Evidence map›Paper›PMID 37098679›Full record

ArticleKidney research and clinical practice2023

Comparison of cardiovascular event predictability between the 2009 and 2021 Chronic Kidney Disease Epidemiology Collaboration equations in a Korean chronic kidney disease cohort: the KoreaN Cohort Study for Outcome in Patients With Chronic Kidney Disease.

Ji Hye Kim, Minjung Kang, Eunjeong Kang, Hyunjin Ryu, Yujin Jeong, Jayoun Kim, Sue K Park, Jong Cheol Jeong, Tae-Hyun Yoo, Yaeni Kim and 4 more

Open access · diamondAbstract read
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Article in Kidney research and clinical practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.6field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

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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

14 authors at 6 institutions in 1 country.

Ji Hye KimDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Minjung KangDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Eunjeong KangDepartment of Internal Medicine, Ewha Womans University College of Medicine, Ewha Womans University Seoul Hospital, Seoul, Republic of Korea.
Hyunjin RyuDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Yujin JeongDepartment of Biostatistics, Korea University College of Medicine, Seoul, Republic of Korea.
Jayoun KimMedical Research Collaborating Center, Seoul National University Hospital, Seoul, Republic of Korea.
Sue K ParkDepartment of Preventive Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
Jong Cheol JeongDepartment of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Tae-Hyun YooDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Yaeni KimDepartment of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Yong Chul KimDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Seung Seok HanDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Hajeong LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Kook-Hwan OhDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Seoul National University Hospital · KREwha Womans University · KRKorea University · KRSeoul National University · KRSeoul National University Bundang Hospital · KRYonsei University · KR

Funding

Korea Disease Control and Prevention Agency 2011E3300300, 2012E3301100, 2013E3301600, 2013E3301601, 2013E3301602, 2016E3300200, 2016E33 00201, 2016E3300202, 2019E320100, 2019E320101, 2019E320102, 2022-11-007National Research Foundation of Korea 2017M3A9E4044649
6 · The paper itself

Abstract

backgroundThe 2009 Chronic Kidney Disease Epidemiology Collaboration creatinine-based estimated glomerular filtration rate (eGFRcr) equation contains a race component that is not based on biology and may cause a bias in results. Therefore, the 2021 eGFRcr and creatinine-cystatin C-based eGFR (eGFRcr-cysC) equations were developed with no consideration of race. This study compared the cardiovascular event (CVE) and all-cause mortality and CVE combined predictability among the three eGFR equations in Korean chronic kidney disease (CKD) patients.

methodsThis study included 2,207 patients from the KoreaN Cohort Study for Outcome in Patients With Chronic Kidney Disease. Receiver operating characteristic (ROC) and net reclassification improvement (NRI) index were used to compare the predictability of the study outcomes according to the 2009 eGFRcr, 2021 eGFRcr, and 2021 eGFRcr-cysC equations.

resultsThe overall prevalence of CVE and all-cause mortality were 9% and 7%, respectively. There was no difference in area under the curve of ROC for CVE and mortality and CVE combined among all three equations. Compared to the 2009 eGFRcr, both the 2021 eGFRcr (NRI, 0.013; 95% confidence interval [CI], - 0.002 to 0.028) and the eGFRcr-cysC (NRI, -0.001; 95% CI, -0.031 to 0.029) equations did not show improved CVE predictability. Similar findings were observed for mortality and CVE combined predictability with both the 2021 eGFRcr (NRI, -0.019; 95% CI, -0.039-0.000) and the eGFRcr-cysC (NRI, -0.002; 95% CI, -0.023 to 0.018).

conclusionThe 2009 eGFRcr equation was not inferior to either the 2021 eGFRcr or eGFRcr-cysC equation in predicting CVE and the composite of mortality and CVE in Korean CKD patients.

Indexed as

Cardiovascular diseasesChronic renal insufficiencyCreatinineCystatin CRacial groups

Identifiers

PMID37098679
PMCPMC10698068
OpenAlexW4353080247

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LicenceCC BY-NC-ND
Read underepoch 390

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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.