Evidence map›Paper›PMID 36835836›Full record

ArticleJournal of clinical medicine2023

Impact of Arterial Calcification of the Lower Limbs on Long-Term Clinical Outcomes in Patients on Hemodialysis.

Takayasu Ohtake, Ayaka Mitomo, Mizuki Yamano, Toshihiro Shimizu, Yasuhiro Mochida, Kunihiro Ishioka, Machiko Oka, Kyoko Maesato, Hidekazu Moriya, Sumi Hidaka and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.2field-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

8 citing papers in PubMed, 16 citations in OpenAlex.

  1. Impact of Chronic Limb-Threatening Ischemia in Patients on Hemodialysis.Journal of atherosclerosis and thrombosis · 2026
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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

12 authors at 3 institutions in 2 countries.

Takayasu OhtakeDepartment of Kidney and Transplant Center, Shonan Kamakura General Hospital, Kamakura 247-8533, Japan.ORCID 0000-0002-7009-161X
Ayaka MitomoDepartment of Kidney and Transplant Center, Shonan Kamakura General Hospital, Kamakura 247-8533, Japan.
Mizuki YamanoDepartment of Kidney and Transplant Center, Shonan Kamakura General Hospital, Kamakura 247-8533, Japan.
Toshihiro ShimizuDepartment of Kidney and Transplant Center, Shonan Kamakura General Hospital, Kamakura 247-8533, Japan.
Yasuhiro MochidaDepartment of Kidney and Transplant Center, Shonan Kamakura General Hospital, Kamakura 247-8533, Japan.
Kunihiro IshiokaDepartment of Kidney and Transplant Center, Shonan Kamakura General Hospital, Kamakura 247-8533, Japan.
Machiko OkaDepartment of Kidney and Transplant Center, Shonan Kamakura General Hospital, Kamakura 247-8533, Japan.
Kyoko MaesatoDepartment of Nephrology, Tokyo Nishi Tokushukai Hospital, Tokyo 196-0003, Japan.
Hidekazu MoriyaDepartment of Kidney and Transplant Center, Shonan Kamakura General Hospital, Kamakura 247-8533, Japan.ORCID 0000-0002-3252-2976
Sumi HidakaDepartment of Kidney and Transplant Center, Shonan Kamakura General Hospital, Kamakura 247-8533, Japan.ORCID 0000-0002-1576-0868
Milanga MwanatambweDepartment of Pathology, University of Mbuji Mayi, Mbujimayi 433, Congo.
Shuzo KobayashiDepartment of Kidney and Transplant Center, Shonan Kamakura General Hospital, Kamakura 247-8533, Japan.
Shonan Kamakura General Hospital · JPUniversity of Mbuji Mayi · CDYokufukai Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lower limbs' arterial calcification is significantly associated with the clinical severity of lower extremity artery disease (LEAD) in patients undergoing hemodialysis (HD). However, the association between arterial calcification of the lower limbs and long-term clinical outcomes in patients on HD has not been elucidated. Calcification scores of the superficial femoral artery (SFACS) and below-knee arteries (BKACS) were quantitatively evaluated in 97 HD patients who were followed for 10 years. Clinical outcomes, including all-cause and cardiovascular mortality, cardiovascular events, and limb amputation were evaluated. Risk factors for clinical outcomes were evaluated using univariate and multivariate Cox proportional hazard analyses. Furthermore, SFACS and BKACS were divided into three groups (low, middle, and high), and their associations with clinical outcomes were evaluated using Kaplan-Meier analysis. SFACS, BKACS, C-reactive protein, serum albumin, age, diabetes, presence of ischemic heart disease, and critical limb-threatening ischemia were significantly associated with 3-year and 10-year clinical outcomes in the univariate analysis. Multivariate analysis showed that SFACS was an independent factor associated with 10-year cardiovascular events and limb amputations. Kaplan-Meier life table analysis showed that higher SFACS and BKACS levels were significantly associated with cardiovascular events and mortality. In conclusion, long-term clinical outcomes and the risk factors in patients undergoing HD were evaluated. Arterial calcification of the lower limbs was strongly associated with 10-year cardiovascular events and mortality in patients undergoing HD.

Indexed as

arterial calcificationcardiovascular eventhemodialysislimb amputationlower extremity artery disease

Identifiers

PMID36835836
PMCPMC9967859
OpenAlexW4319440545

What OpenQuestion holds

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LicenceCC BY
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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.