Evidence map›Paper›PMID 36815116›Full record

ArticleKidney international reports2023

Bone Mineral Density and Vascular Calcification in Children and Young Adults With CKD 4 to 5 or on Dialysis.

Alexander D Lalayiannis, Nicola J Crabtree, Charles J Ferro, David C Wheeler, Neill D Duncan, Colette Smith, Joyce Popoola, Askiti Varvara, Andromachi Mitsioni, Amrit Kaur and 9 more

Open access · goldAbstract read
In one paragraph

Article in Kidney international reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

14 citing papers in PubMed, 17 citations in OpenAlex.

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  6. The link between osteoporosis and cardiovascular diseases: a review of shared mechanisms, risk factors, and therapeutic approaches.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
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  14. Observational
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

19 authors at 10 institutions in 3 countries.

Alexander D LalayiannisPediatric Nephrology, Birmingham Women's and Children's Hospitals, National Health Service Foundation Trust, Birmingham, UK; University College London Great Ormond Street Hospital Institute of Child Health, London, UK.
Nicola J CrabtreeDensitometry Department, Birmingham Women's and Children's Hospitals National Health Service, Foundation Trust, Birmingham, UK.
Charles J FerroRenal Unit, University Hospitals Birmingham, Birmingham, UK.
David C WheelerDepartment of Renal Medicine, University College London, London, UK.
Neill D DuncanImperial College Healthcare National Health Service Trust, Renal and Transplant Center, London, UK.
Colette SmithInstitute of Global Helath, University College London, London, UK.
Joyce PopoolaSt. George's University Hospital National Health Service Foundation Trust, London, UK.
Askiti VarvaraDepartment of Pediatric Nephrology, "P & A Kyriakou" Children's Hospital, Athens, Greece.
Andromachi MitsioniDepartment of Pediatric Nephrology, "P & A Kyriakou" Children's Hospital, Athens, Greece.
Amrit KaurPediatric Nephrology, Manchester University National Health Service Foundation Trust, Manchester, UK.
Manish D SinhaPediatric Nephrology, Evelina Children's Hospital, London, UK.
Lorenzo BiassoniUniversity College London Great Ormond Street Hospital Institute of Child Health, London, UK.
Simon P McGuirkRadiology Department, Birmingham Women's and Children's Hospitals National Health Service Foundation Trust, Birmingham, UK.
Kristian H MortensenDepartment of Cardiac Imaging, University College London Great Ormond Street Hospital Institute of Child Health, London, UK.
David V MilfordNephrology, Birmingham Children's Hospital, Birmingham, UK.
Jin LongStanford University School of Medicine, Palo Alto, California, USA.
Mary D LeonardPediatrics, Stanford University School of Medicine, Palo Alto, California, USA.
Mary FewtrellUniversity College London Great Ormond Street Institute of Child Health, Population Policy and Practice, Childhood Nutrition Research Center, London, UK.
Rukshana ShroffUniversity College London Great Ormond Street Hospital Institute of Child Health, London, UK.
University College London · GBBirmingham Women’s and Children’s NHS Foundation Trust · GBNational Health Service · GBPanagiotis & Aglaia Kyriakou Children's Hospital · GRStanford University · USBirmingham Children's Hospital · GBEvelina London Children's Healthcare · GBGreat Ormond Street Hospital · GBImperial College Healthcare NHS Trust · GBNIHR Surgical Reconstruction and Microbiology Research Centre · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Older adults with chronic kidney disease (CKD) can have low bone mineral density (BMD) with concurrent vascular calcification. Mineral accrual by the growing skeleton may protect young people with CKD from extraosseous calcification. Our hypothesis was that children and young adults with increasing BMD do not develop vascular calcification. Methods: This was a multicenter longitudinal study in children and young people (5-30 years) with CKD stages 4 to 5 or on dialysis. BMD was assessed by tibial peripheral quantitative computed tomography (pQCT) and lumbar spine dual-energy X-ray absorptiometry (DXA). The following cardiovascular imaging tests were undertaken: cardiac computed tomography for coronary artery calcification (CAC), ultrasound for carotid intima media thickness z-score (cIMTz), pulse wave velocity z-score (PWVz), and carotid distensibility for arterial stiffness. All measures are presented as age-adjusted and sex-adjusted z-scores. Results: One hundred participants (median age 13.82 years) were assessed at baseline and 57 followed up after a median of 1.45 years. Trabecular BMD z-score (TrabBMDz) decreased ( Conclusion: This hypothesis-generating study suggests that children and young adults with CKD or on dialysis may develop vascular calcification even as their BMD increases. A presumed buffering capacity of the growing skeleton may offer some protection against extraosseous calcification.

Indexed as

carotid intima media thicknesschronic kidney diseasecoronary artery calcificationdialysisdual-energy X-ray absorptiometryperipheral quantitative CT scan

Identifiers

PMID36815116
PMCPMC9939315
OpenAlexW4308154654

What OpenQuestion holds

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LicenceCC BY
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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.