Evidence map›Paper›PMID 35713926›Full record

ArticleJournal of internal medicine2022

The risk of renal comorbidities in celiac disease patients depends on the phenotype of celiac disease.

Rakel Nurmi, Camilla Pasternack, Teea Salmi, Kaisa Hervonen, Inka Koskinen, Jutta Järvelin, Heini Huhtala, Pekka Collin, Jukka Mustonen, Katri Kaukinen and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

9 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
  2. Review
  3. Factors influencing diagnostic delays in celiac disease.World journal of gastroenterology · 2025
    Article
  4. Coeliac disease: complications and comorbidities.Nature reviews. Gastroenterology & hepatology · 2025
    Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Rakel NurmiCeliac Disease Research Center, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.ORCID 0000-0002-6870-558X
Camilla PasternackCeliac Disease Research Center, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Teea SalmiCeliac Disease Research Center, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Kaisa HervonenCeliac Disease Research Center, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Inka KoskinenCeliac Disease Research Center, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Jutta JärvelinDepartment of Knowledge Brokers, Finnish Institute for Health and Welfare, Helsinki, Finland.
Heini HuhtalaFaculty of Social Sciences, Tampere University, Tampere, Finland.
Pekka CollinCeliac Disease Research Center, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Jukka MustonenFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Katri KaukinenCeliac Disease Research Center, Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Satu MäkeläDepartment of Internal Medicine, Tampere University Hospital, Tampere, Finland.
Tampere University · FIFinnish Institute for Health and Welfare · FITampere University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn increased risk of kidney disease in patients with celiac disease has been reported, but the association has remained obscure. Only few studies have investigated the association between renal comorbidities and dermatitis herpetiformis, a cutaneous manifestation of celiac disease.

objectivesWe investigated whether patients with different phenotypes of celiac disease are at higher risk of kidney diseases than age- and sex-matched references.

methodsThe diagnoses of glomerulonephritis, diabetic nephropathy, interstitial nephritis, and end-stage renal disease obtained from the National Hospital Discharge Register between 1970 and 2015 were identified in celiac disease (Marsh III, n = 1072) and dermatitis herpetiformis (n = 368) patients diagnosed at Tampere University Hospital catchment region and in 4296 reference subjects. Using the Cox proportional hazards model, we compared the risk of kidney diseases between patients and references. The study protocol was approved by the Regional Ethics Committee of Tampere University Hospital (R16090). As the study was register based, no consent from patients was required.

resultsEven after adjusting for type 1 diabetes, celiac disease was associated with an elevated risk of kidney disease (hazard ratio [HR] 1.85, 95% confidence interval [CI] 1.12-3.03), glomerulonephritis (HR 3.37, 95% CI 1.64-6.95), and IgA nephropathy (IgAN) (HR 18.98, 95% CI 2.29-157.63). No similarly elevated risk was found among dermatitis herpetiformis patients (HR 1.50, 95% CI 0.63-3.55; HR 2.21, 95% CI 0.77-6.38; and HR 5.87, 95% CI 0.53-64.79, respectively).

conclusionCeliac disease patients were at increased risk of kidney diseases, notably IgAN. The risk was dependent on the celiac disease phenotype and was not seen in patients with dermatitis herpetiformis. Awareness of possible renal manifestations is recommended when treating celiac disease patients.

Indexed as

Celiac DiseaseDermatitis HerpetiformisGlomerulonephritisGlomerulonephritis, IGAHumansPhenotypeRetrospective Studiesceliac diseasedermatitis herpetiformisend-stage renal diseaseglomerulonephritisIgA nephropathykidney disease

Identifiers

PMID35713926
PMCPMC9796855
OpenAlexW4283021844

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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.