Evidence map›Paper›PMID 36733794›Full record

ReviewFrontiers in endocrinology2022

Cortisol excess in chronic kidney disease - A review of changes and impact on mortality.

Michael S Sagmeister, Lorraine Harper, Rowan S Hardy

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in endocrinology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
10.9field-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

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Review
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  5. Review
  6. Asiatic acid fromFrontiers in nutrition · 2026
    Article
  7. Article
  8. Review
  9. Article
  10. The Link between Alcohol Consumption and Kidney Injury.The American journal of pathology · 2026
    Review
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  12. 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

3 authors at 1 institution in 1 country.

Michael S SagmeisterInstitute for Metabolism and Systems Research, University of Birmingham, Birmingham, United Kingdom.
Lorraine HarperRenal Medicine, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.
Rowan S HardyInstitute for Metabolism and Systems Research, University of Birmingham, Birmingham, United Kingdom.
University of Birmingham · GB

Funding

Medical Research Council MR/P021220/1Medical Research Council MR/T008172/1Versus Arthritis 19859Versus Arthritis 20843
6 · The paper itself

Abstract

Chronic kidney disease (CKD) describes the long-term condition of impaired kidney function from any cause. CKD is common and associated with a wide array of complications including higher mortality, cardiovascular disease, hypertension, insulin resistance, dyslipidemia, sarcopenia, osteoporosis, aberrant immune function, cognitive impairment, mood disturbances and poor sleep quality. Glucocorticoids are endogenous pleiotropic steroid hormones and their excess produces a pattern of morbidity that possesses considerable overlap with CKD. Circulating levels of cortisol, the major active glucocorticoid in humans, are determined by a complex interplay between several processes. The hypothalamic-pituitary-adrenal axis (HPA) regulates cortisol synthesis and release, 11β-hydroxysteroid dehydrogenase enzymes mediate metabolic interconversion between active and inactive forms, and clearance from the circulation depends on irreversible metabolic inactivation in the liver followed by urinary excretion. Chronic stress, inflammatory states and other aspects of CKD can disturb these processes, enhancing cortisol secretion

Indexed as

HydrocortisoneRenal Insufficiency, ChronicAdultGlucocorticoidsHumansHypothalamo-Hypophyseal SystemPituitary-Adrenal SystemGlucocorticoidsHydrocortisone11beta-HSDadrenal functionchronic diseasecircadian rhythmhumanrenal replacement therapysteroid metabolismsubclinical hypercortisolism

Identifiers

PMID36733794
PMCPMC9886668
OpenAlexW4316669905

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.