Evidence map›Paper›PMID 34979983›Full record

ArticleBMC nephrology2022

Association between bone mineral metabolism and vascular calcification in end-stage renal disease.

Louise Aaltonen, Niina Koivuviita, Marko Seppänen, Heikki Kröger, Xiaoyu Tong, Eliisa Löyttyniemi, Kaj Metsärinne

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC nephrology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02967042 (Chronic Kidney Disease and Bone - Correlation Between 18F-PET-TT Imaging and Histomorphometry of Bone in Patients With Chronic Kidney Disease and Secondary Hyperparathyroidism), which is not on this map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 7% 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.

NCT02967042 naunknown statusnot on this map

Chronic Kidney Disease and Bone - Correlation Between 18F-PET-TT Imaging and Histomorphometry of Bone in Patients With Chronic Kidney Disease and Secondary Hyperparathyroidism

TypeinterventionalSponsorTurku University HospitalRan2016 to 2021Enrolled90ConditionsChronic Kidney DiseaseArms18F-PET-TT
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 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

7 authors at 4 institutions in 1 country.

Louise AaltonenKidney Center, Department of Medicine, Turku University Hospital, PL 52, Kiinamyllynkatu 4-8, 20521, Turku, Finland. louise.aaltonen@tyks.fi.
Niina KoivuviitaKidney Center, Department of Medicine, Turku University Hospital, PL 52, Kiinamyllynkatu 4-8, 20521, Turku, Finland.
Marko SeppänenTurku PET Centre, University of Turku, Kiinamyllynkatu 4-8, 20521, Turku, Finland.
Heikki KrögerKuopio Musculoskeletal Research Unit (KMRU) Institute of Clinical Medicine, University of Eastern Finland, POB 1627, Kuopio, Finland.
Xiaoyu TongKuopio Musculoskeletal Research Unit (KMRU) Institute of Clinical Medicine, University of Eastern Finland, POB 1627, Kuopio, Finland.
Eliisa LöyttyniemiDepartment of Biostatistics, University of Turku, Kiinamyllynkatu 10, 20014, Turku, Finland.
Kaj MetsärinneKidney Center, Department of Medicine, Turku University Hospital, PL 52, Kiinamyllynkatu 4-8, 20521, Turku, Finland.
Turku University Hospital · FIUniversity of Turku · FIKuopio University Hospital · FIUniversity of Eastern Finland · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDevelopment of vascular calcification is accelerated in patients with end-stage renal disease. In addition to traditional risk factors of cardiovascular disease (CVD) abnormal bone and mineral metabolism together with many other factors contribute to the excess cardiovascular burden in patients on dialysis. Aortic calcification score and coronary calcification score are predictive of CVD and mortality. The aim of this study was to evaluate the possible relationship between arterial calcification and bone metabolism.

methodsThirty two patients on dialysis were included. All patients underwent a bone biopsy to assess bone histomorphometry and a

resultsThis study group showed high prevalence of arterial calcification and 59% had verified CVD. Both CAC and AAC were significantly higher in patients with verified CVD. Only 22% had low turnover bone disease. There was a weak association between fluoride activity, which reflects bone turnover, measured in the lumbar spine, and CAC and between PTH and CAC. There was also a weak association between erosion surfaces and AAC. No significant association was found between calcification score and any other parameter measured.

conclusionsThe results in this study highlight the complexity, when evaluating the link between bone remodeling and vascular calcification in patients with multiple comorbidities and extensive atherosclerosis. Several studies suggest an impact of bone turnover on development of arterial calcification and there is some evidence of reduced progression of vascular calcification with improvement in bone status. The present study indicates an association between vascular calcification and bone turnover, even though many parameters of bone turnover failed to show significance. In the presence of multiple other factors contributing to the development of calcification, the impact of bone remodeling might be diminished.

trial registrationThe study is registered in ClinicalTrials.gov protocol registration and result system, ID is NCT02967042 . Date of registration is 17/11/2016.

Indexed as

Absorptiometry, PhotonAdultAgedAged, 80 and overAortic DiseasesBone and BonesBone DensityBone RemodelingCoronary Artery DiseaseFemaleFluorodeoxyglucose F18HumansKidney Failure, ChronicMaleMiddle AgedMineralsFluorodeoxyglucose F18Minerals18F-NaF PETAortic calcification scoreBone histomorphometryCoronary artery calcification scoreDialysis

Identifiers

PMID34979983
PMCPMC8722315
OpenAlexW4206273154

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.