Evidence map›Paper›PMID 35946486›Full record

ArticleRenal failure2022

Mineral and bone disorder and longterm survival in a chronic kidney disease grade 3b-4cohort.

Pablo Rios, Ricardo Silvariño, Laura Sola, Alejandro Ferreiro, Verónica Lamadrid, Laura Fajardo, Liliana Gadola

Open access · goldAbstract read
In one paragraph

Article in Renal failure, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 28% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
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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 1 institution in 1 country.

Pablo RiosComisión Asesora Programa de Salud Renal, Fondo Nacional de Recursos, Montevideo, Uruguay.
Ricardo SilvariñoComisión Asesora Programa de Salud Renal, Fondo Nacional de Recursos, Montevideo, Uruguay.
Laura SolaComisión Asesora Programa de Salud Renal, Fondo Nacional de Recursos, Montevideo, Uruguay.
Alejandro FerreiroComisión Asesora Programa de Salud Renal, Fondo Nacional de Recursos, Montevideo, Uruguay.
Verónica LamadridComisión Asesora Programa de Salud Renal, Fondo Nacional de Recursos, Montevideo, Uruguay.
Laura FajardoSociedad Uruguaya de Nefrología, Montevideo, Uruguay.
Liliana GadolaComisión Asesora Programa de Salud Renal, Fondo Nacional de Recursos, Montevideo, Uruguay.
Universidad de la República · UY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mineral and bone disorder biomarkers 'normal ranges' are controversial. The aim of the study was to evaluate the association between serum calcium (Ca), phosphate (P), intact parathyroid hormone (iPTH), and 25(OH) vitamin D levels and mortality risk, in a chronic kidney disease (CKD) grade (G) 3b-4 cohort. The Uruguayan National Renal Healthcare Program (NRHP-UY) CKD patients' cohort, included between 1 October 2004 and 1 March 2020 and followed-up until 1 March 2021, was analyzed with the Ethics Committee approval. A total of 6473 patients were analyzed: 56% men, median age 73 (65-79) years, 55% on CKD G3b. At the end of the follow-up, 2459 (37.7%) patients had died (6.4/100 patient-year). There were iPTH data on 2013 patients (younger, with lower estimated glomerular filtration rate (eGFR) and lesser comorbidities). By bivariate Cox analysis the lowest death risk was observed with mean Ca between 9.01 and 10.25 mg/dl, P between 2.76 and 4.0 mg/dl, iPTH ≤ 105 pg/ml, and 25(OH) vitamin D >10 ng/ml. The multivariate Cox regression mortality risk adjusted to age, sex, CKD etiology, diabetes, smoking, cardiovascular comorbidity, blood pressure, proteinuria, eGFR, renin-angiotensin system blockers and vitamin D treatments, serum Ca, P, iPTH, and 25(OH) vitamin D (

Indexed as

Renal Insufficiency, ChronicAgedBiomarkersCalciumFemaleHumansMaleMineralsParathyroid HormoneVitamin DBiomarkersCalciumMineralsParathyroid HormoneVitamin DCalciumchronic kidney disease 3b-4mineral metabolismparathyroid hormonephosphatesurvival analysis

Identifiers

PMID35946486
PMCPMC9373789
OpenAlexW4291020155

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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.