Evidence map›Paper›PMID 35649722›Full record

ArticleClinical journal of the American Society of Nephrology : CJASN2022

Moving from Evidence to Implementation of Breakthrough Therapies for Diabetic Kidney Disease.

Katherine R Tuttle, Leslie Wong, Wendy St Peter, Glenda Roberts, Janani Rangaswami, Amy Mottl, Alan S Kliger, Raymond C Harris, Patrick O Gee, Kevin Fowler and 5 more

Open access · greenAbstract read
In one paragraph

Article in Clinical journal of the American Society of Nephrology : CJASN, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
10.6field-weighted citation impact, top 1% 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

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 80 citations in OpenAlex.

  1. Pooled it
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  16. The Cardiovascular-Kidney-Metabolic Health Framework: Implications for Nephrology.Clinical journal of the American Society of Nephrology : CJASN · 2025
    Review
  17. Article
  18. Combination therapy: an upcoming paradigm to improve kidney and cardiovascular outcomes in chronic kidney disease.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Review
  19. Article
  20. 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

15 authors at 3 institutions in 2 countries.

Katherine R TuttleProvidence Medical Research Center, Providence Health Care.ORCID 0000-0002-2235-0103
Leslie WongDepartment of Kidney Medicine, Cleveland Clinic, Cleveland, Ohio.
Wendy St PeterDepartment of Pharmaceutical Care and Health Systems, College of Pharmacy, University of Minnesota, Minneapolis, Minnesota.ORCID 0000-0002-2201-3019
Glenda RobertsNephrology Division and Kidney Research Institute, University of Washington, Seattle, Washington.ORCID 0000-0002-3358-3287
Janani RangaswamiNephrology Division, George Washington University School of Medicine, Washington, DC.
Amy MottlNephrology Division, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.ORCID 0000-0002-4258-1726
Alan S KligerNephrology Division, Yale University School of Medicine, New Haven, Connecticut.
Raymond C HarrisNephrology Division, Vanderbilt University Medical Center, Nashville, Tennessee.
Patrick O GeeiAdvocate, Inc.ORCID 0000-0001-8442-481
Kevin FowlerThe Voice of the Patient, Inc.ORCID 0000-0002-9240-1308
David CherneyNephrology Division, Toronto General Hospital, Toronto, Ontario, Canada.
Frank C BrosiusNephrology Division, University of Arizona, Tucson, Arizona.
Christos ArgyropoulosNephrology Division, University of New Mexico, Albuquerque, New Mexico.
Susan E QuagginNephrology Division, Northwestern University, Evanston, Illinois.ORCID 0000-0002-3706-5727
Diabetic Kidney Disease Collaborative Task Force
Providence Health Care · CANorthwestern University · USUniversity of North Carolina at Chapel Hill · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetic kidney disease is the most frequent cause of kidney failure, accounting for half of all cases worldwide. Moreover, deaths from diabetic kidney disease increased 106% between 1990 and 2013, with most attributed to cardiovascular disease. Recommended screening and monitoring for diabetic kidney disease are conducted in less than half of patients with diabetes. Standard-of-care treatment with an angiotensin-converting enzyme inhibitor or an angiotensin receptor blocker is correspondingly low. Sodium-glucose cotransporter 2 inhibitors, glucagon-like peptide 1 receptor agonists, and a nonsteroidal mineralocorticoid antagonist are highly effective therapies to reduce kidney and cardiovascular risks in diabetic kidney disease. However, <20% of eligible patients are receiving these agents. Critical barriers are high out-of-pocket drug costs and low reimbursement rates. Data demonstrating clinical and cost-effectiveness of diabetic kidney disease care are needed to garner payer and health care system support. The pharmaceutical industry should collaborate on value-based care by increasing access through affordable drug prices. Additionally, multidisciplinary models and communication technologies tailored to individual health care systems are needed to support optimal diabetic kidney disease care. Community outreach efforts are also central to make care accessible and equitable. Finally, it is imperative that patient preferences and priorities shape implementation strategies. Access to care and implementation of breakthrough therapies for diabetic kidney disease can save millions of lives by preventing kidney failure, cardiovascular events, and premature death. Coalitions composed of patients, families, community groups, health care professionals, health care systems, federal agencies, and payers are essential to develop collaborative models that successfully address this major public health challenge.

Indexed as

Diabetes Mellitus, Type 2Diabetic NephropathiesRenal InsufficiencyAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsHumansMineralocorticoid Receptor AntagonistsAngiotensin-Converting Enzyme InhibitorsAngiotensin Receptor AntagonistsMineralocorticoid Receptor AntagonistsACE inhibitorsalbuminuriaangiotensin receptor blockerscardiovascular diseasediabetic nephropathydisparityGLP-1 receptor agonistsnon-steroidal mineralocorticoid antagonistSGLT2 inhibitors

Identifiers

PMID35649722
PMCPMC9269635
OpenAlexW4281623679

What OpenQuestion holds

Textmetadata
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.