Evidence map›Paper›PMID 35473721›Full record

ArticleBMJ open2022

Association of impaired kidney function with mortality in rural Uganda: results of a general population cohort study.

Robert Kalyesubula, Isaac Sekitoleko, Keith Tomlin, Christian Holm Hansen, Billy Ssebunya, Ronald Makanga, Moses Kwizera Mbonye, Janet Seeley, Liam Smeeth, Robert Newton and 1 more

Abstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Death after cure: Mortality among pulmonary tuberculosis survivors in rural Uganda.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2024
    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

11 authors.

Robert KalyesubulaEpidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK rkalyesubula@gmail.com.ORCID 0000-0003-3211-163X
Isaac SekitolekoNon-Communicable Disease Epidemiology, MRC/UVRI and LSHTM Research Unit, Entebbe, Uganda.
Keith TomlinEpidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.
Christian Holm HansenInfectious Diseases Epidemiology, London School of Hygiene & Tropical Medicine, London, UK.
Billy SsebunyaNon-Communicable Disease Epidemiology, MRC/UVRI and LSHTM Research Unit, Entebbe, Uganda.
Ronald MakangaNon-Communicable Disease Epidemiology, MRC/UVRI and LSHTM Research Unit, Entebbe, Uganda.
Moses Kwizera MbonyeNon-Communicable Disease Epidemiology, MRC/UVRI and LSHTM Research Unit, Entebbe, Uganda.
Janet SeeleyDepartment of Global Health and Development, London School of Hygiene & Tropical Medicine, London, UK.ORCID 0000-0002-0583-5272
Liam SmeethEpidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.
Robert NewtonNon-Communicable Disease Epidemiology, MRC/UVRI and LSHTM Research Unit, Entebbe, Uganda.ORCID 0000-0001-6715-9153
Laurie A TomlinsonEpidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.ORCID 0000-0001-8848-9493

Funding

Medical Research Council MC_UU_00027/4Medical Research Council MR/R010161/1
6 · The paper itself

Abstract

objectiveTo determine the association between baseline kidney function and subsequent all-cause mortality. DESIGN AND

settingA general population-based cohort study from rural Uganda.

participantsPeople aged 18 years and above with measured baseline estimated glomerular filtration rate (eGFR), recruited from survey rounds in 2011-2012 or 2014-2015 and followed up to March 2019. OUTCOME MEASURE: The primary outcome was all-cause mortality, identified through reports from community health workers and verified by verbal autopsy. The association between baseline eGFR category and mortality was determined using multivariable Cox regression.

resultsOf 5812 participants in both rounds, we included 5678 (97.7%) participants with kidney function and mortality data; the median age was 36 years (IQR 24-50), 60.7% were female, 10.3% were hypertensive, 9.8% were HIV-positive and 1.5% were diabetic. During a median follow-up of 5.0 years (IQR 3.7-6.0) there were 140 deaths. In age-adjusted and sex-adjusted analyses, eGFR <45 mL/min/1.73 m

conclusionIn a prospective cohort in rural Uganda we found that impaired baseline kidney function was associated with subsequently increased total mortality. Improved understanding of the determinants of kidney disease and its progression is needed in order to inform interventions for prevention and treatment.

Indexed as

Diabetes MellitusHypertensionRenal InsufficiencyAdultCohort StudiesFemaleGlomerular Filtration RateHumansKidneyMaleProspective StudiesUgandaEPIDEMIOLOGYNephrologyPUBLIC HEALTH

Identifiers

PMID35473721
PMCPMC9045120

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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.