Evidence map›Paper›PMID 36161516›Full record

ArticleObesity (Silver Spring, Md.)2022

Impact of refitted race-free eGFR formula on obesity pharmacotherapy options.

Babak J Orandi, Chandler McLeod, Rhiannon D Reed, Vineeta Kumar, Leon I Igel, Louis J Aronne, Robert M Cannon, Cora E Lewis, Jayme E Locke

Abstract read
In one paragraph

Article in Obesity (Silver Spring, Md.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Estimating glomerular filtration rate with new equations: can one size ever fit all?Critical reviews in clinical laboratory sciences · 2023
    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

9 authors.

Babak J OrandiDepartment of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID 0000-0001-6026-7135
Chandler McLeodDepartment of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Rhiannon D ReedDepartment of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Vineeta KumarDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Leon I IgelDepartment of Medicine, Weill Cornell Medicine, New York, New York, USA.
Louis J AronneDepartment of Medicine, Weill Cornell Medicine, New York, New York, USA.ORCID 0000-0002-9890-9401
Robert M CannonDepartment of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Cora E LewisDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID 0000-0002-2301-5796
Jayme E LockeDepartment of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Funding

CKD Risk Prediction among Obese Living Kidney DonorsR01DK113980 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LOCKE, JAYME ELIZABETH · 2018 to 2022
$3.4M
NIDDK NIH HHS R01 DK113980
6 · The paper itself

Abstract

objectiveRecent changes to the Chronic Kidney Disease Epidemiology Collaboration estimated glomerular filtration rate (eGFR) formula (2021 CKD-EPI) removed race from the 2009 formula, increasing the number of Black people classified as having CKD, but these changes may impact eligibility and/or dosing for antiobesity medications. This study estimated the number of people with obesity nationwide who might have pharmacotherapy options impacted by the new formula.

methodsUsing National Health and Nutrition Examination Survey (NHANES) cohort study data, the number of people eligible for antiobesity medication was estimated, and the number who would require a dosage reduction or would no longer be eligible for specific medications based on the new eGFR formula was also estimated.

resultsAmong 16,412,571 Black and 109,654,751 non-Black people eligible for antiobesity medication, 911,336 (6.1%) Black and 6,925,492 (6.6%) non-Black people had ≥CKD stage 3 by the 2009 CKD-EPI formula. Applying the 2021 CKD-EPI formula, 1,260,969 (8.5%) Black people and 4,989,919 (4.7%) non-Black people had ≥CKD stage 3. For medications requiring renal adjustment, the number of Black people who would require a lower dose or be precluded from using a medication increased by 24.7% to 50.2%.

conclusionsThese findings highlight the importance of measuring-rather than estimating-GFR in Black people with CKD when considering many antiobesity pharmacotherapy options.

Indexed as

Renal Insufficiency, ChronicCohort StudiesCreatinineGlomerular Filtration RateHumansNutrition SurveysObesityCreatinine

Identifiers

PMID36161516
PMCPMC9653161

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