Evidence map›Paper›PMID 34843755›Full record

ArticleKidney international2022

A metabolomics approach identified toxins associated with uremic symptoms in advanced chronic kidney disease.

Jiun-Ruey Hu, Leslie Myint, Andrew S Levey, Josef Coresh, Lesley A Inker, Morgan E Grams, Eliseo Guallar, Kasper D Hansen, Eugene P Rhee, Tariq Shafi

Open access · greenAbstract read
In one paragraph

Article in Kidney international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

10 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Pediatric and adult point of view on the gut-kidney axis in CKD.Pediatric nephrology (Berlin, Germany) · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Metabolites Associated With Uremic Symptoms in Patients With CKD: Findings From the Chronic Renal Insufficiency Cohort (CRIC) Study.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2024
    Article
  10. Article
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 6 institutions in 1 country.

Jiun-Ruey HuDepartment of Internal Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Leslie MyintDepartment of Mathematics, Statistics, and Computer Science, Macalester College, St. Paul, Minnesota, USA.
Andrew S LeveyDivision of Nephrology, Tufts Medical Center, Boston, Massachusetts, USA.
Josef CoreshWelch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA; Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.
Lesley A InkerDivision of Nephrology, Tufts Medical Center, Boston, Massachusetts, USA.
Morgan E GramsWelch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA; Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA; Division of Nephrology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
Eliseo GuallarWelch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA; Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.
Kasper D HansenDepartment of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA; Department of Biostatistics, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA.
Eugene P RheeDivision of Nephrology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Tariq ShafiDivision of Nephrology, University of Mississippi Medical Center, Jackson, Mississippi, USA. Electronic address: tshafi@umc.edu.
Johns Hopkins University · USTufts Medical Center · USMacalester College · USMassachusetts General Hospital · USUniversity of Mississippi Medical Center · USYale University · US

Funding

Proteomic Approach to CKD Biomarker Discovery and ValidationU01DK085689 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI CORESH, JOSEF · 2009 to 2019
$5.6M
Metabolomics of Uremic Symptoms in Dialysis PatientsR01NR017399 · NINR · MASSACHUSETTS GENERAL HOSPITAL · PI RHEE, EUGENE P., SHAFI, TARIQ · 2018 to 2023
$2.8M
CAMARO-ESRD: Cardiac Arrhythmia Monitoring and Related Outcomes in End Stage Renal Disease PatientsR01HL132372 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI GUALLAR, ELISEO, SHAFI, TARIQ · 2017 to 2019
$2.3M
NHLBI NIH HHS R01 HL132372NIDDK NIH HHS U01 DK085689NINR NIH HHS R01 NR017399
6 · The paper itself

Abstract

Uremic symptoms are common in patients with advanced chronic kidney disease, but the toxins that cause these symptoms are unknown. To evaluate this, we performed a cross-sectional study of the 12 month post-randomization follow-up visit of Modification of Diet in Renal Disease (MDRD) participants reporting uremic symptoms who also had available stored serum. We quantified 1,163 metabolites by liquid chromatography-tandem mass spectrometry. For each uremic symptom, we calculated a score as the severity multiplied by the number of days the symptom was experienced. We analyzed the associations of the individual symptom scores with metabolites using linear models with empirical Bayesian inference, adjusted for multiple comparisons. Among 695 participants, the mean measured glomerular filtration rate (mGFR) was 28 mL/min/1.73 m

Indexed as

Renal Insufficiency, ChronicBayes TheoremCross-Sectional StudiesGlomerular Filtration RateHumansMetabolomicsProspective Studieschronic kidney diseasemetabolomicsuremiauremic symptoms

Identifiers

PMID34843755
PMCPMC8792216
OpenAlexW3216762364

What OpenQuestion holds

Textmetadata
LicenceTDM
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.