs and Lows of ADAMTS13 Activity.Journal of clinical medicine · 2024
    Review
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

10 authors at 3 institutions in 1 country.

Shih-Yuan HungSchool of Medicine for International Students, College of Medicine, I-Shou University, Kaohsiung, Taiwan. ed100367@edah.org.tw.
Tsun-Mei LinDepartment of Medical Laboratory Science, I-Shou University, Kaohsiung, Taiwan.
Hung-Hsiang LiouDivision of Nephrology, Department of Internal Medicine, E-DA Hospital, No. 1, Yida Road, Jiaosu Village, Yanchao District, Kaohsiung City, 82445, Taiwan.
Ching-Yang ChenDivision of Nephrology, Department of Internal Medicine, E-DA Hospital, No. 1, Yida Road, Jiaosu Village, Yanchao District, Kaohsiung City, 82445, Taiwan.
Wei-Ting LiaoDepartment of Laboratory Medicine, E-DA Hospital, Kaohsiung, Taiwan.
Hsi-Hao WangDivision of Nephrology, Department of Internal Medicine, E-DA Hospital, No. 1, Yida Road, Jiaosu Village, Yanchao District, Kaohsiung City, 82445, Taiwan.
Li-Chun HoDivision of Nephrology, Department of Internal Medicine, E-DA Hospital, No. 1, Yida Road, Jiaosu Village, Yanchao District, Kaohsiung City, 82445, Taiwan.
Ching-Fang WuDivision of Nephrology, Department of Internal Medicine, E-DA Hospital, No. 1, Yida Road, Jiaosu Village, Yanchao District, Kaohsiung City, 82445, Taiwan.
Yi-Che LeeDivision of Nephrology, Department of Internal Medicine, E-DA Hospital, No. 1, Yida Road, Jiaosu Village, Yanchao District, Kaohsiung City, 82445, Taiwan.
Min-Yu ChangDivision of Nephrology, Department of Internal Medicine, E-DA Hospital, No. 1, Yida Road, Jiaosu Village, Yanchao District, Kaohsiung City, 82445, Taiwan.
E-Da Hospital · TWI-Shou University · TWJen-Ai Hospital · TW

Funding

E-DA Hospital EDAHP105014 and EDAHP106022
6 · The paper itself

Abstract

A mild decrease of ADAMTS13 (a disintegrin and metalloprotease with thrombospodin type 1 motif 13) could attribute to stroke and coronary heart disease in general population. However, the role of ADAMTS13 in hemodialysis (HD) patients remains to be explored. This cross-sectional and observational cohort study enrolled 98 chronic HD patients and 100 normal subjects with the aims to compare the ADAMTS13 activity between chronic HD patients and normal subjects, and to discover the role of ADAMTS13 on the newly developed cardiovascular events for HD patients in a 2-year follow-up. Our HD patients had a significantly lower ADAMTS13 activity than normal subjects, 41.0 ± 22.8% versus 102.3 ± 17.7%, p < 0.001. ADAMTS13 activity was positively correlated with diabetes, triglyceride and hemoglobin A1c, and negatively with high-density lipoprotein cholesterol levels in HD patients. With a follow-up of 20.3 ± 7.3 months, the Cox proportional hazards model revealed that low ADAMTS13, comorbid diabetes, and coronary heart diseases have independent correlations with the development of cardiovascular events. Our study demonstrated that chronic HD patients have a markedly decreased ADAMTS13 activity than normal subjects. Although ADAMTS13 seems to correlate well with diabetes, high triglyceride and low high-density lipoprotein cholesterol levels, ADAMTS13 deficiency still carries an independent risk for cardiovascular events in chronic HD patients.

Indexed as

ADAMTS13 ProteinAgedBiomarkersCardiovascular DiseasesCase-Control StudiesCross-Sectional StudiesFemaleHumansMaleMiddle AgedRenal DialysisRenal Insufficiency, ChronicRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeADAMTS13 ProteinADAMTS13 protein, humanBiomarkers

Identifiers

PMID34819564
PMCPMC8613234
OpenAlexW3215587119

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.